COLORADO CENTER FOR OTOLARYNGOLOGY, PROFESSIONAL LLC – NPI #1164421582
Otolaryngology

An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.

Health Care Provider Taxonomy Code for Otolaryngology

COLORADO CENTER FOR OTOLARYNGOLOGY, PROFESSIONAL LLC is an otolaryngologist located in COLORADO SPRINGS, CO. NPPES has assigned the NPI number 1164421582 to COLORADO CENTER FOR OTOLARYNGOLOGY, PROFESSIONAL LLC on July 18, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207YX0905X from the Health Care Provider Taxonomy code set, which is classified as Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery

The NPI profile was previously updated about 15 years ago on Jan 05, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for COLORADO CENTER FOR OTOLARYNGOLOGY, PROFESSIONAL LLC below.

NPI Profile for
COLORADO CENTER FOR OTOLARYNGOLOGY, PROFESSIONAL LLC

NPI Number
1164421582
Enumeration Date

(about 21 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COLORADO CENTER FOR OTOLARYNGOLOGY, PROFESSIONAL LLC
Primary location
3920 N UNION BLVD
SUITE 310
COLORADO SPRINGS, CO 80907-4900
Phone: (719) 574-6653 Fax: (719) 574-2778
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DANIEL SMITH
PARTNER
Phone: (719) 574-6653
Updated
Identifiers

Identifiers for COLORADO CENTER FOR OTOLARYNGOLOGY, PROFESSIONAL LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDCO04020863
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207YX0905X
- Otolaryngology / Otolaryngology/Facial Plastic Surgery (Primary)		 CO BC2020422

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.