Organization Active NPI

Colorado Professional Medical, Inc

  • Durable Medical Equipment & Medical Supplies
  • Colorado Springs, CO
National Provider Identifier
1154324168
Registry record updated Feb 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0537672-0003 Issued in CO
Legal business name
COLORADO PROFESSIONAL MEDICAL, INC
Practice address
175 S Union Blvd
Ste 370
Colorado Springs, CO 80910-3113
Phone
(719) 632-5075
Fax
(719) 632-5078
NPI assigned
May 23, 2005
Last updated
Feb 15, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
HANGER ORTHOPEDIC GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 15, 2008

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

Authorized official

Name
Sheryl S Price
Title
Director of Reimbursement
Phone
(503) 493-8288

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0537672-0003 CO Primary
Prosthetic/Orthotic Supplier 335E00000X 05-37672-0003 CO

Addresses

Primary practice location

175 S Union Blvd
Ste 370
Colorado Springs, CO 80910-3113

Mailing address

175 S Union Blvd
Suite 370
Colorado Springs, CO 80910-3113
Phone (303) 232-2001

Other identifiers 1

IdentifierTypeStateIssuer
57472335MedicaidCO

National Provider Directory

National Provider Directory
Tax ID family
Colorado Professional Medical2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

175 S Union Blvd
Ste 370
Colorado Springs, CO 80910
Phone (719) 365-7905

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203033600000",
    "number": "1154324168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 S UNION BLVD",
            "address_2": "SUITE 370",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809103113",
            "telephone_number": "303-232-2001",
            "fax_number": "303-233-6390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 S UNION BLVD",
            "address_2": "STE 370",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809103113",
            "telephone_number": "719-632-5075",
            "fax_number": "719-632-5078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO PROFESSIONAL MEDICAL, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HANGER ORTHOPEDIC GROUP",
        "enumeration_date": "2005-05-23",
        "last_updated": "2008-02-15",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DIRECTOR OF REIMBURSEMENT",
        "authorized_official_telephone_number": "503-493-8288"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CO",
            "license": "0537672-0003",
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "CO",
            "license": "05-37672-0003",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "57472335",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; 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.