Organization Active NPI

On Site Dermatology of Colorado PLLC

  • Dermatology Physician
  • Salida, CO
National Provider Identifier
1073856050
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
ON SITE DERMATOLOGY OF COLORADO PLLC
Practice address
515 E 1St St
Salida, CO 81201-2805
Phone
(877) 345-5300
Fax
(561) 989-3665
NPI assigned
Mar 28, 2013
Last updated
Nov 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Adam S Plotkin, MDNPI 1306896105
Title
Manager
Phone
(561) 314-2000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X NU Primary

Addresses

Primary practice location

515 E 1St St
Salida, CO 81201-2805

Mailing address

4700 Exchange CT Ste 110
Boca Raton, FL 33431-4450
Phone (561) 314-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130724000662 CO Part B Supplier - Clinic/Group Practice 7315188935 Receives reassigned benefits from 9 practitioners

National Provider Directory

National Provider Directory

Locations

1860 S Potomac St
Aurora, CO 80012
Phone (303) 369-0736

7475 S Shawnee St
Aurora, CO 80016
Phone (303) 766-8867

970 Aurora Ave
Boulder, CO 80302
Phone (303) 938-1920

14501 E Crestline Dr
Centennial, CO 80015
Phone (303) 918-1219

615 Southpointe Ct
Colorado Springs, CO 80906
Phone (719) 358-6972

4901 E Kentucky Cir
Denver, CO 80246
Phone (303) 756-5218

6450 S Boston St
Greenwood Village, CO 80111
Phone (303) 224-9455

234 N Main St
Ste 2B
Gunnison, CO 81230
Phone (970) 641-1456

6824 Chestnut Hill St
Highlands Ranch, CO 80130

3151 S Wadsworth Blvd
Lakewood, CO 80227
Phone (303) 969-7666

4800 S Wadsworth Blvd
Littleton, CO 80123
Phone (303) 932-9808

6767 S Broadway
Littleton, CO 80122
Phone (303) 647-5780

1335 Cinnamon St
Longmont, CO 80501
Phone (303) 772-2882

3480 Wolverine Dr
Ste F
Montrose, CO 81401
Phone (970) 252-7444

16601 Jackson Creek Pkwy
Monument, CO 80132
Phone (719) 725-6060

515 E 1st St
Salida, CO 81201
Phone (719) 539-3581

7700 W 101st Ave
Westminster, CO 80021
Phone (303) 465-0504

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 22

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667260800000",
    "number": "1073856050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 EXCHANGE CT STE 110",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334314450",
            "telephone_number": "561-314-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 E 1ST ST",
            "city": "SALIDA",
            "state": "CO",
            "postal_code": "812012805",
            "telephone_number": "877-345-5300",
            "fax_number": "561-989-3665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ON SITE DERMATOLOGY OF COLORADO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-28",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A",
        "authorized_official_last_name": "PLOTKIN",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "561-314-2000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salida, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.