Healthcare Provider Details

I. General information

NPI: 1235766833
Provider Name (Legal Business Name): SIMPLY SUPERIOR HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2020
Last Update Date: 11/15/2025
Certification Date: 11/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3910 S CAREFREE CIR STE F
COLORADO SPRINGS CO
80917-3053
US

IV. Provider business mailing address

3910 S CAREFREE CIR STE F
COLORADO SPRINGS CO
80917-3053
US

V. Phone/Fax

Practice location:
  • Phone: 719-463-7725
  • Fax: 719-888-1793
Mailing address:
  • Phone: 719-463-7725
  • Fax: 719-888-1793

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MATTHEW PUTZ
Title or Position: VICE PRESIDENT
Credential:
Phone: 218-330-1066