CENTURA VENTURES, LLC (NPI# 1861821563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861821563 |
| Entity Type | Organization |
| Organization Name | CENTURA VENTURES, LLC |
| Other Organization Name | CENTURA HEALTH PHYSICIAN GROUP PHYSICAL MEDICINE |
| Practice Address |
3030 N Circle Dr Suite 212 Colorado Springs CO 80909-1177 |
| Mailing Address |
1391 Speer Blvd Suite 600 Denver CO 80204-2508 |
| Practice Telephone | 7197764852 |
| Mailing Telephone | 3035615000 |
| Mailing Fax Number | 3035615050 |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2015-08-25 |
| Authorized Official Name | SUE JARDON (ADMINISTRATOR) |
| Authorized Official Telephone | 7195718899 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P0004X |
Physical Medicine & Rehabilitation Specialization: Spinal Cord Injury Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Centura Health Physician Group Physical Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629600754 | Centura Ventures, LLC | Clinic/Center | 1263 Lake Plaza Dr Ste 210b, Colorado Springs, CO 80906-3564 | 2020-02-06 |
| 1194357236 | Centura Ventures, LLC | Clinic/Center | 17230 Jackson Creek Pkwy Ste 170, Monument, CO 80132-7303 | 2020-02-06 |
| 1437254612 | Centura Ventures, LLC | Home Health | 18 School Rd, Ste 225, Frisco, CO 80443 | 2006-09-13 |
| 1174634349 | Centura Ventures, LLC | Home Health | 6901 S Havana St, Centennial, CO 80112-3805 | 2006-08-31 |
| 1528690195 | Centura Ventures, LLC | Clinic/Center | 4925 N Nevada Ave, Colorado Springs, CO 80918-8600 | 2020-02-11 |
| 1326670464 | Centura Ventures, LLC | Clinic/Center | 11960 Lioness Way Ste 150, Parker, CO 80134-5640 | 2020-02-06 |
| 1932731072 | Centura Ventures, LLC | Clinic/Center | 3010 N Circle Dr Ste 120, Colorado Springs, CO 80909-1182 | 2020-02-06 |
| 1891327920 | Centura Ventures, LLC | Clinic/Center | 41 State Highway 67, Woodland Park, CO 80863-5008 | 2020-02-06 |
| 1710519848 | Centura Ventures, LLC | Clinic/Center | 7233 Church Ranch Blvd, Westminster, CO 80021-4094 | 2020-02-06 |
| 1730711862 | Centura Ventures, LLC | Clinic/Center | 4112 Outlook Blvd Ste 96, Pueblo, CO 81008-1667 | 2020-02-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | CENTURA VENTURES, LLC | 9100 E. Mineral Circle, Centennial, CO 80112 |
| Street Address |
3030 N CIRCLE DR SUITE 212 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80909-1177 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326047143 | Colorado Otolaryngology Associates, LLC | Specialist | 3030 N Circle Dr, Suite 300, Colorado Springs, CO 80909-1177 | 2005-07-14 |
| 1386245348 | Facial Plastic Surgery Center of Colorado Springs, PC | Plastic Surgery | 3030 N Circle Dr, Colorado Springs, CO 80909-1177 | 2020-11-05 |
| 1801287859 | Kenneth Gavin | Orthotist | 3030 N Circle Dr, Ste. 110, Colorado Springs, CO 80909-1177 | 2015-02-12 |
| 1225444672 | Matthew C Hansen, Dds, PC | Dentist | 3030 N Circle Dr, Ste. 211, Colorado Springs, CO 80909-1177 | 2014-07-07 |
| 1982977856 | Centura Home Care, LLC | Physical Medicine & Rehabilitation | 3030 N Circle Dr, Suite 210, Colorado Springs, CO 80909-1177 | 2012-02-22 |
| 1114239290 | Rachael Chantel Degurse | Family Medicine | 3030 N Circle Dr, Suite 301, Colorado Springs, CO 80909-1177 | 2010-07-06 |
| 1831419985 | Kristi A. Been Hallum | Audiologist-Hearing Aid Fitter | 3030 N Circle Dr, Suite 300, Colorado Springs, CO 80909-1177 | 2010-06-10 |
| 1477796332 | Matthew John Whinery | Otolaryngology | 3030 N Circle Dr, Ste 300, Colorado Springs, CO 80909-1177 | 2009-04-08 |
| 1336388966 | Colorado Hearing | Audiologist | 3030 N Circle Dr, Ste 300, Colorado Springs, CO 80909-1177 | 2009-02-04 |
| 1669638144 | Chris John Malinky | Anesthesiology | 3030 N Circle Dr, Suite 210, Colorado Springs, CO 80909-1177 | 2008-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376173765 | Ascent Health LLC | Community/Behavioral Health | 2608 Palmer Park Blvd., Colorado Springs, CO- COLORADO 80909 | 2020-01-24 |
