COLORADO OTOLARYNGOLOGY ASSOCIATES, LLC (NPI# 1134726557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134726557 |
| Entity Type | Organization |
| Organization Name | COLORADO OTOLARYNGOLOGY ASSOCIATES, LLC |
| Practice Address |
1235 Lake Plaza Dr Ste 218 Colorado Springs CO 80906-3556 |
| Mailing Address |
Po Box 9190 Colorado Springs CO 80932-0190 |
| Practice Telephone | 7198677800 |
| Enumeration Date | 2020-10-08 |
| Last Update Date | 2020-10-08 |
| Authorized Official Name | KEVIN WATSON (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 7198677800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Colorado ENT & Allergy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942171 | Colorado Otolaryngology Associates, LLC | Specialist | 6031 E. Woodmen Rd., Ste. 300, Colorado Springs, CO 80923 | 2020-11-06 |
| 1669079075 | Colorado Otolaryngology Associates, LLC | Specialist | 6071 E Woodmen Rd Ste 325, Colorado Springs, CO 80923-2612 | 2020-10-08 |
| 1326047143 | Colorado Otolaryngology Associates, LLC | Specialist | 3030 N Circle Dr, Suite 300, Colorado Springs, CO 80909-1177 | 2005-07-14 |
| Street Address |
1235 LAKE PLAZA DR STE 218 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80906-3556 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326154949 | Bonnie B Baswell | Allergy & Immunology | 1235 Lake Plaza Dr Ste 218, Colorado Springs, CO 80906-3556 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437797339 | Michael Crise | Behavior Technician | 1330 Qual Lake Loop Ste 120, Colorado Springs, CO 80906 | 2019-12-11 |
| 1730720541 | Amanda Salinas | Massage Therapist | 1235 Lake Plaza Drive Suite 230, Colorado Springs, CO 80906 | 2019-10-02 |
| 1225511488 | Sheila Meggison | Massage Therapist | 1235 Lake Plaza Drive, Suite 230, Colorado Springs, CA 80906 | 2018-09-12 |
| 1316429756 | Vivus Counseling Services LLC | Counselor | 108 East Cheyenne Rd Suite 201, Colorado Springs, CO 80906 | 2018-09-01 |
| 1043796949 | Erin Lee Recinos | Nurse Practitioner | 225 E Cheyenne Mountain Blvd Ste 220, Colorado Springs, CO 80906 | 2018-07-13 |
| 1982103875 | Savannah Adeline Rentrop | Behavior Technician | 2989 Broadmoor Valley Rd D, Colorado Springs, CO 80906 | 2018-02-06 |
| 1205335288 | Ross Knowlton | Behavior Technician | 1330 Quail Lake Loop Suite 200, Colorado Springs, CO 80906 | 2018-02-06 |
| 1942709845 | Adrienne Bohlen | Behavior Technician | 1330 Quail Lake Loop, Ste. 200, Colorado Springs, CO 80906 | 2018-02-06 |
| 1881110088 | Christine Gonzales | Nurse Practitioner | 2739 E Las Vegas St, Colorado Springs, CO 80906 | 2017-08-18 |
| 1225568470 | Larry Alwine | Counselor | 2860 South Circle Drive, Unit 250k, Colorado Springs, CO 80906 | 2017-06-19 |
| Find all providers in zip 80906 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942171 | Colorado Otolaryngology Associates, LLC | Specialist | 6031 E. Woodmen Rd., Ste. 300, Colorado Springs, CO 80923 | 2020-11-06 |
| 1669079075 | Colorado Otolaryngology Associates, LLC | Specialist | 6071 E Woodmen Rd Ste 325, Colorado Springs, CO 80923-2612 | 2020-10-08 |
| 1205459633 | Associates In Gastroenterology, P.C. | Specialist | 6011 E Woodmen Rd Ste 345, Colorado Springs, CO 80923-2606 | 2020-05-20 |
| 1154973451 | Jimson Franck | Specialist | 4330 Hunting Meadows Cir, Colorado Springs, CO 80916-2460 | 2019-07-16 |
| 1477083954 | Elizabeth Mary Edling | Specialist | 8321 Steadman Dr, Colorado Springs, CO 80920-7058 | 2017-06-15 |
| 1306385026 | Kirsten Arbogast | Specialist | 2017 E Van Buren St, Colorado Springs, CO 80909-7828 | 2017-02-14 |
| 1538602750 | Shelby Thomas | Specialist | 6225 Emma Ln, Colorado Springs, CO 80922-1825 | 2016-11-19 |
| 1174073431 | Danella Ann Lynn | Specialist | 6140 Tutt Blvd Ste 120, Colorado Springs, CO 80923-3574 | 2016-10-11 |
| 1821449851 | Deana Schlepp | Specialist | 6219 Gemfield Dr, Colorado Springs, CO 80918-6107 | 2016-06-30 |
| 1639539612 | Andrew Bonner | Specialist | 102 S Tejon St Ste 1100, Colorado Springs, CO 80903 | 2016-03-03 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80906 |
Please comment or provide details below to improve the information on COLORADO OTOLARYNGOLOGY ASSOCIATES, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.