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Contact Information

OPTUMCARE COLORADO MEDICAL GROUP LLC
1633 MEDICAL CENTER PT
COLORADO SPRINGS, CO80907-5700
 Phone: 719-636-2999
 Fax: 719-475-2042
 Website:
 

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
Indicates primary specialty

NPI Profile & details for OPTUMCARE COLORADO MEDICAL GROUP LLC

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
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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