MEDICARE: ORTHOPEDIC CENTERS OF COLORADO, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	363L00000X	Nurse Practitioner
2	207XP3100X	Pediatric Orthopaedic Surgery Physician
3	207XS0106X	Orthopaedic Hand Surgery Physician
4	207XS0114X	Adult Reconstructive Orthopaedic Surgery Physician
5	207XS0117X	Orthopaedic Surgery of the Spine Physician
6	207XX0004X	Orthopaedic Foot and Ankle Surgery Physician
7	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician
8	207XX0801X	Orthopaedic Trauma Physician
9	225100000X	Physical Therapist
10	225X00000X	Occupational Therapist
11	332B00000X	Durable Medical Equipment & Medical Supplies
12	363A00000X	Physician Assistant
13	207X00000X	Orthopaedic Surgery Physician

General Provider Information

NPI Number	:	1962978536
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORTHOPEDIC CENTERS OF COLORADO, LLC

Provider Business Mailing Address
First Line	:	8101 E LOWRY BLVD STE 120
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80230-7195
Country	:	US
Telephone Number	:	303-806-1998
Fax Number	:

Provider Business Practice Location Address
First Line	:	6235 S MAIN ST STE 101
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80016-5373
Country	:	US
Telephone Number	:	303-344-9090
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DAVIS K HURLEY
Credential	:
Telephone Number	:	303-344-9090

Provider Enumeration Date	:	10/22/2018
Last Update Date	:	02/24/2023

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