Healthcare Provider Details

I. General information

NPI: 1295124071
Provider Name (Legal Business Name): ANDREA TSORIS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/15/2015
Last Update Date: 09/01/2022
Certification Date: 09/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2222 N NEVADA AVE STE 5017
COLORADO SPRINGS CO
80907-6865
US

IV. Provider business mailing address

6820 HWY 70 S APT 318
NASHVILLE TN
37221-5237
US

V. Phone/Fax

Practice location:
  • Phone: 719-776-6810
  • Fax: 719-776-6820
Mailing address:
  • Phone: 224-217-8235
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberDR.0068541
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberLP03741
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: