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COLORADO SPRINGS NEUROLOGICAL ASSOCIATES PC NPI 1407805948


NPI Information

NPI: 1407805948
Provider Name: COLORADO SPRINGS NEUROLOGICAL ASSOCIATES, PC
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

CLIA Number: 06D1012288

Address:
2312 N NEVADA AVE
SUITE 100
COLORADO SPRINGS, CO
ZIP 80907
Phone: (719) 473-3272
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COLORADO SPRINGS NEUROLOGICAL ASSOCIATES, PC is a neurology psychiatry neurology in Colorado Springs, CO. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. COLORADO SPRINGS NEUROLOGICAL ASSOCIATES, PC NPI is 1407805948. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2312 N NEVADA AVE
SUITE 100
COLORADO SPRINGS, CO
ZIP 80907-302
Phone: (719) 473-3272
Fax: (719) 389-1191

The provider's authorized official is Nikki Frailey .
The authorized official title is Human Resources and has the following contact phone number (719) 389-1108.

The CLIA number assigned to this NPI record is 06D1012288 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/10/2006 and was last updated on 1/7/2022.


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
1207T00000XNeurological SurgeryNo
22084N0400XPsychiatry & NeurologyNeurologyYes

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
104013181MEDICAIDCOLORADO

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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