Provider Demographics
NPI:1194584821
Name:RSC AURORA, PLLC
Entity type:Organization
Organization Name:RSC AURORA, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROSS
Authorized Official - Middle Name:B
Authorized Official - Last Name:CHOD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:720-443-2425
Mailing Address - Street 1:1411 S POTOMAC ST STE 440
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-4540
Mailing Address - Country:US
Mailing Address - Phone:720-443-2425
Mailing Address - Fax:720-328-5369
Practice Address - Street 1:1607 GRAND AVE UNIT 31
Practice Address - Street 2:
Practice Address - City:GLENWOOD SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:81601-3873
Practice Address - Country:US
Practice Address - Phone:720-443-2425
Practice Address - Fax:720-328-5369
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-15
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QS0132XAmbulatory Health Care FacilitiesClinic/CenterOphthalmologic Surgery
No207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina SpecialistGroup - Single Specialty