Individual provider Active NPI

Steven B Waskow, MD

  • Orthopaedic Surgery Physician
  • Colorado Springs, CO
National Provider Identifier
1912996190
Registry record updated Oct 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
32905 Issued in CO
Practice address
1633 Medical Center Point
Colorado Springs, CO 80907-1604
Phone
(719) 447-1000
Fax
(719) 447-8841
NPI assigned
Oct 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 32905 CO Primary

Addresses

Primary practice location

1633 Medical Center Point
Colorado Springs, CO 80907-1604

Mailing address

1633 Medical Center Point
Colorado Springs, CO 80907-1604
Phone (719) 447-1000

Other identifiers 1

IdentifierTypeStateIssuer
01329051MedicaidCO

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 Medicine

State licenses

LicenseStateTypeSpecialty
32905COMDOrthopaedic Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320019200000",
    "number": "1912996190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 MEDICAL CENTER POINT",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809071604",
            "telephone_number": "719-447-1000",
            "fax_number": "719-447-8841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 MEDICAL CENTER POINT",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809071604",
            "telephone_number": "719-447-1000",
            "fax_number": "719-447-8841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASKOW",
        "first_name": "STEVEN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2011-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CO",
            "license": "32905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01329051",
            "state": "CO"
        }
    ],
    "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 31, 2011; 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.