COLORADO FACIAL PLASTIC SURGERY CENTER INC
NPI 1114068376
Specialist in Englewood, CO

Q: What is Colorado Facial Plastic Surgery Center Inc's specialty?

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

Active since February 09, 2007

3600 S LOGAN ST, SUITE 100, ENGLEWOOD, CO 80113(303) 839-7980(303) 839-7936 Get Directions Write a Review

NPPES record last updated: March 1, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Colorado Facial Plastic Surgery Center Inc NPPES

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

COLORADO FACIAL PLASTIC SURGERY CENTER INC (NPI 1114068376) is a healthcare organization registered as a specialist in Englewood, Colorado and active in the NPI registry since February 2007. The organization lists Mario J Imola, Owner, as its authorized official.

NPPES Registry Identity

NPI1114068376

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameCOLORADO FACIAL PLASTIC SURGERY CENTER INC

Location Address3600 S LOGAN ST, SUITE 100Englewood, CO 80113-3766

Mailing Address3600 S Logan St, Suite 100Englewood, CO 80113-3766 · (303) 839-7980 · Fax (303) 839-7936

Phone(303) 839-7980

Fax(303) 839-7936

Organization SubpartNo

Authorized OfficialMario J ImolaOwner · (303) 839-7980

Enumeration DateFebruary 9, 2007

Last NPPES UpdateMarch 1, 2016

✔ NPI 1114068376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in CO · 38335

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.

3600 S LOGAN ST, Englewood, CO 80113

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Other Identifiers 4

OtherIM642698CO · Bcbs

Medicaid08671281CO

Medicare PINC37821CO

Medicare UPING11247CO

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.

WARD MELVIN NEWCOMB MD

Pathology (Clinical Pathology/Laboratory Medicine)

3600 S LOGAN ST, SUITE 110
ENGLEWOOD, CO 80113

Arapahoe County (303) 432-7855

DR. HEIDI ELIZABETH ALBETE ND

Naturopath

3600 S LOGAN ST
ENGLEWOOD, CO 80113

Arapahoe County (303) 343-8800

MARIO J IMOLA MD

Otolaryngology (Facial Plastic Surgery)

3600 S LOGAN ST, SUITE 100
ENGLEWOOD, CO 80113

Arapahoe County (303) 839-7980

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 Colorado Facial Plastic Surgery Center Inc's NPI number?

The NPI number for Colorado Facial Plastic Surgery Center Inc is 1114068376. It was assigned to this organization in the NPPES registry on February 9, 2007.

Where is Colorado Facial Plastic Surgery Center Inc located?

Colorado Facial Plastic Surgery Center Inc is located at 3600 S Logan St Suite 100, Englewood, CO 80113. The listed phone number is (303) 839-7980.

What is Colorado Facial Plastic Surgery Center Inc'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 Colorado Facial Plastic Surgery Center Inc was last updated on March 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.