COLORADO MEDICAL GROUP, PLLC (NPI# 1811504582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811504582 |
| Entity Type | Organization |
| Organization Name | COLORADO MEDICAL GROUP, PLLC |
| Other Organization Name | UNITED VEIN CENTERS OF LOUISVILLE, CO |
| Practice Address |
1044 S 88th St Ste 105 Louisville CO 80027-9418 |
| 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 | 2020-09-28 |
| Last Update Date | 2020-09-30 |
| Authorized Official Name | LORI HEIN (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 8133799829 |
| Is Organization Subpart | Y |
| Parent Organization Name | COLORADO MEDICAL GROUP, PLLC |
| 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 of Louisville, CO | Doing Business As Name - Organization |
| 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 |
| 1356714638 | Colorado Medical Group, Pllc | Surgery | 6979 S Holly Cir Ste 125, Centennial, CO 80112-6267 | 2015-11-09 |
| Street Address |
1044 S 88TH ST STE 105 |
| City | LOUISVILLE |
| State | CO |
| Zip Code | 80027-9418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578505681 | Gregory D. Ruth | Surgery | 1044 S 88th St Ste 105, Louisville, CO 80027-9418 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144849951 | Fullswift Physiotherapy, Pllc | Physical Therapist | 538 W. Laurel Ct., Louisville, CO 80027 | 2020-04-11 |
| 1265097547 | Amanda Nicole Calzolano | Occupational Therapist | 165 S Mccaslin Blvd, Suite B, Louisville, CO 80027 | 2019-05-02 |
| 1891258273 | Lisa Apel | Counselor | 287 Century Circle, Louisville, CO 80027 | 2019-04-11 |
| 1336622570 | Boulder Neurology and Concussion | Psychiatry & Neurology | 400 Mccaslin Blvd, Suite 200, Louisville, CO 80027 | 2018-09-13 |
| 1568942886 | Alessandra Zapiecki | Occupational Therapist | 1107 W Century Dr, Louisville, CO 80027 | 2018-08-16 |
| 1225539935 | Healing Solutions Inc. | Massage Therapist | 362 S. Mccaslin Blvd., Louisville, CO 80027 | 2018-02-27 |
| 1033618632 | Matthew Mandel | Massage Therapist | 1945 Piper St, Superior, CO 80027 | 2018-02-08 |
| 1740794031 | Elise Nicole Brucks | Speech-Language Pathologist | 1007 Century Drive, Louisville, CO 80027 | 2017-11-22 |
| 1043762859 | Options Treatment, LLC | Counselor | 1068 S. 88th Street, Unit A, Louisville, CO 80027 | 2016-10-27 |
| 1225584071 | Trent Sayers Dental PC | Dentist | 1691 Coalton Rd., Superior, CO 80027 | 2016-08-31 |
| Find all providers in zip 80027 | ||||
| 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 |
|---|---|---|---|---|
| 1457560302 | Ferenc Pantaleone Nagy | Surgery | 3 Audubon Plaza Dr Ste 220, Louisville, KY 40217 | 2007-05-21 |
| 1639251655 | Glenn Earl Lambert II | Surgery | 3991 Dutchmans Ln Ste 103, Suburban Medical Plaza II, Louisville, KY 40207-4732 | 2006-10-19 |
| 1649360413 | Thomas Wright Klamer | Surgery | 3991 Dutchmans Lane, #103, Louisville, KY 40207-1363 | 2006-10-13 |
| 1730111725 | David Anthony Lipski | Surgery | 4003 Kresge Way Ste 300, Louisville, KY 40207-4652 | 2006-07-07 |
| 1003398207 | Siddharth Pahwa | Surgery | 201 Abraham Flexner Way Ste 1200, Louisville, KY 40202-3841 | 2018-09-04 |
| 1669970661 | Community Medical Associates, Inc. | Surgery | 1930 Bishop Ln Ste 1017, Louisville, KY 40218-1933 | 2018-01-25 |
| 1356611909 | University of Louisville Physicians, Inc | Surgery | 401 E Chestnut St Unit 710, Louisville, KY 40202-5707 | 2012-01-12 |
| 1043518749 | Hazaim Alwair | Surgery | 201 Abraham Flexner Way Ste 1200, Louisville, KY 40202 | 2011-03-03 |
| 1841501087 | Barbara Hanna Davis | Surgery | 3 Audubon Plaza Dr Ste 220, Louisville, KY 40217-1319 | 2010-06-22 |
| 1740423896 | Noah T Scherrer | Surgery | 4003 Kresge Way Ste 300, Louisville, KY 40207-4652 | 2009-04-18 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 80027 |
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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.