Organization Active NPI

Colorado Wound Care, Inc.

  • Specialist
  • Aspen, CO
National Provider Identifier
1346581022
Registry record updated Mar 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
COLORADO WOUND CARE, INC.
Practice address
400 W Main St
Suite 100
Aspen, CO 81611-1666
Phone
(914) 237-6797
Fax
(208) 279-8681
NPI assigned
Mar 6, 2013
Last updated
Mar 6, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2013

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

Authorized official

Name
Spero J Theodorou, M.D.NPI 1669444972
Title
Surgical Director
Phone
(914) 237-6797

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

400 W Main St
Suite 100
Aspen, CO 81611-1666

Mailing address

976 McLean Ave
Suite 387
Yonkers, NY 10704-4105
Phone (914) 237-6797

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1362528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362528000000",
    "number": "1346581022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "976 MCLEAN AVE",
            "address_2": "SUITE 387",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107044105",
            "telephone_number": "914-237-6797",
            "fax_number": "914-237-6790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W MAIN ST",
            "address_2": "SUITE 100",
            "city": "ASPEN",
            "state": "CO",
            "postal_code": "816111666",
            "telephone_number": "914-237-6797",
            "fax_number": "208-279-8681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO WOUND CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-06",
        "last_updated": "2013-03-06",
        "status": "A",
        "authorized_official_last_name": "THEODOROU",
        "authorized_official_first_name": "SPERO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SURGICAL DIRECTOR",
        "authorized_official_telephone_number": "914-237-6797",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aspen, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; 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.