Boulder Plastic Surgery Prof LLC
Boulder Plastic Surgery Prof LLC is a healthcare organization registered as Specialist in Longmont, CO, holding Type 2 (organization) NPI 1134715022 since 2020. The authorized official on file is Pam Garcia, Office Contact.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1134715022 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Boulder Plastic Surgery Prof LLC |
| Practice address | 1950 MOUNTAIN VIEW AVE, Longmont, CO, 80501 |
| Phone | 3036515111 |
| Enumeration date | 2020-12-15 |
| Last updated in NPPES | 2020-12-15 |
Authorized official
| Name | Pam Garcia |
|---|---|
| Title | Office Contact |
| Phone | 3034432277 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 174400000X | Specialist | Primary | — | — |
Copy-ready billing details
Provider: Boulder Plastic Surgery Prof LLC NPI: 1134715022 Taxonomy: 174400000X (Specialist) Address: 1950 MOUNTAIN VIEW AVE, Longmont, CO, 80501
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1235136201 | Antony Pearson | Individual | Hospitalist Physician | Longmont, CO |
| 1689657157 | Albert Colton | Individual | Emergency Medicine Physician | Longmont, CO |
| 1790769859 | Herbert Ogden | Individual | Emergency Medicine Physician | Longmont, CO |
| 1023094760 | Wyatt Hall | Individual | Emergency Medicine Physician | Longmont, CO |
| 1891771309 | Andrew Johanos | Individual | Emergency Medicine Physician | Longmont, CO |
| 1285611046 | Paul Sullivan | Individual | Emergency Medicine Physician | Longmont, CO |
| 1346299989 | Marc Holbert | Individual | Physician Assistant | Longmont, CO |
| 1790737914 | Longmont Anesthesia Associates, Pllc | Organization | Anesthesiology Physician | Longmont, CO |
Verify this record
Cross-check NPI 1134715022 against the authoritative CMS record: view Boulder Plastic Surgery Prof LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Boulder Plastic Surgery Prof LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-12-15.