COLORADO SPRINGS ORTHOPAEDIC GROUP (NPI# 1417957275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417957275 |
| Entity Type | Organization |
| Organization Name | COLORADO SPRINGS ORTHOPAEDIC GROUP |
| Other Organization Name | AUDUBON ORTHOTIC AND PROSTHETIC SERVICES |
| Practice Address |
1259 Lake Plaza Dr Ste 100 Colorado Springs CO 80906-3542 |
| Mailing Address |
4110 Briargate Pkwy Ste 300 Colorado Springs CO 80920-7837 |
| Practice Telephone | 7198677335 |
| Practice Fax Number | 7198677378 |
| Mailing Telephone | 7196327669 |
| Mailing Fax Number | 7198677322 |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2020-01-30 |
| Authorized Official Name | MS. AUTUMN WULF (COO) |
| Authorized Official Telephone | 7196327669 |
| Is Organization Subpart | Y |
| Parent Organization Name | COLORADO SPRINGS ORTHOPAEDIC GROUP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | CO | Suppliers | |
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 34434381 | 05 |
| Other Name | Type Code |
|---|---|
| AUDUBON ORTHOTIC AND PROSTHETIC SERVICES | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174789838 | Colorado Springs Orthopaedic Group | Durable Medical Equipment & Medical Supplies | 4110 Briargate Pkwy Ste 300, Colorado Springs, CO 80920-7837 | 2008-08-01 |
| 1356317135 | Colorado Springs Orthopaedic Group | Specialist | 1259 Lake Plaza Drive, Suite 100, Colorado Springs, CO 80906 | 2006-02-23 |
| 1972578359 | Colorado Springs Orthopaedic Group | Specialist | 4110 Briargate Parkway, Suite 300, Colorado Springs, CO 80920 | 2006-02-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | COLORADO SPRINGS ORTHOPAEDIC GROUP, LLC | 3010 N. Circle Dr., Suite 100, Colorado Springs, CO 80909 |
| Colorado Business Entities | Colorado Springs Orthopaedic Group, PLLP | 4110 Briargate Parkway, Suite 300, Colorado Springs, CO 80920 |
| Street Address |
1259 LAKE PLAZA DR STE 100 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80906-3542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518511435 | Katrina Jean Barbari | Physical Therapy Assistant | 1259 Lake Plaza Dr Ste 100, Colorado Springs, CO 80906-3542 | 2019-07-29 |
| 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 | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174137731 | Wp&h,llc | Durable Medical Equipment & Medical Supplies | 1039 Elkton Dr, Colorado Springs, CO 80907-3539 | 2020-09-01 |
| 1952910499 | Select Physical Therapy of Colorado Springs Lp | Durable Medical Equipment & Medical Supplies | 5660 Barnes Road, Suite 116, Colorado Springs, CO 80917 | 2020-07-30 |
| 1295343101 | Select Physical Therapy of Colorado Springs Lp | Durable Medical Equipment & Medical Supplies | 5825 Delmonico Dr Ste 100, Colorado Springs, CO 80919-2243 | 2020-07-16 |
| 1063030138 | Reliable Medical Solutions, LLC | Durable Medical Equipment & Medical Supplies | 1227 Lake Plaza Dr Ste A, Colorado Springs, CO 80906-7402 | 2020-07-06 |
| 1811548654 | Ricardo Hernandez Gutierrez | Durable Medical Equipment & Medical Supplies | 1623 Jet Wing Dr, Colorado Springs, CO 80916-2258 | 2019-09-23 |
| 1437706231 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 445 N Circle Drive, Colorado Springs, CO 80909 | 2019-08-26 |
| 1265991681 | Ostomy, Incorporated | Durable Medical Equipment & Medical Supplies | 5314 Montebello Ln, Colorado Springs, CO 80918-1956 | 2019-03-15 |
| 1295208106 | Altitude Medical Supply Company | Durable Medical Equipment & Medical Supplies | 1628 Happiness Dr, Colorado Springs, CO 80909-2518 | 2019-01-03 |
| 1609354323 | Triforce Medical Inc | Durable Medical Equipment & Medical Supplies | 3225 Austin Bluffs Pkwy Ste 120, Colorado Springs, CO 80918-5706 | 2018-08-03 |
| 1578040747 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1795 Jet Wing Dr Ste 2230, Colorado Springs, CO 80916-2332 | 2018-07-20 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80906 |
Please comment or provide details below to improve the information on COLORADO SPRINGS ORTHOPAEDIC GROUP.
| 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.