NPIMap

Organization Active NPI

Colorado Senior Provider Network

  • Adult Medicine Physician
  • Centennial, CO
National Provider Identifier
1952819450
Registry record updated Mar 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
DR0027631 Issued in CO
Legal business name
COLORADO SENIOR PROVIDER NETWORK
Practice address
2221 E Arapahoe Rd Unit 3728
Centennial, CO 80161-5079
Phone
(303) 877-7239
NPI assigned
Jan 18, 2018
Last updated
Mar 10, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2020

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

Authorized official

Name
Mark Talmage, MDNPI 1114038403
Title
General Partner
Phone
(303) 877-7239

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X DR0027631 CO Primary

Addresses

Primary practice location

2221 E Arapahoe Rd Unit 3728
Centennial, CO 80161-5079

Mailing address

PO Box 3728
Littleton, CO 80161-3728
Phone (303) 877-7239

National Provider Directory

National Provider Directory

Locations

2221 E Arapahoe Rd
Unit 3728
Centennial, CO 80161
Phone (303) 877-7239

Practitioners & affiliated clinicians

Practitioners 5

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": "1516233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583798400000",
    "number": "1952819450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3728",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801613728",
            "telephone_number": "303-877-7239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 E ARAPAHOE RD UNIT 3728",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801615079",
            "telephone_number": "303-877-7239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO SENIOR PROVIDER NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-18",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A",
        "authorized_official_last_name": "TALMAGE",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "303-877-7239",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CO",
            "license": "DR0027631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; 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.