Urology of Southern Colorado PLLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

40134 Issued in CO

Legal business name

UROLOGY OF SOUTHERN COLORADO PLLC

Practice address

3676 Parker Blvd
Suite 310
Pueblo, CO 81008-2212

Phone

(719) 545-1500

NPI assigned

Jan 7, 2008

Last updated

Oct 15, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dana Joan Weaver-Osterholtz, M.D.NPI 1548265002

Title

Owner

Phone

(719) 676-3728

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Dana J Weaver-Osterholtz, MD

  • Specialist
  • Pueblo, CO
  • NPI 1548265002
  Authorized official Same address or phone

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255564800000",
    "number": "1104001379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3676 PARKER BLVD",
            "address_2": "SUITE 310",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810082212",
            "telephone_number": "719-545-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3676 PARKER BLVD",
            "address_2": "SUITE 310",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810082212",
            "telephone_number": "719-545-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGY OF SOUTHERN COLORADO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-07",
        "last_updated": "2009-10-15",
        "status": "A",
        "authorized_official_last_name": "WEAVER-OSTERHOLTZ",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "JOAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-676-3728",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CO",
            "license": "40134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "48477877",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• University Family Medicine Center, P.C.
• Alexandra Unwin
• Kyle Urban
• Urology Consultants PC
• Urology of Pueblo, PC
• Leah Urrutia, LMT
• Brittni Danielle Ursick
• Usacs of Colorado Inc
• Usv Optical Inc
• Kairi Vaher, PSYD, NP

• Medical Specialty Clinic/Center in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Medical Specialty Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.