Healthcare Provider Details
I. General information
NPI: 1023755626
Provider Name (Legal Business Name): RSC AURORA, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/16/2022
Last Update Date: 08/16/2024
Certification Date: 08/16/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1411 S POTOMAC ST STE 440
AURORA CO
80012-4540
US
IV. Provider business mailing address
1444 S POTOMAC ST STE 175
AURORA CO
80012-4530
US
V. Phone/Fax
- Phone: 720-443-2425
- Fax: 720-328-5369
- Phone: 720-443-2425
- Fax: 720-328-5369
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QS0132X |
| Taxonomy | Ophthalmologic Surgery Clinic/Center |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207WX0107X |
| Taxonomy | Retina Specialist (Ophthalmology) Physician |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
ROSS
B
CHOD
Title or Position: PHYSICIAN OWNER
Credential: MD
Phone: 720-443-2425