Southern Colorado Urology

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

17434 Issued in CO

Legal business name

SOUTHERN COLORADO UROLOGY

Practice address

550 W Hwy 50
Salida, CO 81201-2238

Phone

(719) 530-2000

NPI assigned

Nov 16, 2007

Organization subpart

No

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

Authorized official

Name

Vicky R Jones

Title

Credentialing Officer

Phone

(719) 530-2016

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195171200000",
    "number": "1326229527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 549",
            "city": "SALIDA",
            "state": "CO",
            "postal_code": "812010549",
            "telephone_number": "719-530-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 W HWY 50",
            "city": "SALIDA",
            "state": "CO",
            "postal_code": "812012238",
            "telephone_number": "719-530-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN COLORADO UROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-16",
        "last_updated": "2007-11-16",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "VICKY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CREDENTIALING OFFICER",
        "authorized_official_telephone_number": "719-530-2016"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "CO",
            "license": "17434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01174341",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brooke Smolenski
• Alice Smyth, PT
• Snowballs Eye Boutique LLC
• Solvista Health Corp.
• John Dean Sommers, D.C.
• Cody Lee Spanier, RPH
• SRS - Salida LLC
• Vince J Stack, M.D.
• Marissa Starr, FNP
• Cassandra Stauch, LCSW

• Urology Physician in Salida, CO
• Providers in Salida, CO by specialty
• Urology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; 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.