Colorado Wound and Ostomy Care, PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

CO44716 Issued in CO

Legal business name

COLORADO WOUND AND OSTOMY CARE, PC

Practice address

1601 Lowell Blvd
Denver, CO 80204-1545

Phone

(303) 664-9400

NPI assigned

Jun 10, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Glenn E Herrmann, MDNPI 1629085196

Title

President

Phone

(303) 664-9400

Specialties & licenses 1

Addresses

Other names 1

• Sloans Lake Wound Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Glenn Eric Herrmann, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Lafayette, CO
  • NPI 1629085196
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1276128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459209600000",
    "number": "1598085664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 767",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800260767",
            "telephone_number": "303-664-9400",
            "fax_number": "303-666-5362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 LOWELL BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802041545",
            "telephone_number": "303-664-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO WOUND AND OSTOMY CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-10",
        "last_updated": "2016-03-29",
        "status": "A",
        "authorized_official_last_name": "HERRMANN",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-664-9400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CO",
            "license": "CO44716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sloans Lake Wound Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Specialist in Denver, CO
• Providers in Denver, CO by specialty
• Specialist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.