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NPI Code Detail

MEDICARE: OAK STREET HEALTH PHYSICIANS GROUP OF COLORADO, PLLC

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 License Number License Number State
1207R00000XInternal Medicine Physician
2207Q00000XFamily Medicine Physician
3363LF0000XFamily Nurse Practitioner
4363L00000XNurse Practitioner
51041C0700XClinical Social Worker
6207QG0300XGeriatric Medicine (Family Medicine) Physician
7261QP2300XPrimary Care Clinic/Center

General Provider Information

NPI Number : 1609582733
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 : 5996 E 64TH AVE
Second Line :
City : COMMERCE CITY
State : CO
Zip : 80022-3317
Country : US
Telephone Number : 720-463-6758
Fax Number : 720-640-3314
Authorized Official
Title or Position : CMO
Name : DR. TERRANCE MORTON
Credential : MD
Telephone Number : 704-607-4835
Provider Enumeration Date : 01/23/2023
Last Update Date : 12/15/2025

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