Individual provider Active NPI

Laura Henry, MD

  • Otolaryngology Physician
  • Colorado Springs, CO
National Provider Identifier
1457811036
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
DR.0072304 Issued in CO
Practice address
3030 N Circle Dr Ste 300
Colorado Springs, CO 80909-1180
Phone
(719) 867-7800
NPI assigned
Mar 21, 2019
Last updated
Aug 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X DR.0072304 CO Primary
Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X DR.0072304 CO

Addresses

Primary practice location

3030 N Circle Dr Ste 300
Colorado Springs, CO 80909-1180

Mailing address

3030 N Circle Dr Ste 300
Colorado Springs, CO 80909-1180
Phone (719) 867-7800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240916003751 CO Practitioner - Otolaryngology 8628519709 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Perelman School of Med at the University of Pennsylvania, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado Otolaryngology Associates, LLCGroup PAC ID 1557253705, 21 clinicians

Practice addresses (Care Compare)

3030 N Circle Dr
Suite 300
Colorado Springs, CO 80909-1180
Phone (719) 867-7800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DR.0072304COMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Otolaryngology Associates, LLC Multi-Specialty CurrentSince Nov 1, 2024 Accepting new patients
Colorado Otolaryngology Associates, LLC Multi-Specialty Past Accepting new patients

Locations

3030 N Circle Dr
Ste 300
Colorado Springs, CO 80909
Phone (719) 373-1289

6031 E Woodmen Rd
Ste 300
Colorado Springs, CO 80923
Phone (719) 484-8626

3595 E Spaulding Ave
Ste B
Pueblo, CO 81008
Phone (719) 867-7800

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1457811036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 N CIRCLE DR STE 300",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809091180",
            "telephone_number": "719-867-7800",
            "fax_number": "719-867-7899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 N CIRCLE DR STE 300",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809091180",
            "telephone_number": "719-867-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "LAURA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-21",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CO",
            "license": "DR.0072304",
            "primary": true
        },
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "CO",
            "license": "DR.0072304",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.