Novus Anesthesia of Colorado LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

NOVUS ANESTHESIA OF COLORADO LLC

Practice address

1311 N Mildred Rd
Cortez, CO 81321-2231

Phone

(404) 419-0230

NPI assigned

Apr 14, 2021

Organization subpart

No

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

Authorized official

Name

Carrie Vaughan

Title

Practice Manager

Phone

(404) 419-0237

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1618358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645574400000",
    "number": "1124608906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12766",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325912766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 N MILDRED RD",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813212231",
            "telephone_number": "404-419-0230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVUS ANESTHESIA OF COLORADO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-14",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A",
        "authorized_official_last_name": "VAUGHAN",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "404-419-0237"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Nelson
• Neon Kids Dental of Cortez
• Kenneth Edward Ness
• Charla Mae Nettleton, P.T.
• Norco Inc.
• Novus Colorado Professional Corporation
• Jenny M Nuuttila, RD
• Amanda O'Connor, CAT
• Kate Obrien, RN
• Obstetrix Medical Group of Colorado, P.C.

• Anesthesiology Physician in Cortez, CO
• Providers in Cortez, CO by specialty
• Anesthesiology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; 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.