Surgical Specialists of Colorado PLLC
NPI 1487026951ActiveOrganization· Surgery· Lone Tree, CO
Surgery in Lone Tree, Colorado, registered in NPPES in October 2015. The authorized official on file is Jacquelyn Kay Glenn, Owner/Operator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1487026951 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 23, 2015 |
| Last updated in NPPES | Apr 8, 2026 |
| Certified by provider | Apr 8, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | DR47517 | CO |
| Registered Nurse, Wound Care | 163WW0000X | — | — |
| Emergency Medicine, Undersea and Hyperbaric Medicine | 207PE0005X | — | — |
| Surgery | 208600000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CO) |
|---|
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