Colorado Senior Care Services, P.C.

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

Legal business name

COLORADO SENIOR CARE SERVICES, P.C.

Practice address

1400 S Potomac St Ste 150
Aurora, CO 80012-4541

Phone

(303) 306-4329

Fax

(303) 695-8627

NPI assigned

Feb 11, 2019

Organization subpart

No

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

Authorized official

Name

Kimberly P Holloway

Title

Dir of Provider and Patient Service

Phone

(865) 293-5676

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1549843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549843200000",
    "number": "1972069375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 CENTERPOINT BLVD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379321984",
            "telephone_number": "865-293-5676",
            "fax_number": "865-291-3239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S POTOMAC ST STE 150",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124541",
            "telephone_number": "303-306-4329",
            "fax_number": "303-695-8627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO SENIOR CARE SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-11",
        "last_updated": "2019-02-11",
        "status": "A",
        "authorized_official_last_name": "HOLLOWAY",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DIR OF PROVIDER AND PATIENT SERVICE",
        "authorized_official_telephone_number": "865-293-5676"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Geriatric Medicine (Internal Medicine) Physician in Aurora, CO
• Providers in Aurora, CO by specialty
• Geriatric Medicine (Internal Medicine) Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2019; 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.