MEDICARE: SURGONE, PC

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	2086X0206X	Surgical Oncology Physician

General Provider Information

NPI Number	:	1376489575
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SURGONE, PC

Provider Business Mailing Address
First Line	:	8490 E CRESCENT PKWY STE 380
Second Line	:
City	:	GREENWOOD VILLAGE
State	:	CO
Zip	:	80111-2815
Country	:	US
Telephone Number	:	303-957-1310
Fax Number	:	303-761-4252

Provider Business Practice Location Address
First Line	:	701 E HAMPDEN AVE STE 300
Second Line	:
City	:	ENGLEWOOD
State	:	CO
Zip	:	80113-2736
Country	:	US
Telephone Number	:	720-575-3955
Fax Number	:	720-575-0025

Authorized Official
Title or Position	:	CEO
Name	:	SHELBY UHERNIK
Credential	:
Telephone Number	:	303-957-1310

Provider Enumeration Date	:	04/28/2026
Last Update Date	:	04/28/2026

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