Organization Active NPI

Colorado Professional Medical, Inc

  • Durable Medical Equipment & Medical Supplies
  • Lakewood, CO
National Provider Identifier
1386647543
Registry record updated Jun 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
05-37672-0000 Issued in CO
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, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
HANGER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 28, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
57472335MedicaidCO

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

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

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.

Verify at the official NPI Registry.