Unknown Individual – Surgery Physician, NPI 1013924869

Surgery Physician

Unknown Individual is a healthcare provider. based in Westminster, Colorado. specializing in Surgery Physician. They hold a License No. 23561 (CO). The NPI Number for Unknown Individual is 1013924869

Main info

Organization

Inactive

49 Years Of Experience

Accepts Medicare Assignment

Name

Unknown Individual

NPI

1013924869

Phone

(303) 430-3900

Address

14300 ORCHARD PKWY

Deactivation Date

22 February 2023

Doctor Profile

Medical School Name

OTHER

Secondary Phone

3034671400

Graduation Year

1977 (49 years ago)

PAC ID

7810150893

Group Practice PAC ID

6800895947

Professional Enrollment ID

I20120601000151

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience14

Completeness75

Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

Saint Anthony North Health Campus, 14300, Orchard Parkway, Westminster, Adams County, Colorado, 80023, United States
SUITE 320
WESTMINSTER, CO 800239206
Phone: (303) 430-3900
Type: Mailing
8510, North Bryant Street, Westminster, Adams County, Colorado, 80031, United States
SUITE 320
WESTMINSTER, CO 800313844
Phone: (303) 430-3900
Fax: (303) 430-3910
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 80023)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 6800895947View full group profile

Name	Specialty	State
DR. REBECCA L WIEBE (M.D.)	General Surgery	CO
CHRISTOPHER ZAW-MON (MD)	General Surgery	CO
EDWARD JAMES PULIDO (MD)	General Surgery	CO
ASHLEY AUGSPURGER DAVIS (M.D.)	General Surgery	CO
ROBERT MADAYAG (MD)	General Surgery	CO
CHARLES WILLIAM MAINS (MD)	-	CO
DR. KRISTA LEIGH ANTENUCCI (DO)	-	CO
JENNIFER BOCKER	-	CO
PATRICK JOHN OFFNER (MD)	General Surgery	CO
FRANCO R REA (M.D.)	Thoracic Surgery, Vascular Surgery	CO

Reviews

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Frequently asked questions

What is the registry number for Unknown Individual?

The registry entry for Unknown Individual shows NPI 1013924869.

What should I verify if Unknown Individual is listed inactive?

If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.

What does the directory say Unknown Individual does?

Insurance directories may phrase it differently, but here Unknown Individual maps to Surgery Physician. Clinical services aligned with this taxonomy classification.

Is Unknown Individual tied to Westminster, Colorado?

If you are local to Westminster, Colorado, Unknown Individual may be relevant to your search.

Can I verify credentials using only NPI?

NPI confirms identity in the directory; licensure and board certification require separate checks.