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Colorado Medical Group, PLLC — NPI 1053928234, Englewood, CO | NPI Central

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NPI 1053928234

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Colorado Medical Group, PLLC

NPI 1053928234 · Vascular Surgery Physician · Englewood, CO

Provider details

NPI number: 1053928234
Entity type: Organization
Primary specialty: Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
Parent organization: Colorado Medical Group, PLLC
Organization subpart: Yes
Authorized official: Grace Simmons, Credentialing Director(813) 867-0606

Specialties & taxonomies

Vascular Surgery PhysicianPrimary2086S0129X
Allopathic & Osteopathic Physicians
Surgery Physician208600000X
Allopathic & Osteopathic Physicians

Practice location

3535 S Lafayette St Ste 100

Englewood, CO 80113-3954

Phone: (800) 991-6117

Fax: (888) 812-8191

Approximate (ZIP-level) locationGet directions

More CO providers

Mailing address

3810 Northdale Blvd Ste 150

Tampa, FL 33624-1871

Other names (DBA / former)

Doing business as: United Vein Centers of Centennial, Co

Additional practice locations (3)

3665 John F Kennedy Pkwy Ste 200
Fort Collins, CO 80525-3152
Phone: (800) 991-6117
Fax: (888) 812-8191
255 Union Blvd Ste 300
Lakewood, CO 80228-1859
Phone: (800) 991-6117
Fax: (888) 812-8191
1044 S 88th St Ste 105
Louisville, CO 80027-9418
Phone: (800) 991-6117
Fax: (888) 812-8191

Registry dates

Enumerated: 2020-09-30
Last updated: 2023-07-24
Certified: 2023-07-24

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.