Co Osteopathic and Sports

Primary specialty

Sports Medicine (Preventive Medicine) PhysicianTaxonomy code 2083S0010X

License

41103 Issued in CO

Legal business name

CO OSTEOPATHIC AND SPORTS

Practice address

963 S Kipling Pkwy
Lakewood, CO 80226-3946

Phone

(303) 988-1825

NPI assigned

Apr 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jo Ann Douglas, D.O.

Title

Partner

Phone

(303) 988-1825

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189555200000",
    "number": "1366565848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 280113",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802280113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "963 S KIPLING PKWY",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802263946",
            "telephone_number": "303-988-1825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CO OSTEOPATHIC AND SPORTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2007-09-12",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "JO",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "303-988-1825",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2083S0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Sports Medicine",
            "state": "CO",
            "license": "41103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Cliff
• Amber L Clift-Willoughby, MA, CSPT,CSST
• Clinical Research Consultants, Inc
• Jean Armand Clouatre, DDS
• Shelley A Clyne, M.D.
• Leeanne Marie Coakley, MD
• Bridgette Coats, PA
• Alexa Makenzie Coburn
• Tessa Owens Cocchiara, RN
• Joseph A Cocco, DO

• Sports Medicine (Preventive Medicine) Physician in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Sports Medicine (Preventive Medicine) Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.