Active NPI
Teodor John Huzij, D.O.
- Psychiatry Physician
- Colorado Springs, CO
National Provider Identifier
1720060486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 49211
- Practice address
- 14960 Woodcarver Rd
Suite 101
Colorado Springs, CO 80921-2370 - Phone
- (719) 694-2542
- Fax
- (719) 694-2542
- NPI assigned
- Nov 17, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | 49211 | CO | |
| Psychiatry Physician | 2084P0800X | 49211 | CO | Primary |
Addresses
Primary practice location
14960 Woodcarver Rd
Suite 101
Colorado Springs, CO 80921-2370
Mailing address
14960 Woodcarver Rd
Suite 101
Colorado Springs, CO 80921-2370
Phone (719) 694-2542
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49211 | CO | MD | Neuromusculoskeletal Medicine & OMM Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maine Behavioral Healthcare | Past | Accepting new patients | |
| Inpatient Consultants of Colorado, PC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Denver, CO
- NPI 1538461256
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Biddeford, ME
- NPI 1891733309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477612800000",
"number": "1720060486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14960 WOODCARVER RD",
"address_2": "SUITE 101",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809212370",
"telephone_number": "719-694-2542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14960 WOODCARVER RD",
"address_2": "SUITE 101",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809212370",
"telephone_number": "719-694-2542",
"fax_number": "719-694-2542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUZIJ",
"first_name": "TEODOR",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-17",
"last_updated": "2016-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "204D00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": "CO",
"license": "49211",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CO",
"license": "49211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.