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Surgical Specialists of Colorado Pllc

Surgery Physician in Lone Tree, CO · enumerated 2015 · authorized official Jacquelyn Glenn, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1689042939

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Registry record

Entity type Organization (Type 2)
Legal business name Surgical Specialists of Colorado Pllc
Other name <Unavail>
Practice address 10103 Ridgegate Pkwy Ste 211, Lone Tree, CO, 80124
Phone (720) 820-9455
Fax (303) 736-4226
Enumeration date Sep 3, 2015
Last updated in NPPES Mar 11, 2026

Taxonomy & classification

208600000X Surgery Physician Allopathic & Osteopathic Physicians · License 47517 (CO) Primary

Authorized official

Name Jacquelyn Glenn
Title Owner
Phone (720) 820-9455

Other identifiers

Identifier Type State Issuer
9000171312 Medicaid CO -

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.

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Frequently asked questions

Who is the authorized official for Surgical Specialists of Colorado Pllc?
NPPES lists Jacquelyn Glenn (Owner) as the authorized official for this organization.
What is the NPI number for Surgical Specialists of Colorado Pllc?
The NPI for Surgical Specialists of Colorado Pllc is 1689042939, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-03-11.