MEDICARE: COLORADO ENDOSURGERY INSTITUTE, P.C.

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	208600000X	Surgery Physician	44107	CO

General Provider Information

NPI Number	:	1356519391
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COLORADO ENDOSURGERY INSTITUTE, P.C.

Provider Business Mailing Address
First Line	:	8390 E CRESCENT PKWY
Second Line	:	SUITE 100
City	:	GREENWOOD VILLAGE
State	:	CO
Zip	:	80111-2811
Country	:	US
Telephone Number	:	720-290-8772
Fax Number	:	720-206-0806

Provider Business Practice Location Address
First Line	:	16830 NORTHGATE DR
Second Line	:	SUITE 130
City	:	PARKER
State	:	CO
Zip	:	80134-5778
Country	:	US
Telephone Number	:	720-290-8772
Fax Number	:	720-206-0806

Authorized Official
Title or Position	:	CEO AND PRESIDENT
Name	:	DR. KEVIN DOUGLAS FRADKIN
Credential	:	M.D.
Telephone Number	:	720-290-8772

Provider Enumeration Date	:	02/12/2008
Last Update Date	:	11/14/2008

Similar Medicare Providers

1548193626 — MAIRA RIFAT
Practice Location Address:

16830 NORTHGATE DR # 3306
PARKER, CO
80134-5778

Practice Phone: 720-824-5444
Practice Fax:

1982675591 — DR. CHERI LEA NEAL D.D.S.
Practice Location Address:

16830 NORTHGATE DR STE 110
PARKER, CO
80134-5778

Practice Phone: 303-766-1915
Practice Fax: 303-766-8249

1851481527 — DR. MARC T AVNER M.D.
Practice Location Address:

16830 NORTHGATE DR UNIT 150
PARKER, CO
80134-5778

Practice Phone: 303-805-7879
Practice Fax: 303-805-8076

1154493245 — DR. SUNIT GILL M.D.
Practice Location Address:

16830 NORTHGATE DR UNIT 150
PARKER, CO
80134-5778

Practice Phone: 303-805-7879
Practice Fax: 303-805-8076

1568584340 — DR. BETH L NIELSEN D.D.S.
Practice Location Address:

16830 NORTHGATE DR , SUITE 100
PARKER, CO
80134-5778

Practice Phone: 303-841-9009
Practice Fax:

1477767002 — CHERI L. NEAL, D.D.S., P.C.
Practice Location Address:

16830 NORTHGATE DR STE 110
PARKER, CO
80134-5778

Practice Phone: 303-766-1915
Practice Fax:

Directions to “COLORADO ENDOSURGERY INSTITUTE, P.C. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.