Mile High Plastic Surgery A Professional LLC

Mile High Plastic Surgery A Professional LLC is a healthcare organization registered as Plastic Surgery Physician in Boulder, CO, holding Type 2 (organization) NPI 1982978797 since 2012. The authorized official on file is Nathan Roesner, Sole Member.

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NPI	1982978797
Entity type	Organization (Type 2)
Legal business name	Mile High Plastic Surgery A Professional LLC
Other name	<Unavail>
Practice address	2595 CANYON BLVD STE 360, Boulder, CO, 80302
Phone	3034407546
Enumeration date	2012-02-27
Last updated in NPPES	2021-10-20

Authorized official

Name	Nathan Roesner
Title	Sole Member
Phone	3035521996

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
208200000X	Plastic Surgery Physician	Primary	DR-50492	CO

Other identifiers

Identifier	Type	State	Issuer
97705578	Medicaid	CO	—

Copy-ready billing details

Provider: Mile High Plastic Surgery A Professional LLC
NPI: 1982978797
Taxonomy: 208200000X (Plastic Surgery Physician)
Address: 2595 CANYON BLVD STE 360, Boulder, CO, 80302

Providers at this address

NPI	Name	Type	Specialty	Location
1598886483	Nathan Roesner	Individual	Surgery Physician	Boulder, CO

Verify this record

Cross-check NPI 1982978797 against the authoritative CMS record: view Mile High Plastic Surgery A Professional 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

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2021-10-20. Verify at npiregistry.cms.hhs.gov.

Where is Mile High Plastic Surgery A Professional LLC located?

The practice location on file with NPPES is in Boulder, CO.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2021-10-20.