MEDICARE: ANESTHESIA ASSOCIATES OF COLORADO SPRINGS PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP3300X	Pain Clinic/Center

General Provider Information

NPI Number	:	1316274616
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANESTHESIA ASSOCIATES OF COLORADO SPRINGS PC

Provider Business Mailing Address
First Line	:	DEPT 1029
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80263-0001
Country	:	US
Telephone Number	:	800-237-6723
Fax Number	:	352-732-6282

Provider Business Practice Location Address
First Line	:	1625 MEDICAL CENTER PT STE 215
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80907-5798
Country	:	US
Telephone Number	:	719-359-8702
Fax Number	:

Authorized Official
Title or Position	:	MD/PAIN DIRECTOR
Name	:	DR. MARTY VERHEY
Credential	:	MD
Telephone Number	:	800-237-6723

Provider Enumeration Date	:	11/06/2009
Last Update Date	:	11/06/2009

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