Healthcare Provider Details

I. General information

NPI: 1407420441
Provider Name (Legal Business Name): PEAK MEDICAL CARE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2021
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 E BOULDER ST
COLORADO SPRINGS CO
80909-5533
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: AUTHORIZED OFFICIAL
Credential:
Phone: 719-884-2000