Provider Demographics
NPI:1114978202
Name:SYNERGY HEALTHCARE SYSTEMS, INC
Entity Type:Organization
Organization Name:SYNERGY HEALTHCARE SYSTEMS, INC
Other - Org Name:COLORADO FOOT INSTITUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:MECHANIK
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:303-333-3383
Mailing Address - Street 1:7180 E ORCHARD RD STE 100
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80111-1725
Mailing Address - Country:US
Mailing Address - Phone:303-333-3383
Mailing Address - Fax:844-793-4262
Practice Address - Street 1:7180 E ORCHARD RD STE 100
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80111-1725
Practice Address - Country:US
Practice Address - Phone:303-333-3383
Practice Address - Fax:844-793-4262
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-13
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO527213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CODN1724OtherRAILROAD MEDICARE
CO5718770001Medicare NSC
COC805473Medicare PIN
CO5718770001Medicare NSC