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METAMORPHOSIS LTD NPI 1003415860


NPI Information

NPI: 1003415860
Provider Name: METAMORPHOSIS LTD
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

CLIA Number: 06D2110592

Address:
6015 LEHMAN DR STE 205
COLORADO SPRINGS, CO
ZIP 80918
Phone: (719) 896-4180
Get Directions

METAMORPHOSIS LTD is an interventional pain medicine pain medicine in Colorado Springs, CO. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. METAMORPHOSIS LTD NPI is 1003415860. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

6015 LEHMAN DR STE 205
COLORADO SPRINGS, CO
ZIP 80918-421
Phone: (719) 896-4180
Fax: (888) 285-7140

The provider's authorized official is Jessica Heslep .
The authorized official title is Manager and has the following contact phone number (719) 852-3420.

The CLIA number assigned to this NPI record is 06D2110592 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/22/2020 and was last updated on 2/22/2024.


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
1208VP0000XPain MedicinePain MedicineNo
2225100000XPhysical TherapistNo
3363L00000XNurse PractitionerNo
4363LF0000XNurse PractitionerFamilyNo
5367500000XNurse Anesthetist, Certified RegisteredNo
6208VP0014XPain MedicineInterventional Pain MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
157531331MEDICAIDCOLORADO
252939529MEDICAIDCOLORADO
360539577MEDICAIDCOLORADO
462750101MEDICAIDCOLORADO

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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