MEDICARE: PEAK SURGICAL ASSISTING LL

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	246ZC0007X	Surgical Assistant

General Provider Information

NPI Number	:	1417895665
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PEAK SURGICAL ASSISTING LL

Provider Business Mailing Address
First Line	:	10615 SILVERTON CREEK PT
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80908-7400
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10615 SILVERTON CREEK PT
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80908-7400
Country	:	US
Telephone Number	:	720-233-6943
Fax Number	:

Authorized Official
Title or Position	:	SURGICAL ASSIST
Name	:	AMY TURNER
Credential	:	CSFA
Telephone Number	:	720-233-6943

Provider Enumeration Date	:	03/21/2026
Last Update Date	:	03/21/2026

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