CENTURA HEALTH PHYSICIAN GROUP TRI-LAKES PRIMARY CARE
NPI 1497157960
Family Medicine in Monument, CO

NPI Status: Active since September 16, 2014

Contact Information

17230 JACKSON CREEK PKWY
SUITE 300
MONUMENT, CO
ZIP 80132
Phone: (719) 571-7000
Fax: (719) 571-7059

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  • Organization
  • Family Medicine

About CENTURA HEALTH PHYSICIAN GROUP TRI-LAKES PRIMARY CARE

This page provides the complete NPI Profile along with additional information for Centura Health Physician Group Tri-lakes Primary Care, a primary care provider established in Monument, Colorado operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1497157960 assigned on September 2014. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. Centura Health Physician Group Tri-lakes Primary Care operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Centura Health Physician Group Tri-lakes Primary Care. The authorized official of this NPI record is Angela Skinner (Oma Administrator)

NPI
1497157960
Provider Legal Name
CATHOLIC HEALTH INITIATIVES COLORADO
Other Organization Name
CENTURA HEALTH PHYSICIAN GROUP TRI-LAKES PRIMARY CARE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
17230 JACKSON CREEK PKWY SUITE 300 MONUMENT, CO 80132
Location Phone
(719) 571-7000
Location Fax
(719) 571-7059
Mailing Address
PO BOX 911057 DENVER, CO 80291
Mailing Phone
(303) 643-1099
Mailing Fax
(719) 571-7059
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-16-2014
Last Update Date
04-20-2016
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A primary care provider (PCP) like Centura Health Physician Group Tri-lakes Primary Care sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

ANGELA SKINNER

Authorized Official Title
OMA ADMINISTRATOR
Authorized Official Phone
(303) 673-7175

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
36258857MEDICAID (05)CO 
C804958MEDICARE PIN (08)CO 

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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.
1497157960
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
241872514912
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 8 + 7 + 2 + 5 + 1 + 4 + 9 + 1 + 2 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1497157960 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 14 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1073878146 ALEXIS CHRYSE MICHOPOULOS D.O.
Individual
Family Medicine17230 JACKSON CREEK PKWY STE 300
MONUMENT, CO 80132
(719) 571-7000
1639575954CATHOLIC HEALTH INITIATIVES COLORADO
Organization
Emergency Medicine17230 JACKSON CREEK PKWY SUITE 120
MONUMENT, CO 80132
(719) 571-7070
1235140658 KRISTIN SCOTT M.D.
Individual
Family Medicine17230 JACKSON CREEK PKWY SUITE 300
MONUMENT, CO 80132
(719) 571-7000
1477641298DR. LAURIE ANNE CORYELL M.D.
Individual
Emergency Medicine17230 JACKSON CREEK PKWY STE 120
MONUMENT, CO 80132
(719) 571-7070
1366586885DR. BRIAN PAUL BAKER DO
Individual
Family Medicine17230 JACKSON CREEK PKWY #300
MONUMENT, CO 80132
(719) 571-7000
1881218931MS. TIFFANY RENEA SANCHEZ
Individual
Behavior Technician17230 JACKSON CREEK PKWY
MONUMENT, CO 80132
(719) 488-3348
1215910328DR. DARA D LOWE MD
Individual
Family Medicine17230 JACKSON CREEK PKWY
MONUMENT, CO 80132
(719) 571-7000
1336871102 DESTINY NISTLER
Individual
Behavior Technician17230 JACKSON CREEK PKWY
MONUMENT, CO 80132
(719) 428-1840
1841925054 KRISTEN KUBINA
Individual
Behavior Technician17230 JACKSON CREEK PKWY
MONUMENT, CO 80132
(719) 287-0813
1215641253 RAEKWON DOMANIC JOHNSON
Individual
Behavior Technician17230 JACKSON CREEK PKWY
MONUMENT, CO 80132
(719) 488-3348
1396369641 AICHEL CAMPOS SUAREZ
Individual
Speech-Language Pathologist17230 JACKSON CREEK PKWY
MONUMENT, CO 80132
(719) 597-0822
1255106712 ASPEN PHILLIPS
Individual
Behavior Technician17230 JACKSON CREEK PKWY
MONUMENT, CO 80132
(719) 597-0822
1457186785 SIEARRA RENE SCRIPTER
Individual
Behavior Technician17230 JACKSON CREEK PKWY
MONUMENT, CO 80132
(719) 488-3348
1902633159 JORDAN RAE KEAIRNES
Individual
Behavior Technician17230 JACKSON CREEK PKWY
MONUMENT, CO 80132
(719) 488-3348

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497157960, enumerated in the NPI registry as an "organization" on September 16, 2014

The provider is located at 17230 Jackson Creek Pkwy Suite 300 Monument, Co 80132 and the phone number is (719) 571-7000

This medical organization specializes in Family Medicine with taxonomy code 207Q00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on September 16, 2014. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.