NPIMap

Organization Active NPI

Vanguard Medical Specialists, LLC

Doing business as Vanguard Skin Specialists

  • Dermatology Physician
  • Hugo, CO
National Provider Identifier
1821890351
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
VANGUARD MEDICAL SPECIALISTS, LLC
Doing business as
Vanguard Skin Specialists
Practice address
111 6TH St
Hugo, CO 80821-2002
Phone
(719) 355-1585
Fax
(719) 623-2983
NPI assigned
Mar 25, 2025
Last updated
Mar 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Authorized official

Name
Amber Gust-Allen
Title
Revenue Cycle Manager
Phone
(719) 465-5643

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X NU Primary
MOHS-Micrographic Surgery Physician 207ND0101X NU
Dermatopathology Physician 207ND0900X NU
Procedural Dermatology Physician 207NS0135X NU
Facial Plastic Surgery Physician 207YS0123X NU
Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X NU
Plastic Surgery Physician 208200000X NU
Physician Assistant 363A00000X NU

Addresses

Primary practice location

111 6TH St
Hugo, CO 80821-2002

Mailing address

PO Box 5088
Denver, CO 80217-5088

Other names 1

  • Vanguard Skin Specialists Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090616000804 CO Part B Supplier - Clinic/Group Practice 9436209285 Receives reassigned benefits from 26 practitioners
11 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Canon City, CO; Woodland Park, CO; Pueblo, CO; La Junta, CO; Hugo, CO; Colorado Springs, CO; Castle Rock, CO

Other NPIs on the same Medicare enrollment 11

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Vanguard Medical Specialists LLC10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

2620 Tenderfoot Hill St
Ste 110
Colorado Springs, CO 80906

4190 E Woodmen Rd
Ste 200
Colorado Springs, CO 80920
Phone (719) 265-6464

6215 Corporate Dr
Ste 101
Colorado Springs, CO 80919

9397 Crown Crest Blvd
Ste 230
Parker, CO 80138
Phone (303) 805-1800

41 State Highway 67
Unit B
Woodland Park, CO 80863

Practitioners & affiliated clinicians

Practitioners 24

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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1742860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742860800000",
    "number": "1821890351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5088",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802175088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 6TH ST",
            "city": "HUGO",
            "state": "CO",
            "postal_code": "808212002",
            "telephone_number": "719-355-1585",
            "fax_number": "719-623-2983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANGUARD MEDICAL SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-25",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A",
        "authorized_official_last_name": "GUST-ALLEN",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "719-465-5643"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vanguard Skin Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hugo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; 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.