Active NPI
University Physicians, Incorporated
- Sports Medicine (Orthopaedic Surgery) Physician
- Lone Tree, CO
National Provider Identifier
1336690130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- Legal business name
- UNIVERSITY PHYSICIANS, INCORPORATED
- Practice address
- 10103 Ridgegate Pkwy Ste 100
Lone Tree, CO 80124-5520 - Phone
- (303) 586-9500
- NPI assigned
- Oct 18, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lisa Donahue
- Title
- Director
- Phone
- (303) 493-7300
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | |||
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | Primary |
Addresses
Primary practice location
10103 Ridgegate Pkwy Ste 100
Lone Tree, CO 80124-5520
Mailing address
PO Box 110429
Aurora, CO 80042-0429
Phone (303) 493-7000
Other names 1
- CU Sports Medicine SDH LT No DME
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Nurse Practitioner
- Aurora, CO
- NPI 1477137503
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476748800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724889600000",
"number": "1336690130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 110429",
"city": "AURORA",
"state": "CO",
"postal_code": "800420429",
"telephone_number": "303-493-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10103 RIDGEGATE PKWY STE 100",
"city": "LONE TREE",
"state": "CO",
"postal_code": "801245520",
"telephone_number": "303-586-9500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIVERSITY PHYSICIANS, INCORPORATED",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-18",
"last_updated": "2024-08-29",
"certification_date": "2024-08-29",
"status": "A",
"authorized_official_last_name": "DONAHUE",
"authorized_official_first_name": "LISA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "303-493-7300"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "CU Sports Medicine SDH LT No DME",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "CU Sports Medicine SDH LT No DME",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Lone Tree, CO
- University Physicians Incorporated
- University Physicians Incorporated
- University Physicians Incorporated
- University Physicians Incorporated
- University Physicians, Incorporated
- University Physicians, Incorporated
- University Physicians, Incorporated
- Urgent Surgical Services, PC
- Urology Associates Inc
- Urology Center of Colorado PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.