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COLORADO SPINE PAIN & SPORTS MEDICINE PC NPI 1306024708


NPI Information

NPI: 1306024708
Provider Name: COLORADO SPINE PAIN & SPORTS MEDICINE PC
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

Address:
1437 RIVERSIDE AVE
FORT COLLINS, CO
ZIP 80524
Phone: (970) 495-0300
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COLORADO SPINE PAIN & SPORTS MEDICINE PC is an interventional pain medicine pain medicine in Fort Collins, 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. COLORADO SPINE PAIN & SPORTS MEDICINE PC NPI is 1306024708. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1437 RIVERSIDE AVE
FORT COLLINS, CO
ZIP 80524-324
Phone: (970) 495-0300

The provider's authorized official is Ricardo A Nieves .
The authorized official title is President and has the following contact phone number (970) 692-5550.

The enumeration date for this NPI number is 2/7/2008 and was last updated on 6/7/2010.


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
1208VP0014XPain MedicineInterventional Pain Medicine40977COLORADOYes

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
1G12632MEDICARE UPINCOLORADO
219823738MEDICAIDCOLORADO
3COB4002MEDICARE PINCOLORADO

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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