Organization · Type 2 NPI

Optumcare Colorado Medical Group LLC

Family Medicine Physician · Colorado Springs, CO

NPI number 1568093847 Active

Practice location

3470 Centennial Blvd Ste 205
Colorado Springs, CO 80907-8669

Call (719) 598-4588 Map

Fax (719) 594-4067

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2 other providers at this address

Other family medicine physician providers in Colorado Springs

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NPI record

NPI: 1568093847
Entity type: Organization (Type 2)
Issued: Jan 27, 2020
Last updated: Aug 20, 2024
Status: Active
Subpart: Yes of Optumcare Colorado Medical Group LLC

Other names

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Mountainview Medical Group at Centenial · doing business as
Davita Medical Group Colorado Springs LLC · former legal business name
Optumcare Colorado Springs LLC · former legal business name

Authorized official

Emily Castillo
Associate Director Credentialing
(702) 579-3253

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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 1568093847

Optumcare Colorado Medical Group LLC's National Provider Identifier is 1568093847, issued on Jan 27, 2020. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Colorado Springs, CO. The record was last updated on Aug 20, 2024.