DAVITA MEDICAL GROUP – NPI #1063956779
General Practice
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
DAVITA MEDICAL GROUP is a provider located in COLORADO SPRINGS, CO. NPPES has assigned the NPI number 1063956779 to DAVITA MEDICAL GROUP on December 14, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “DAVITA MEDICAL GROUP” is a dba name, the actual legal business name for this organization is DAVITA MEDICAL GROUP COLORADO SPRINGS, LLC. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.
The NPI profile was previously updated about 9 years ago on Sep 22, 2017. 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 DAVITA MEDICAL GROUP below.
NPI Profile for
DAVITA MEDICAL GROUP COLORADO SPRINGS, LLC
(more than 9 years ago)
STE 100
COLORADO SPRINGS, CO 80904-3882 Phone: (719) 473-3606 Fax: (719) 473-0132
STE 140
COLORADO SPRINGS, CO 80903-1624 Phone: (719) 538-2900 Fax: (719) 538-2987
CHIEF MEDICAL OFFICER
Phone: (719) 538-2900
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 |
|---|---|---|
| 208D00000X - General Practice (Primary) |
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.