OPTUMCARE COLORADO ASC, LLC (NPI# 1326563537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326563537 |
| Entity Type | Organization |
| Organization Name | OPTUMCARE COLORADO ASC, LLC |
| Practice Address |
715 N Weber St Colorado Springs CO 80903-1091 |
| Mailing Address |
2 S Cascade Ave Ste 140 Colorado Springs CO 80903-1604 |
| Practice Telephone | 7194736115 |
| Enumeration Date | 2017-08-08 |
| Last Update Date | 2019-08-19 |
| Authorized Official Name | JOHN G. LIETHEN (SECRETARY) |
| Authorized Official Telephone | 9522056262 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295131001 | Optumcare Colorado Asc, LLC | Clinic/Center | 1615 Medical Center Pt, Colorado Springs, CO 80907-5788 | 2014-11-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | OptumCare Colorado ASC, LLC | 2000 16th Street, Jld/Secgovfin., Denver, CO 80202 |
| Street Address |
715 N WEBER ST |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80903-1091 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962486829 | Charles Joseph Moss IIi | Nurse Anesthetist, Certified Registered | 715 N Weber St, Colorado Springs, CO 80903-1091 | 2005-12-05 |
| 1982149845 | Benjamin T Hicks | Physician Assistant | 715 N Weber St, Colorado Springs, CO 80903-1091 | 2017-01-03 |
| 1649474321 | Dr Abbass Shafii M D P C | Specialist | 715 N Weber St, Suite 100, Colorado Springs, CO 80903-1091 | 2007-06-14 |
| 1407993132 | Digestive Disease Endoscopy Center | Clinic/Center | 715 N Weber St, Colorado Springs, CO 80903-1091 | 2007-01-31 |
| 1386793834 | Geraldine E Kiernan | Nurse Anesthetist, Certified Registered | 715 N Weber St, Suite 100, Colorado Springs, CO 80903-1091 | 2007-01-10 |
| 1548218662 | Abbass Shafii | Specialist | 715 N Weber St, Colorado Springs, CO 80903-1091 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235752437 | Lisa Mae Bunch | Behavior Technician | 102 South Tajon St. Ste 1100, Colorado Springs, CO 80903 | 2020-05-21 |
| 1164045407 | Lajanae Davis | Behavior Technician | 102 S. Tajon Street Ste. 1100, Colorado Springs, CO 80903 | 2020-05-21 |
| 1144855321 | Quinn Macdonald | Specialist/Technologist | 1332 N Weber Street, Colorado Springs, CO 80903 | 2020-03-08 |
| 1043784994 | Neuro Peak Performance, LLC | Counselor | 801 N. Weber St Suite 101, Colorado Springs, CO 80903 | 2019-01-14 |
| 1356828297 | Heart of The Phoenix, LLC | Social Worker | 1422 N Hancock Ave Ste 1, Colorado Springs, CO 80903 | 2018-07-24 |
| 1699269290 | Jenevieve Marie Briand | Day Training/Habilitation Specialist | 427 E Colorado Ave Ste 225, Colorado Springs, CO 80903 | 2018-06-18 |
| 1669983292 | Robin Dina Shankman | Massage Therapist | 127 E. Las Animas, Colorado Springs, CO 80903 | 2017-10-23 |
| 1023559804 | Sean Michael Blumahrdt | Specialist/Technologist, Other | 13 South Tejon St, Ste 501, Colorado Springs, CO 80903 | 2017-03-14 |
| 1366980682 | Edge Medical Services | Clinic/Center | 152 West Colorado Ave, Colorado Springs, CO 80903 | 2017-02-07 |
| 1093267890 | Brittany Nicole Holmes | Behavioral Analyst | 938 S Sierra Madre, Colorado Springs, CO 80903 | 2016-10-27 |
| Find all providers in zip 80903 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770180986 | Audubon Ambulatory Surgery Center LLC | Clinic/Center | 6011 E Woodmen Rd Ste 200, Colorado Springs, CO 80923-2604 | 2020-10-01 |
| 1962609560 | Front Range Endoscopy Centers, LLC | Clinic/Center | 719 N Cascade Ave, Colorado Springs, CO 80903-3205 | 2007-06-28 |
| 1528190295 | Optumcare Colorado Springs, LLC | Clinic/Center | 1615 Medical Center Point, Colorado Springs, CO 80907-1906 | 2007-03-09 |
| 1750386322 | Novamed Surgery Center of Colorado Springs, LLC | Clinic/Center | 320 E Fontanero St, Ste 101, Colorado Springs, CO 80907-7535 | 2005-06-20 |
| 1790344042 | Uch-mhs | Clinic/Center | 175 S Union Blvd, Suite 100, Colorado Springs, CO 80910-3117 | 2019-06-11 |
| 1114584786 | Eccs Acquisition Company LLC | Clinic/Center | 2940 N Circle Dr, Colorado Springs, CO 80909-1160 | 2019-05-20 |
| 1285121020 | Surgery Center At Kissing Camels, LLC | Clinic/Center | 2955 Professional Pl Ste 100, Colorado Springs, CO 80904 | 2018-04-17 |
| 1396286035 | Ppna Asc LLC | Clinic/Center | 2002 Lelaray St, Suite 100, Colorado Springs, CO 80909-2804 | 2017-03-14 |
| 1437501145 | North Care Asc, LLC | Clinic/Center | 6071 E Woodmen Rd, Suite 352, Colorado Springs, CO 80923-2607 | 2016-07-06 |
| 1912388026 | Surgical Center of Peak Endoscopy, LLC | Clinic/Center | 2920 N Cascade Ave, First Floor, Colorado Springs, CO 80907-6262 | 2015-06-15 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80903 |
Please comment or provide details below to improve the information on OPTUMCARE COLORADO ASC, LLC.
| 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.