NPIMap

Organization Active NPI

Colorado Medical Group, PLLC

Doing business as United Vein & Vascular Centers

  • Vascular Surgery Physician
  • Littleton, CO
National Provider Identifier
1730796400
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
COLORADO MEDICAL GROUP, PLLC
Doing business as
United Vein & Vascular Centers
Practice address
6179 S Balsam Way Ste 200
Littleton, CO 80123-3093
Phone
(800) 991-6117
NPI assigned
Sep 28, 2020
Organization subpart
Yes
Parent organization
COLORADO MEDICAL GROUP, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Authorized official

Name
Ali N WazniNPI 1154646842
Title
Chief Administration Officer
Phone
(800) 991-6117

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X Primary

Addresses

Primary practice location

6179 S Balsam Way Ste 200
Littleton, CO 80123-3093

Mailing address

3810 Northdale Blvd Ste 150
Tampa, FL 33624-1871
Phone (813) 961-1331

Other practice location 1

255 Union Blvd Ste 300
Lakewood, CO 80228-1859
Phone (800) 991-6117

Other names 1

  • United Vein & Vascular Centers Doing business as

National Provider Directory

National Provider Directory
Tax ID family
United Vein Vascular Cente6 organizations share this tax ID, including this one
Part of
United Vein Vascular Cente

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6179 S Balsam Way
Ste 200
Littleton, CO 80123
Phone (303) 933-2555

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1601251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707955200000",
    "number": "1730796400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3810 NORTHDALE BLVD STE 150",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336241871",
            "telephone_number": "813-961-1331",
            "fax_number": "888-850-8316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6179 S BALSAM WAY STE 200",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801233093",
            "telephone_number": "800-991-6117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 Union Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802281859",
            "country_code": "US",
            "telephone_number": "800-991-6117",
            "fax_number": "888-812-8191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COLORADO MEDICAL GROUP, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLORADO MEDICAL GROUP, PLLC",
        "enumeration_date": "2020-09-28",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A",
        "authorized_official_last_name": "WAZNI",
        "authorized_official_first_name": "ALI",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATION OFFICER",
        "authorized_official_telephone_number": "800-991-6117"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "United Vein & Vascular Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.