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	174400000X	Specialist
2	208600000X	Surgery Physician

General Provider Information

NPI Number	:	1548710718
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	:	1601 E 19TH AVE STE 4600
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80218-1289
Country	:	US
Telephone Number	:	303-777-7112
Fax Number	:	303-722-7010

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	SHELBY UHERNIK
Credential	:	MBA
Telephone Number	:	303-957-1310

Provider Enumeration Date	:	10/11/2016
Last Update Date	:	12/07/2023

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Directions to “SURGONE, PC ” Practice Location

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