MEDICARE: COLORADO HEART AND VASCULAR 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	207RC0000X	Cardiovascular Disease Physician

General Provider Information

NPI Number	:	1598367955
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COLORADO HEART AND VASCULAR PC

Provider Business Mailing Address
First Line	:	11700 W 2ND PL STE 350
Second Line	:
City	:	LAKEWOOD
State	:	CO
Zip	:	80228-1710
Country	:	US
Telephone Number	:	303-595-2727
Fax Number	:

Provider Business Practice Location Address
First Line	:	2030 MOUNTAIN VIEW AVE STE 220
Second Line	:
City	:	LONGMONT
State	:	CO
Zip	:	80501-3180
Country	:	US
Telephone Number	:	303-515-4651
Fax Number	:	303-772-2171

Authorized Official
Title or Position	:	VP OPERATIONS
Name	:	TRACY L PIETRZYK
Credential	:
Telephone Number	:	303-595-2727

Provider Enumeration Date	:	11/11/2020
Last Update Date	:	08/22/2023

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Directions to “COLORADO HEART AND VASCULAR PC ” Practice Location

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