Healthcare Provider Details

I. General information

NPI: 1437741071
Provider Name (Legal Business Name): COLORADO SHOULDER, HIP, & KNEE INSTITUTE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2021
Last Update Date: 10/01/2021
Certification Date: 10/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

145 INVERNESS DR E STE 350
ENGLEWOOD CO
80112-5173
US

IV. Provider business mailing address

145 INVERNESS DR E STE 350
ENGLEWOOD CO
80112-5173
US

V. Phone/Fax

Practice location:
  • Phone: 303-783-7655
  • Fax: 720-870-7460
Mailing address:
  • Phone: 303-783-7655
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. RYAN CARR
Title or Position: PHYSICIAN
Credential: MD
Phone: 303-877-6962