1578780136 NPI number — COLORADO ORTHOPEDIC SPECIALISTS PARKER

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1578780136 NPI number — COLORADO ORTHOPEDIC SPECIALISTS PARKER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
COLORADO ORTHOPEDIC SPECIALISTS PARKER
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
COLORADO LIMB CONSULTANTS PARKER
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1578780136
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1601 E 19TH AVE
Provider Second Line Business Mailing Address:
SUITE 3300
Provider Business Mailing Address City Name:
DENVER
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80218-1216
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
303-837-0072
Provider Business Mailing Address Fax Number:
303-837-0075

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9397 CROWN CREST BLVD
Provider Second Line Business Practice Location Address:
SUITE 301
Provider Business Practice Location Address City Name:
PARKER
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80138-8575
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
303-837-0072
Provider Business Practice Location Address Fax Number:
303-837-0075
Provider Enumeration Date:
04/18/2007

Additional Information

Authorized Official

Authorized Official Last Name:
BURKE
Authorized Official First Name:
KARA
Authorized Official Middle Name:
Authorized Official Title or Position:
PRACTICE MANAGER
Authorized Official Telephone Number:
303-837-0072

Provider Taxonomy Codes

  • Taxonomy code: 174400000X , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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