MEDICARE: OAK STREET HEALTH PHYSICIANS GROUP OF COLORADO, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207R00000X	Internal Medicine Physician
2	207Q00000X	Family Medicine Physician
3	363LF0000X	Family Nurse Practitioner
4	363L00000X	Nurse Practitioner
5	1041C0700X	Clinical Social Worker
6	207QG0300X	Geriatric Medicine (Family Medicine) Physician
7	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1255047288
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OAK STREET HEALTH PHYSICIANS GROUP OF COLORADO, PLLC

Provider Business Mailing Address
First Line	:	PO BOX 746081
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30374-6081
Country	:	US
Telephone Number	:	312-733-9730
Fax Number	:

Provider Business Practice Location Address
First Line	:	2087 S FEDERAL BLVD
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80219-5429
Country	:	US
Telephone Number	:	720-463-6754
Fax Number	:	720-640-3312

Authorized Official
Title or Position	:	CMO
Name	:	DR. TERRANCE MORTON
Credential	:	MD
Telephone Number	:	704-607-4835

Provider Enumeration Date	:	01/24/2023
Last Update Date	:	12/15/2025

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