Provider Demographics
NPI:1689635005
Name:PULMONARY SPECIALISITS OF COLORADO, PC
Entity Type:Organization
Organization Name:PULMONARY SPECIALISITS OF COLORADO, PC
Other - Org Name:STEVEN M WEISS, MD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:WEISS
Authorized Official - Suffix:
Authorized Official - Credentials:MC, FCCP
Authorized Official - Phone:303-788-0222
Mailing Address - Street 1:499 E HAMPDEN AVE
Mailing Address - Street 2:SUITE 280
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80113-2780
Mailing Address - Country:US
Mailing Address - Phone:303-788-0222
Mailing Address - Fax:303-996-1336
Practice Address - Street 1:499 E HAMPDEN AVE
Practice Address - Street 2:SUITE 280
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-2780
Practice Address - Country:US
Practice Address - Phone:303-788-0222
Practice Address - Fax:303-996-1336
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO33856207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO74375067Medicaid
CO74375067Medicaid
CO800521Medicare ID - Type Unspecified