COLORADO OTOLARYNGOLOGY ASSOCIATES, LLC
NPI 1134726557
Specialist in Colorado Springs, CO

NPI Status: Active since October 08, 2020

Contact Information

1235 LAKE PLAZA DR STE 218
COLORADO SPRINGS, CO
ZIP 80906
Phone: (719) 867-7800

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  • Organization
  • Specialist
  • CLIA Number: 06D0973541
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 05-08-2026

About COLORADO OTOLARYNGOLOGY ASSOCIATES, LLC

This page provides the complete NPI Profile along with additional information for Colorado Otolaryngology Associates, Llc, a provider established in Colorado Springs, Colorado operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1134726557 assigned on October 2020. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Colorado Otolaryngology Associates, Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Kevin Watson (Chief Executive Officer)

NPI
1134726557
Provider Name
COLORADO OTOLARYNGOLOGY ASSOCIATES, LLC
Entity Type
Organization
Location Address
1235 LAKE PLAZA DR STE 218 COLORADO SPRINGS, CO 80906
Location Phone
(719) 867-7800
Mailing Address
PO BOX 9190 COLORADO SPRINGS, CO 80932
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-08-2020
Last Update Date
10-08-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KEVIN WATSON

Authorized Official Title
CHIEF EXECUTIVE OFFICER
Authorized Official Phone
(719) 867-7800

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
06D0973541
Facility Type
Physician Office
Certificate Effective Date
May 09, 2024
Certificate Expiration Date
May 08, 2026
Laboratory Director
DR. ROBERT G. KELLER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Colorado Otolaryngology Associates, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1134726557
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
216414212510
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 6 + 4 + 1 + 4 + 2 + 1 + 2 + 5 + 1 + 0 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1134726557 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134726557, enumerated in the NPI registry as an "organization" on October 08, 2020

The provider is located at 1235 Lake Plaza Dr Ste 218 Colorado Springs, Co 80906 and the phone number is (719) 867-7800

This medical organization specializes in Specialist with taxonomy code 174400000X

The provider's CLIA number is 06D0973541 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on October 08, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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