Healthcare Provider Details

I. General information

NPI: 1417847898
Provider Name (Legal Business Name): SURGONE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2025
Last Update Date: 07/07/2025
Certification Date: 07/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 N WILLIAMS ST STE 200
DENVER CO
80218-1237
US

IV. Provider business mailing address

8490 E CRESCENT PKWY STE 380
GREENWOOD VILLAGE CO
80111-2815
US

V. Phone/Fax

Practice location:
  • Phone: 720-575-3955
  • Fax: 720-575-0025
Mailing address:
  • Phone: 303-957-1310
  • Fax: 303-761-4252

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086X0206X
TaxonomySurgical Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: SHELBY UHERNIK
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: MBA
Phone: 303-957-1310