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OPTUMCARE COLORADO MEDICAL GROUP LLC
NPI 1902437874
Family Medicine in Colorado Springs, CO

Active since January 30, 2020
3470 CENTENNIAL BLVD STE 210, COLORADO SPRINGS, CO 80907(719) 463-5600(719) 538-2990 Get Directions Write a Review

NPPES record last updated: August 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 20, 2024, Mar 7, 2024, Jan 30, 2020 (3 updates tracked since 2020).

About Optumcare Colorado Medical Group Llc NPPES

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

OPTUMCARE COLORADO MEDICAL GROUP LLC (NPI 1902437874), doing business as Optumcare Colorado Springs Llc, is a healthcare organization registered as a family medicine in Colorado Springs, Colorado and active in the NPI registry since January 2020. The organization lists Emily Castillo, Associate Director Credentialing, as its authorized official.

NPPES Registry Identity

NPI1902437874
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameOPTUMCARE COLORADO MEDICAL GROUP LLC
Location Address3470 CENTENNIAL BLVD STE 210Colorado Springs, CO 80907-8669
Mailing AddressPo Box 35380Las Vegas, NV 89133-5380 · (702) 579-3203 · Fax (719) 538-2990
Phone(719) 463-5600
Fax(719) 538-2990
Organization SubpartYes
Authorized OfficialEmily CastilloAssociate Director Credentialing · (702) 579-3253
Enumeration DateJanuary 30, 2020
Last NPPES UpdateAugust 20, 20243 updates tracked since enumeration
NPPES CertifiedAugust 20, 2024
✔ NPI 1902437874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3470 CENTENNIAL BLVD STE 210, Colorado Springs, CO 80907
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Other Names 2

Former Legal Business NameOptumcare Colorado Springs Llc
Doing Business AsMdvip Dr Theodore Lawson

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

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 1902437874. It was assigned to this organization in the NPPES registry on January 30, 2020. The provider is doing business as Mdvip Dr Theodore Lawson. The provider was formerly known as Optumcare Colorado Springs LLC.

Where is Optumcare Colorado Medical Group LLC located?

Optumcare Colorado Medical Group LLC is located at 3470 Centennial Blvd Ste 210, Colorado Springs, CO 80907. The listed phone number is (719) 463-5600.

What is Optumcare Colorado Medical Group LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.