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COLORADO PAIN PRACTICE PLLC NPI 1508285776


NPI Information

NPI: 1508285776
Provider Name: COLORADO PAIN PRACTICE, PLLC

Former Legal Business Name: COLORADO PAIN PRACTICE, PLLC

Classification: Anesthesiology - 207LP2900X
Entity Type: Organization

Specialization: Pain Medicine

CLIA Number: 06D2135220

Address:
12596 W BAYAUD AVE STE 350
LAKEWOOD, CO
ZIP 80228
Phone: (303) 468-7246
Get Directions

COLORADO PAIN PRACTICE, PLLC is a pain medicine anesthesiology in Lakewood, CO. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. COLORADO PAIN PRACTICE, PLLC NPI is 1508285776. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Colorado Pain Practice, Pllc.

The provider's business location address is:

12596 W BAYAUD AVE STE 350
LAKEWOOD, CO
ZIP 80228-019
Phone: (303) 468-7246
Fax: (303) 277-0714

The provider's authorized official is Robert Moghim .
The authorized official title is Ceo and has the following contact phone number (303) 282-1520.

The CLIA number assigned to this NPI record is 06D2135220 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 4/15/2014 and was last updated on 1/3/2022.


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
1207LP2900XAnesthesiologyPain MedicineYes

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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