A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Non-Pharmacy Dispensing Site |
332900000X | 87 | All Other Suppliers | |
Dermatology |
207N00000X | 07 | Physician/Dermatology | |
Dermatopathology |
207ND0900X | 07 | Physician/Dermatology | |
Family Medicine |
207Q00000X | 08 | Physician/Family Practice | |
Gastroenterology |
207RG0100X | 10 | Physician/Gastroenterology | |
General Practice |
208D00000X | 99 | Physician/Undefined Physician type[6] | |
Neurology |
2084N0400X | 13 | Physician/Neurology | |
Pulmonary Disease |
207RP1001X | 11 | Physician/Internal Medicine |
| NPI # | 1659641900 |
| LBN Legal business name | OPTUMCARE COLORADO MEDICAL GROUP LLC |
| Authorized official | EMILY CASTILLO - (ASSOCIATE DIRECTOR CREDENTIALING) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 01/04/2012 |
| Last updated | 08/20/2024 - More than a year ago |
| Identifiers | n/a |
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OPTUMCARE COLORADO MEDICAL GROUP LLC
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| GEORGE N REINHARDT, MD 2222 N NEVADA AVE COLORADO SPRINGS, CO |
| NICOLAS STOYANOVICH 1400 E BOULDER ST COLORADO SPRINGS, CO |
| JEFFREY H RINSKY, MD 90 SOUTH CASCADE AVE COLORADO SPRINGS, CO |
| JAMIESON D KENNEDY, MD 2020 W COLORADO AVE COLORADO SPRINGS, CO |
| MELISSA T HOCATE, MD 595 CHAPEL HILLS DRIVE COLORADO SPRINGS, CO |
| MAX A NEVAREZ, MD 6340 BARNES RD COLORADO SPRINGS, CO |
| RYAN M BART, DO 10TH MEDICAL GROUP U.S. AIR FORCE ACADEMY, CO |
| SABINE ROSS, MD 4102 PINION DR. COLORADO SPRINGS, CO |
| STEVEN E WHITMARSH, MD 10 MDG U.S. AIR FORCE ACADEMY, CO |
| SARAH GOSS, MD 1650 COCHRANE CIR FORT CARRSON, CO |