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OPTUM COLORADO SPRINGS - WOODLAND PARK
NPI 1871036251
General Practice in Woodland Park, CO

Active since December 02, 2016
700 W US HIGHWAY 24, WOODLAND PARK, CO 80863(719) 687-8550(719) 687-8919 Get Directions Write a Review

NPPES record last updated: August 20, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 20, 2024, Aug 19, 2019, May 23, 2017 (3 updates tracked since 2017).

About Optum Colorado Springs - Woodland Park NPPES

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

OPTUM COLORADO SPRINGS - WOODLAND PARK (NPI 1871036251) is a healthcare organization registered as a general practice in Woodland Park, Colorado and active in the NPI registry since December 2016. The organization lists Emily Castillo, Associate Director Credentialing, as its authorized official.

NPPES Registry Identity

NPI1871036251
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameOPTUMCARE COLORADO MEDICAL GROUP LLC
Location Address700 W US HIGHWAY 24Woodland Park, CO 80863-8975
Mailing AddressPo Box 35380Las Vegas, NV 89133-5380 · (702) 579-3203 · Fax (719) 538-2990
Phone(719) 687-8550
Fax(719) 687-8919
Organization SubpartNo
Authorized OfficialEmily CastilloAssociate Director Credentialing · (702) 579-3253
Enumeration DateDecember 2, 2016
Last NPPES UpdateAugust 20, 20243 updates tracked since enumeration
NPPES CertifiedAugust 20, 2024
✔ NPI 1871036251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
700 W US HIGHWAY 24, Woodland Park, CO 80863
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Other Names 4

Doing Business AsOptum Colorado Springs - Woodland Park
Former Legal Business NameColorado Springs Health Partners Llc
Former Legal Business NameDavita Medical Group Colorado Springs Llc
Former Legal Business NameOptumcare Colorado Springs Llc

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

DR. CASIE CHEN MD
Family Medicine
700 W US HIGHWAY 24
WOODLAND PARK, CO 80863
Teller County (719) 522-1133
SUSAN ZUMERGRAD FNP
Nurse Practitioner (Family)
700 W US HIGHWAY 24
WOODLAND PARK, CO 80863
Teller County (719) 522-1133
DR. CORY LYNN DIETZ MD
Family Medicine
700 W US HIGHWAY 24
WOODLAND PARK, CO 80863
Teller County (719) 522-1133
OPTUMCARE COLORADO MEDICAL GROUP LLC
Family Medicine
700 W US HIGHWAY 24
WOODLAND PARK, CO 80863
Teller County (719) 687-6022
ANNE K FRAILING DO
Family Medicine
700 W US HIGHWAY 24
WOODLAND PARK, CO 80863
Teller County (719) 522-1133
LISA M CORLEY PA-C
Physician Assistant
700 W US HIGHWAY 24
WOODLAND PARK, CO 80863
Teller County (719) 522-1133

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 Optumcare Colorado Medical Group LLC's NPI number?

The NPI number for Optumcare Colorado Medical Group LLC is 1871036251. It was assigned to this organization in the NPPES registry on December 2, 2016.

Where is Optumcare Colorado Medical Group LLC located?

Optumcare Colorado Medical Group LLC is located at 700 W Us Highway 24, Woodland Park, CO 80863. The listed phone number is (719) 687-8550.

What is Optumcare Colorado Medical Group LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Optumcare Colorado Medical Group LLC was last updated on August 20, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.