MEDICARE: MOUNTAIN VIEW SURGICAL SPECIALISTS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA1903X	Ambulatory Surgical Clinic/Center

General Provider Information

NPI Number	:	1144903113
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOUNTAIN VIEW SURGICAL SPECIALISTS

Provider Business Mailing Address
First Line	:	5445 DTC PKWY STE 1130
Second Line	:
City	:	GREENWOOD VILLAGE
State	:	CO
Zip	:	80111-3038
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5060 S SYRACUSE ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80237-2702
Country	:	US
Telephone Number	:	303-860-5276
Fax Number	:	720-925-5897

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	SHAUN GABRIEL
Credential	:	MD
Telephone Number	:	773-793-4831

Provider Enumeration Date	:	08/08/2023
Last Update Date	:	08/08/2023

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