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SOUTHERN COLORADO VASCULAR SURGERY PC
NPI 1053463836
Specialist in Colorado Springs, CO

Active since January 18, 2007
2960 N CIRCLE DR STE 115, COLORADO SPRINGS, CO 80909(719) 630-3465(719) 630-3476 Get Directions Write a Review

NPPES record last updated: December 4, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Southern Colorado Vascular Surgery Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN COLORADO VASCULAR SURGERY PC (NPI 1053463836) is a healthcare organization registered as a specialist in Colorado Springs, Colorado and active in the NPI registry since January 2007. The organization lists Bruce Donald Misare, Physician, as its authorized official.

NPPES Registry Identity

NPI1053463836
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSOUTHERN COLORADO VASCULAR SURGERY PC
Location Address2960 N CIRCLE DR STE 115Colorado Springs, CO 80909-1163
Mailing Address2960 N Circle Dr Ste 115Colorado Springs, CO 80909-1163 · (719) 630-3465 · Fax (719) 630-3476
Phone(719) 630-3465
Fax(719) 630-3476
Organization SubpartNo
Authorized OfficialBruce Donald MisarePhysician · (719) 630-3465
Enumeration DateJanuary 18, 2007
Last NPPES UpdateDecember 4, 2009
✔ NPI 1053463836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CO · 38531
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2960 N CIRCLE DR STE 115, Colorado Springs, CO 80909
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Other Identifiers 2

Medicaid36589365CO
Medicare ID-Type Unspecified508008CO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SPECIALIZED WOUND CARE
Clinic/Center
2960 N CIRCLE DR STE 115
COLORADO SPRINGS, CO 80909
El Paso County (719) 471-4994
PATRICK D DEVANNY MD
Orthopaedic Surgery (Hand Surgery)
2960 N CIRCLE DR STE 115
COLORADO SPRINGS, CO 80909
El Paso County (719) 471-4994
PATRICK D DEVANNY MD PC
Orthopaedic Surgery
2960 N CIRCLE DR STE 115
COLORADO SPRINGS, CO 80909
El Paso County (719) 471-4994

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southern Colorado Vascular Surgery PC's NPI number?

The NPI number for Southern Colorado Vascular Surgery PC is 1053463836. It was assigned to this organization in the NPPES registry on January 18, 2007.

Where is Southern Colorado Vascular Surgery PC located?

Southern Colorado Vascular Surgery PC is located at 2960 N Circle Dr Ste 115, Colorado Springs, CO 80909. The listed phone number is (719) 630-3465.

What is Southern Colorado Vascular Surgery PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Southern Colorado Vascular Surgery PC was last updated on December 4, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.