Healthcare Provider Details

I. General information

NPI: 1053023481
Provider Name (Legal Business Name): UNIVERSITY PHYSICIANS INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2022
Last Update Date: 06/11/2025
Certification Date: 06/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2920 N CASCADE AVE STE 201
COLORADO SPRINGS CO
80907-6264
US

IV. Provider business mailing address

PO BOX 110429
AURORA CO
80042-0429
US

V. Phone/Fax

Practice location:
  • Phone: 303-493-7000
  • Fax:
Mailing address:
  • Phone: 303-493-7000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0201X
TaxonomyGynecologic Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: LISA DONAHUE
Title or Position: ASSOCIATE COMPLIANCE OFFICER
Credential:
Phone: 303-493-7300