Healthcare Provider Details

I. General information

NPI: 1427662709
Provider Name (Legal Business Name): EMERGENCY MEDICAL SPECIALISTS, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2020
Last Update Date: 05/16/2025
Certification Date: 05/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

POWERS FSED - MD 2770 N. POWERS BLVD
COLORADO SPRINGS CO
80922
US

IV. Provider business mailing address

PO BOX 173891
DENVER CO
80217-3891
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 TaxonomyN
Taxonomy Code207PT0002X
TaxonomyMedical Toxicology (Emergency Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: GEORGE HERTNER
Title or Position: MEDICAL DIRECTOR
Credential:
Phone: 719-884-2000