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OPTUMCARE COLORADO MEDICAL GROUP LLC NPI 1013548395


NPI Information

NPI: 1013548395
Provider Name: OPTUMCARE COLORADO MEDICAL GROUP, LLC

Doing Business As: MONUMENT PEDIATRICS

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 06D2288364

Address:
17230 JACKSON CREEK PKWY STE 260
MONUMENT, CO
ZIP 80132
Phone: (719) 488-6998
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OPTUMCARE COLORADO MEDICAL GROUP, LLC is a pediatrics in Monument, CO. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. OPTUMCARE COLORADO MEDICAL GROUP, LLC NPI is 1013548395. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Monument Pediatrics.

The provider's business location address is:

17230 JACKSON CREEK PKWY STE 260
MONUMENT, CO
ZIP 80132-305
Phone: (719) 488-6998
Fax: (719) 488-8270

The provider's authorized official is David I Cohen .
The authorized official title is Medical Director and has the following contact phone number (702) 480-2550.

The CLIA number assigned to this NPI record is 06D2288364 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/27/2020 and was last updated on 3/7/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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