Provider Demographics
NPI:1346274305
Name:CARDIO SURGEONS OF COLORADO SPRINGS
Entity Type:Organization
Organization Name:CARDIO SURGEONS OF COLORADO SPRINGS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:D
Authorized Official - Last Name:ALBERT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:719-550-8346
Mailing Address - Street 1:10807 NEW ALLEGIANCE DR
Mailing Address - Street 2:SUITE 450
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80921-3722
Mailing Address - Country:US
Mailing Address - Phone:719-550-8346
Mailing Address - Fax:719-550-0304
Practice Address - Street 1:10807 NEW ALLEGIANCE DR
Practice Address - Street 2:SUITE 450
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80921-3722
Practice Address - Country:US
Practice Address - Phone:719-550-8346
Practice Address - Fax:719-550-0304
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-10
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO29347174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC96308Medicare PIN
CO96308Medicare PIN