OPTUMCARE COLORADO SPRINGS, LLC (NPI# 1407487788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407487788 |
| Entity Type | Organization |
| Organization Name | OPTUMCARE COLORADO SPRINGS, LLC |
| Practice Address |
1230 Tenderfoot Hill Rd Ste 255 Colorado Springs CO 80906-7393 |
| Mailing Address |
2 S Cascade Ave Ste 140 Colorado Springs CO 80903-1604 |
| Practice Telephone | 7195765437 |
| Practice Fax Number | 7195765441 |
| Mailing Telephone | 7195382900 |
| Mailing Fax Number | 7195382996 |
| Enumeration Date | 2020-01-27 |
| Last Update Date | 2020-01-27 |
| Authorized Official Name | GAIL M DECKER (VP REVENUE CYCLE) |
| Authorized Official Telephone | 7195382900 |
| Is Organization Subpart | Y |
| Parent Organization Name | OPTUMCARE COLORADO SPRINGS, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| BROADMOOR VALLEY PEDIATRICS | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902437874 | Optumcare Colorado Springs, LLC | Family Medicine | 3470 Centennial Blvd Ste 210, Colorado Springs, CO 80907-4090 | 2020-01-30 |
| 1487285383 | Optumcare Colorado Springs, LLC | Family Medicine | 3470 Centennial Blvd Ste 215, Colorado Springs, CO 80907-4090 | 2020-01-29 |
| 1881225175 | Optumcare Colorado Springs, LLC | Obstetrics & Gynecology | 6285 Lehman Dr Ste 200, Colorado Springs, CO 80918-1498 | 2020-01-27 |
| 1548891815 | Optumcare Colorado Springs, LLC | Pediatrics | 8890 N Union Blvd Ste 220, Colorado Springs, CO 80920-2701 | 2020-01-27 |
| 1568093847 | Optumcare Colorado Springs, LLC | Family Medicine | 3470 Centennial Blvd Ste 205, Colorado Springs, CO 80907-8669 | 2020-01-27 |
| 1013548395 | Optumcare Colorado Springs, LLC | Pediatrics | 17230 Jackson Creek Pkwy Ste 260, Monument, CO 80132-7305 | 2020-01-27 |
| 1104242700 | Optumcare Colorado Springs, LLC | Non-Pharmacy Dispensing Site | 600 S 21st Street, Ste 100, Colorado Springs, CO 80904 | 2014-03-07 |
| 1528190295 | Optumcare Colorado Springs, LLC | Clinic/Center | 1615 Medical Center Point, Colorado Springs, CO 80907-1906 | 2007-03-09 |
| 1770524985 | Optumcare Colorado Springs, LLC | General Practice | 2 S Cascade Avenue, Ste 140, Colorado Springs, CO 80903 | 2006-06-09 |
| 1598396871 | Optumcare Colorado Springs, LLC | Family Medicine | 8890 N Union Blvd Ste 200, Colorado Springs, CO 80920-2701 | 2020-01-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | OptumCare Colorado Springs, LLC | 2000 16th Street, Denver, CO 80202 |
| Street Address |
1230 TENDERFOOT HILL RD STE 255 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80906-7393 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417012261 | Kelly Ann Price | Pediatrics | 1230 Tenderfoot Hill Rd Ste 255, Colorado Springs, CO 80906 | 2006-12-22 |
| 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 | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548891815 | Optumcare Colorado Springs, LLC | Pediatrics | 8890 N Union Blvd Ste 220, Colorado Springs, CO 80920-2701 | 2020-01-27 |
| 1467985390 | Jennifer Lynne Anderson | Pediatrics | 782 Mcchord St, Colorado Springs, CO 80916-5299 | 2017-04-07 |
| 1316309891 | Dr. Harry J.anderson,jr.,m.d. | Pediatrics | 190 E Cheyenne Mountain Blvd, Colorado Springs, CO 80906-3718 | 2016-03-24 |
| 1245623693 | Jamie Hug | Pediatrics | 4190 E. Woodmen Rd, Suite 100, Colorado Springs, CO 80920 | 2015-03-10 |
| 1629414016 | Sean Michael Bradley | Pediatrics | 402 N Tejon St # 200, Colorado Springs, CO 80903-1142 | 2013-05-13 |
| 1912340738 | Erin Janel Meyer | Pediatrics | 4090 Briargate Pkwy # 106, Colorado Springs, CO 80920-7815 | 2013-04-10 |
| 1023303880 | Natalie Connolly | Pediatrics | 4150 E Woodmen Rd Ste 100, Colorado Springs, CO 80920-8042 | 2011-06-09 |
| 1194956292 | Margot A. Williams, D.o., P.C. | Pediatrics | 1465 Kelly Johnson Boulevard, Suite 300, Colorado Springs, CO 80920-3947 | 2009-08-06 |
| 1831326495 | Viral Kothari | Pediatrics | 6071 E Woodmen Rd Ste 225, Colorado Springs, CO 80923 | 2009-06-22 |
| 1609071877 | Anna E Lawrence | Pediatrics | 5575 Tech Center Dr Ste 106, Colorado Springs, CO 80919-2349 | 2007-06-18 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80906 |
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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.