Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Surgical Specialists of Centennial

Organization Surgical Physician Assistant · NPI 1447703558

Surgical Specialists of Centennial is a Surgical Physician Assistant in Greenwood Village, Colorado. Licensed in Colorado. Registered with an NPI since 2016.

Licensed in
CO
In the registry since
2016

Practice location Address checks out

5380 Autumn Dr
Greenwood Village, CO 80111-3424
Phone: (720) 974-2506
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA-0001715 (CO)

Record details

NPI number1447703558
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Zaki Ibrahim — Owner/Physician · (720) 974-2506
NPI enumeratedJuly 26, 2016
Last updated in NPPESJuly 26, 2016
Mailing addressPo Box 4446, Parker, CO 80134-1451

Other providers in Greenwood Village