Quorum Orthopedics, Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

CP003160 Issued in CO

Legal business name

QUORUM ORTHOPEDICS, INC

Practice address

561 E Garden Dr
Ste H
Windsor, CO 80550-3148

Phone

(970) 686-2266

Fax

(970) 686-8823

NPI assigned

Mar 6, 2007

Organization subpart

No

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

Authorized official

Name

Kimber Brekke

Title

Administrator

Phone

(970) 686-2266

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph L Johnson, CP, CTPO

  • Prosthetist
  • Windsor, CO
  • NPI 1326034620
  NPD (past)
• Jade Kyle Newman, C.O.

  • Orthotist
  • Cheyenne, WY
  • NPI 1174064992
  NPD (past)

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580860800000",
    "number": "1992835318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "561 E GARDEN DR UNIT H",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "805503149",
            "telephone_number": "970-686-2266",
            "fax_number": "970-686-8823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 E GARDEN DR",
            "address_2": "STE H",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "805503148",
            "telephone_number": "970-686-2266",
            "fax_number": "970-686-8823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUORUM ORTHOPEDICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A",
        "authorized_official_last_name": "BREKKE",
        "authorized_official_first_name": "KIMBER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "970-686-2266"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "CO",
            "license": "CP003160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "97021032",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117954300",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Matthew John Ptaszkiewicz, M. D.
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• Claire Quintero, LMT
• Caitlin V Raaz, PHD, CCC-SLP
• Briana Ragsdill, DPT
• Rebekah Ralph, CPM RM
• Keith A Rangel, M.D.
• Angela Nicole Redder, LMT

• All providers in Windsor, CO
• Prosthetic/Orthotic Supplier in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.