Active NPI
Colorado Professional Medical, Inc
- Durable Medical Equipment & Medical Supplies
- Lakewood, CO
National Provider Identifier
1386647543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 05-37672-0000
- Legal business name
- COLORADO PROFESSIONAL MEDICAL, INC
- Practice address
- 11750 W 2ND PL
St. Anthony Medical Plaza
Lakewood, CO 80228-1575 - Phone
- (303) 233-2001
- Fax
- (303) 233-6390
- NPI assigned
- May 23, 2005
- Last updated
- Jun 28, 2013
- Organization subpart
- Yes
- Parent organization
- HANGER INC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 05-37672-0000 | CO | Primary |
| Prosthetic/Orthotic Supplier | 335E00000X | 05-37672-0000 | CO |
Addresses
Primary practice location
11750 W 2ND PL
St. Anthony Medical Plaza
Lakewood, CO 80228-1575
Mailing address
11750 W 2ND PL
St. Anthony Medical Plaza
Lakewood, CO 80228-1575
Phone (303) 233-2001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 57472335 | Medicaid | CO |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Hanger Clinic
- Prosthetic/Orthotic Supplier
- Waldorf, MD
- NPI 1801120175
Member Of
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": "1372377600000",
"number": "1386647543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11750 W 2ND PL",
"address_2": "ST. ANTHONY MEDICAL PLAZA",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802281575",
"telephone_number": "303-233-2001",
"fax_number": "303-233-6390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11750 W 2ND PL",
"address_2": "ST. ANTHONY MEDICAL PLAZA",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802281575",
"telephone_number": "303-233-2001",
"fax_number": "303-233-6390"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COLORADO PROFESSIONAL MEDICAL, INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HANGER INC",
"enumeration_date": "2005-05-23",
"last_updated": "2013-06-28",
"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": "05-37672-0000",
"primary": true
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "CO",
"license": "05-37672-0000",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "57472335",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, CO
- Colorado Permanente Medical Group, P.C. (Kaiser Permanente Lakewood Medical Offices)
- Colorado Permanente Medical Group, P.C. (Kaiser Permanente Lakewood Urgent Care)
- Colorado PGX Consulting LLC
- Colorado Physical Therapy Network
- Colorado Physician Partners, PLLC
- Colorado Provider Network LLC (Achieve Health)
- Colorado Provider Network LLC
- Colorado Relationship Practice
- Colorado Retina Associates, PLLC
- Colorado Retina Associates, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.