Organization · Type 2 NPI

Colorado Medical Group, PLLC

Vascular Surgery Physician · Englewood, CO

NPI number 1053928234 Active

Practice location

3535 S Lafayette St Ste 100
Englewood, CO 80113-3954

Call (800) 991-6117 Map

Fax (888) 812-8191

Mailing address

3810 Northdale Blvd Ste 150
Tampa, FL 33624-1871

Other practice locations

1044 S 88th St Ste 105, Louisville, CO 80027-9418 · (800) 991-6117
255 Union Blvd Ste 300, Lakewood, CO 80228-1859 · (800) 991-6117
3665 John F Kennedy Pkwy Ste 200, Fort Collins, CO 80525-3152 · (800) 991-6117

Specialties and licenses

Taxonomy	Code	License
Surgery Physician	208600000X	None listed
Vascular Surgery Physician Primary	2086S0129X	None listed

Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

7 other providers at this address

Other vascular surgery physician providers in Englewood

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NPI record

NPI: 1053928234
Entity type: Organization (Type 2)
Issued: Sep 30, 2020
Last updated: Jul 24, 2023
Status: Active
Subpart: Yes of Colorado Medical Group, PLLC

Other names

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United Vein Centers of Centennial, Co · doing business as

Authorized official

Grace Simmons
Credentialing Director
(813) 867-0606

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1053928234

Colorado Medical Group, PLLC's National Provider Identifier is 1053928234, issued on Sep 30, 2020. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Englewood, CO. The record was last updated on Jul 24, 2023.