NPIMap

Organization Active NPI

Colorado Trauma Services PC

  • Trauma Surgery Physician
  • Wheat Ridge, CO
National Provider Identifier
1831135391
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Trauma Surgery PhysicianTaxonomy code 2086S0127X
Legal business name
COLORADO TRAUMA SERVICES PC
Practice address
4350 Wadsworth Blvd Ste 401
Wheat Ridge, CO 80033-4638
Phone
(720) 996-0780
Fax
(303) 800-8381
NPI assigned
Jun 22, 2006
Last updated
Jul 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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

Authorized official

Name
Lars C Ankersen
Title
Cfo
Phone
(720) 996-0780

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Trauma Surgery Physician 2086S0127X NU Primary

Addresses

Primary practice location

4350 Wadsworth Blvd Ste 401
Wheat Ridge, CO 80033-4638

Mailing address

4350 Wadsworth Blvd Ste 401
Wheat Ridge, CO 80033-4638
Phone (720) 996-0780

Other identifiers 3

IdentifierTypeStateIssuer
612034501OtherDEPT OF LABOR - SALIDA
68228066MedicaidCO
612034500OtherDEPT OF LABOR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061219000015 CO Part B Supplier - Clinic/Group Practice 6800895947 Receives reassigned benefits from 18 practitioners
1 other NPI on this enrollment
Practice locations: Lakewood, CO; Wheat Ridge, CO; Golden, CO

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory

Locations

3455 Lutheran Pkwy
Ste 290
Wheat Ridge, CO 80033
Phone (303) 467-1400

Practitioners & affiliated clinicians

Practitioners 22

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 22

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657670400000",
    "number": "1831135391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4350 WADSWORTH BLVD STE 401",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800334638",
            "telephone_number": "720-996-0780",
            "fax_number": "303-800-8381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 WADSWORTH BLVD STE 401",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800334638",
            "telephone_number": "720-996-0780",
            "fax_number": "303-800-8381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO TRAUMA SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A",
        "authorized_official_last_name": "ANKERSEN",
        "authorized_official_first_name": "LARS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "720-996-0780"
    },
    "taxonomies": [
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR - SALIDA",
            "identifier": "612034501",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "68228066",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "612034500",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheat Ridge, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; 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.