COLORADO MEDICAL GROUP, PLLC (NPI# 1356714638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356714638 |
| Entity Type | Organization |
| Organization Name | COLORADO MEDICAL GROUP, PLLC |
| Other Organization Name | UNITED VEIN CENTERS |
| Practice Address |
6979 S Holly Cir Ste 125 Centennial CO 80112-6267 |
| Mailing Address |
3810 Northdale Blvd Ste 150 Tampa FL 33624-1871 |
| Practice Telephone | 8009916117 |
| Practice Fax Number | 8888128191 |
| Mailing Telephone | 8139611331 |
| Mailing Fax Number | 8888508316 |
| Enumeration Date | 2015-11-09 |
| Last Update Date | 2020-09-30 |
| Authorized Official Name | LORI HEIN (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 8133799829 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| United Vein Centers | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1044 S 88th St Ste 105, Louisville, CO 800279418 | 8009916117 | |
| 255 Union Blvd Ste 300, Lakewood, CO 802281859 | 8009916117 | |
| 3665 John F Kennedy Pkwy Ste 1-200, Fort Collins, CO 805253152 | 8009916117 | |
| 1044 S 88th St, Louisville, CO 800279417 | 8139611331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467069120 | Colorado Medical Group, Pllc | Surgery | 3665 John F Kennedy Pkwy Ste 200, Fort Collins, CO 80525-3152 | 2020-09-28 |
| 1053928234 | Colorado Medical Group, Pllc | Surgery | 6979 S Holly Cir Ste 125, Centennial, CO 80112-6267 | 2020-09-30 |
| 1730796400 | Colorado Medical Group, Pllc | Surgery | 255 Union Blvd Ste 300, Lakewood, CO 80228-1859 | 2020-09-28 |
| 1811504582 | Colorado Medical Group, Pllc | Surgery | 1044 S 88th St Ste 105, Louisville, CO 80027-9418 | 2020-09-28 |
| Street Address |
6979 S HOLLY CIR STE 125 |
| City | CENTENNIAL |
| State | CO |
| Zip Code | 80112-6267 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649278599 | Rex Chang Manayan | Surgery | 6979 S Holly Cir Ste 125, Centennial, CO 80112-6267 | 2005-07-13 |
| 1053928234 | Colorado Medical Group, Pllc | Surgery | 6979 S Holly Cir Ste 125, Centennial, CO 80112-6267 | 2020-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750921177 | Natalie Jo Stevenson | Social Worker | 12835 E Arapahoe Rd., Tower 2, Suite 400, Centennial, CO 80112 | 2020-01-14 |
| 1033757109 | Sauder Psychology, Inc | Psychologist | 9085 E. Mineral Cir, Suite 235, Centennial, CO 80112 | 2019-12-19 |
| 1588213581 | Myappstorebiz | Special Hospital | 13033 E Adam Aircraft Circle B 53, Englewood, CO 80112 | 2019-09-11 |
| 1669930319 | Linked To Craig 501c3 | Dentist | 9085 E. Mineral Circle, Suite 350, Centennial, CO 80112 | 2019-03-12 |
| 1528538311 | Cherish Mitchell | Behavior Technician | 12660 E Briarwood Ave, Suite 207, Centennial, CO 80112 | 2018-12-05 |
| 1144706920 | Margaret Mary Froehlke | Homemaker | 6278 E Jamison Dr, Centennial, CO 80112 | 2018-07-16 |
| 1376038240 | Elizabeth Ann Dickason | Physician Assistant | 9094 East Mineral Avenue, #100, Englewood, CO 80112 | 2018-06-24 |
| 1770075467 | Dry Creek Surgery Center, LLC | Clinic/Center | 125 Inverness Dr E Ste 150, Englewood, CO 80112 | 2018-05-30 |
| 1639669476 | Uchealth Ambulatory Surgery Centers | Clinic/Center | 175 Inverness Drive West, Englewood, CO 80112 | 2018-05-17 |
| 1427545227 | Patterns Behavioral Services Colorado Inc | Assistant Behavior Analyst | 7600 E Arapahoe Rd Ste 211, Centennial, CO 80112 | 2018-04-17 |
| Find all providers in zip 80112 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376552000 | Colorado Laser and Vein PC | Surgery | 8120 S Holly St, Suite 111, Centennial, CO 80122-4005 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831706506 | University Physicians, Incorporated | Surgery | 13100 E Colfax Ave Ste 70, Aurora, CO 80011-5517 | 2020-09-28 |
| 1376015297 | Molly Goldstein | Surgery | 1401 Court St, Pueblo, CO 81003-2715 | 2018-12-18 |
| 1437412723 | Junior Univers | Surgery | 2643 Patterson Rd Ste 401, Grand Junction, CO 81506-1937 | 2012-06-21 |
| 1275896508 | Dmitriy Rybitskiy | Surgery | 2222 N Nevada Ave Ste 5010, Colorado Springs, CO 80907-6865 | 2012-06-21 |
| 1518230333 | James Gilbert Chandler | Surgery | 3721 Mountain Laurel Pl, Boulder, CO 80304-0798 | 2012-02-10 |
| 1982982567 | Benson M Powell II | Surgery | 2572 Silver Oak Ct, Grand Junction, CO 81505-1091 | 2011-07-29 |
| 1205078912 | Rafael Demarchi Malgor | Surgery | 12631 E 17th Ave # Msc312, Aurora, CO 80045-2527 | 2009-03-26 |
| 1770610735 | Thomas F Rehring | Surgery | 2045 N Franklin St Fl 3, Denver, CO 80205-5437 | 2007-02-27 |
| 1770624298 | Charles O Brantigan Md | Surgery | 2253 Downing St, Denver, CO 80205-5234 | 2007-02-09 |
| 1588717656 | Cass William Conaway | Surgery | 721 19th St, Denver, CO 80202-2500 | 2007-01-19 |
| Find all providers with the same taxonomy | ||||
| City | CENTENNIAL |
| Zip Code | 80112 |
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| 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.