| 1639714041 | Peak Vista Community Health Centers | Clinic/Center | 4041 E San Miguel St, Colorado Springs, CO 80909 | 2019-11-08 |
| 1437706231 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 445 N Circle Drive, Colorado Springs, CO 80909 | 2019-08-26 |
| 1760952964 | James Garofalo | Counselor | 2210 E La Salle St Ste 221, Colorado Spgs, CO 80909 | 2018-11-29 |
| 1144719055 | Autumn Leaves Counseling, LLC | Counselor | 2130 Academy Circle, Suite B, Co Springs, CO 80909 | 2018-05-07 |
| 1407353642 | Ambulnz Co, LLC | Ambulance | 2420 E Pikes Peak Ave Ste 1001, Colorado Springs, CO 80909 | 2018-04-12 |
| 1083117998 | Peak Wellness Counseling Service, LLC | Counselor | 2210 E. La Salle Street, Suite 208, Colorado Springs, CO 80909 | 2018-03-16 |
| 1043740822 | Ande Carol West | Dental Hygienist | 701 Citadel Drive East, Colorado Springs, CO 80909 | 2017-06-14 |
| 1043748791 | Colorado Springs Pharmacy LLC | Pharmacy | 2224 E. Pikes Peak Ave, Colorado Springs, CO 80909 | 2017-05-25 |
| 1215484365 | Brittney Nicole Roberts | Physical Therapist | 2201 Lelaray St., Colorado Springs, CO 80909 | 2016-09-07 |
| Find all providers in zip 80909 | ||||
| Taxonomy Code | 2081P0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Spinal Cord Injury Medicine |
| A physician who addresses the prevention, diagnosis, treatment and management of traumatic spinal cord injury and non-traumatic etiologies of spinal cord dysfunction by working in an interdisciplinary manner. Care is provided to patients of all ages on a lifelong basis and covers related medical, physical, psychological and vocational disabilities and complications. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. ACGME Accredited Residency Program Requirements: 1 year of training with 3-5 years in relevant specialty for a total of 4-6 years. ABMS Approved Subspecialty Certificate: (Physical Medicine and Rehabilitation) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982977856 | Centura Home Care, LLC | Physical Medicine & Rehabilitation | 3030 N Circle Dr, Suite 210, Colorado Springs, CO 80909-1177 | 2012-02-22 |
| 1972607026 | Paula E. Wegert | Physical Medicine & Rehabilitation | 325 S Parkside Dr, Colorado Springs, CO 80910-3134 | 2006-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760746259 | Scott Schubert | Physical Medicine & Rehabilitation | 1700 Wheeling St # K1-11sc, Aurora, CO 80045-7211 | 2012-06-28 |
| 1104191949 | Roger Lueck | Physical Medicine & Rehabilitation | 32765 Highlands Road, Steamboat Springs, CO 80487-0000 | 2012-03-13 |
| 1275821753 | Total Healthcare | Physical Medicine & Rehabilitation | Dept 1322, Denver, CO 80291-1322 | 2011-07-18 |
| 1275689598 | Kenneth Clinton Parsons | Physical Medicine & Rehabilitation | 6367 S Jamaica Ct, Englewood, CO 80111-6628 | 2007-01-27 |
| 1720066707 | Mark R Johansen | Physical Medicine & Rehabilitation | 3425 S Clarkson St, Englewood, CO 80113-2811 | 2006-01-09 |
| 1770521585 | David C Karli | Physical Medicine & Rehabilitation | 181 W Meadow Dr, Suite 400, Vail, CO 81657-5242 | 2006-06-03 |
| 1861471807 | Thomas E Balazy | Physical Medicine & Rehabilitation | 3425 S Clarkson St, Englewood, CO 80113-2811 | 2006-01-10 |
| 1427037381 | Daniel P Lammertse | Physical Medicine & Rehabilitation | 3425 S Clarkson St, Englewood, CO 80113-2811 | 2006-01-10 |
| 1245218247 | Gary A Maerz | Physical Medicine & Rehabilitation | 3425 S Clarkson St, Englewood, CO 80113-2811 | 2006-01-09 |
| 1689652661 | Shih-fong Hsu | Physical Medicine & Rehabilitation | 3425 S Clarkson St, Englewood, CO 80113-2811 | 2006-01-09 |
| Find all providers with the same taxonomy | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80909 |
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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.