Healthcare Provider Details

I. General information

NPI: 1124632765
Provider Name (Legal Business Name): PEAK MEDICAL CARE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2020
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5623 PULPIT PEAK VW
COLORADO SPRINGS CO
80918-3954
US

IV. Provider business mailing address

PO BOX 17503
DENVER CO
80217-0503
US

V. Phone/Fax

Practice location:
  • Phone: 719-884-2000
  • Fax:
Mailing address:
  • Phone: 719-884-2000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State

VIII. Authorized Official

Name: GEORGE LOUIS HERTNER
Title or Position: AO
Credential: MD
Phone: 719-884-2000