PROSTHETIC & ORTHOTIC GROUP PEDIATRIC SPECIALISTS - COLORADO LLC (NPI# 1588062764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588062764 |
| Entity Type | Organization |
| Organization Name | PROSTHETIC & ORTHOTIC GROUP PEDIATRIC SPECIALISTS - COLORADO LLC |
| Practice Address |
13123 E 16th Ave Mail Box B060 Aurora CO 80045-7106 |
| Mailing Address |
2290 E Prospect Rd Suite 2 Fort Collins CO 80525-9768 |
| Practice Telephone | 3034008866 |
| Practice Fax Number | 9704169359 |
| Mailing Telephone | 9704169357 |
| Mailing Fax Number | 9704169359 |
| Enumeration Date | 2014-12-19 |
| Last Update Date | 2016-02-08 |
| Authorized Official Name | GREG SMITS (PRESIDENT) |
| Authorized Official Telephone | 9704169357 |
| Authorized Official Credential | CPO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 100265137-00 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Prosthetic & Orthotic Group Pediatric Specialists - Colorado LLC | 399 Pika Point, Lafayette, CO 80026 |
| Street Address |
13123 E 16TH AVE MAIL BOX B060 |
| City | AURORA |
| State | CO |
| Zip Code | 80045-7106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801890447 | Cheryl Cavallaro | Nurse Practitioner | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2005-06-10 |
| 1730789157 | Lauren S Henry | Psychologist | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2020-10-26 |
| 1801494620 | Elan Webb | Anesthesiologist Assistant | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2020-10-14 |
| 1821695388 | Maria Clara Rios | Nurse Practitioner | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2020-10-07 |
| 1306453485 | Ozlem Turan | Student in an Organized Health Care Education/Training Program | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2020-09-23 |
| 1497361406 | Chelsea Hartman | Nurse Practitioner | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2020-09-16 |
| 1407460447 | Milena Teresa Hathaway | Social Worker | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2020-09-08 |
| 1386258622 | Ann Lantagne | Psychologist | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2020-09-03 |
| 1780295824 | Jelena Brezo | Medical Genetics | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2020-08-12 |
| 1154930808 | Audrey Niemchick | Student in an Organized Health Care Education/Training Program | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2020-07-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942817408 | Salwa Mourtada Bamba | Nurse Practitioner | University of Colorado Medicine, 12631 East 17th Avenue, Aurora, CO 80045 | 2020-09-29 |
| 1114545233 | Chun Cheong Tsui | Student in an Organized Health Care Education/Training Program | 12801 E. 17th Avenue, Ms 8117, Aurora, CO 80045 | 2020-07-07 |
| 1487278719 | James Charles Tuka IIi | Social Worker | 1700 North Wheeling, Aurora, CO 80045 | 2020-06-02 |
| 1427677806 | Justin Yu | Student in an Organized Health Care Education/Training Program | 12631 E. 17th Ave. Ms B205, Aurora, CO 80045 | 2020-04-15 |
| 1558980011 | Erik Von Polsdofer | Student in an Organized Health Care Education/Training Program | Academic Office 1; Department of Pathology, 12631 East 17th Avenue, Aurora, CO 80045 | 2020-04-14 |
| 1831718568 | Luke Porter Bacon | Student in an Organized Health Care Education/Training Program | 3001 East 17th Place, Aurora, CO 80045 | 2020-04-13 |
| 1366061368 | Hilary Novatt | Student in an Organized Health Care Education/Training Program | 12631 E 17th Ave, B198-6, Room 4007, Aurora, CO 80045 | 2020-04-10 |
| 1376195362 | Katie Tuck | Pharmacist | 1700 North Wheeling Street (119), Fs-111o, Aurora, CO 80045 | 2019-07-10 |
| 1518529130 | Ronak Kamal Kapadia | Student in an Organized Health Care Education/Training Program | 12700 E. 19th Ave, Ms B182 Rm 5104, Aurora, CO 80045 | 2019-07-03 |
| 1245898253 | Rasha Elbadry Ahmed | Student in an Organized Health Care Education/Training Program | Childrens Hospital Colorado Pediatric Neurosurgery, 13123e. 16th Ave, B330, Aurora, CO 80045 | 2019-06-04 |
| Find all providers in zip 80045 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982619367 | Orthocare America Inc. | Prosthetic/Orthotic Supplier | 199 S Chillicothe Rd, Suite# 210, Aurora, OH 44202-8830 | 2006-07-31 |
| 1043699309 | Dupage Medical Group, Ltd | Prosthetic/Orthotic Supplier | 651 S Route 59, Aurora, IL 60504-8169 | 2015-05-20 |
| 1487046298 | Otto Bock Orthopedic Services LLC | Prosthetic/Orthotic Supplier | 14241 E 4th Ave, Bldg 5, Suite 110, Aurora, CO 80011-8733 | 2015-03-03 |
| 1912135369 | Dreyer Medical Group Ltd | Prosthetic/Orthotic Supplier | 1221 N Highland Ave, Aurora, IL 60506-1404 | 2009-06-24 |
| 1790970762 | Foottenders LLC | Prosthetic/Orthotic Supplier | 15200 E Girard Ave, Suite 4350, Aurora, CO 80014-3988 | 2007-09-12 |
| 1639232390 | Kingsway Ent. Inc | Prosthetic/Orthotic Supplier | 1677 Montgomery Rd, Suite 110-112, Aurora, IL 60504-8802 | 2006-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275140022 | Mosaic Orthotics and Prosthetics LLC | Prosthetic/Orthotic Supplier | 617 N 17th St # 102, Colorado Springs, CO 80904-3577 | 2020-09-25 |
| 1811457088 | Evening Elegance LLC | Prosthetic/Orthotic Supplier | 14500 W Colfax Ave Unit 246, Lakewood, CO 80401 | 2019-03-22 |
| 1942766290 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 7800 E Orchard Rd Ste 120, Greenwood Village, CO 80111-2567 | 2019-02-12 |
| 1043783145 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 9351 Grant St Ste 650, Thornton, CO 80229-4358 | 2019-01-10 |
| 1053809467 | Hawaiian Jellys, LLC. | Prosthetic/Orthotic Supplier | 5477 Tiger Bend Ln, Morrison, CO 80465-9679 | 2018-05-01 |
| 1861997322 | Central Colorado Prosthetics and Orthotics, LLC | Prosthetic/Orthotic Supplier | 28350 County Road 317 Unit 8, Buena Vista, CO 81211-9261 | 2018-03-27 |
| 1467979856 | Horizon Prosthetics, LLC | Prosthetic/Orthotic Supplier | 6810 Broadway, Denver, CO 80221-2860 | 2017-08-25 |
| 1447787239 | Hummel Orthotics | Prosthetic/Orthotic Supplier | 925 E Fillmore St, Colorado Springs, CO 80907-6315 | 2017-05-11 |
| 1912447053 | Style Shop | Prosthetic/Orthotic Supplier | 555 Twining Flats Rd, Aspen, CO 81611-3119 | 2017-03-07 |
| 1053859009 | Prosthetic & Orthotic Group - Southern Colorado, LLC | Prosthetic/Orthotic Supplier | 415 N Greenwood St Ste E, Pueblo, CO 81003-3173 | 2017-02-09 |
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| 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.