NPIMap

Organization Active NPI

Colorado Otolaryngology Associates

  • Otolaryngology Physician
  • Pueblo, CO
National Provider Identifier
1952099749
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
COLORADO OTOLARYNGOLOGY ASSOCIATES
Practice address
3595 E. Spaulding Avenue
Ste. B
Pueblo, CO 81008
Phone
(719) 867-7800
Fax
(719) 867-7899
NPI assigned
Apr 28, 2023
Last updated
Apr 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2023

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

Authorized official

Name
Noah Lazarus
Title
Ceo
Phone
(719) 867-7800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X NU
Otolaryngology Physician 207Y00000X NU Primary

Addresses

Primary practice location

3595 E. Spaulding Avenue
Ste. B
Pueblo, CO 81008

Mailing address

PO Box 9190
Colorado Springs, CO 80932
Phone (719) 867-7800

National Provider Directory

National Provider Directory
Tax ID family
Colorado ENT Allergy4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1682640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682640000000",
    "number": "1952099749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9190",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80932",
            "telephone_number": "719-867-7800",
            "fax_number": "719-867-7899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3595 E. SPAULDING AVENUE",
            "address_2": "STE. B",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "81008",
            "telephone_number": "719-867-7800",
            "fax_number": "719-867-7899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO OTOLARYNGOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-28",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A",
        "authorized_official_last_name": "LAZARUS",
        "authorized_official_first_name": "NOAH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "719-867-7800"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; 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.