Provider Demographics
NPI:1255728861
Name:COLORADO ORTHOPAEDICS PC
Entity type:Organization
Organization Name:COLORADO ORTHOPAEDICS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:S
Authorized Official - Last Name:XENOS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-662-8250
Mailing Address - Street 1:10103 RIDGEGATE PKWY STE 112
Mailing Address - Street 2:
Mailing Address - City:LONE TREE
Mailing Address - State:CO
Mailing Address - Zip Code:80124-5524
Mailing Address - Country:US
Mailing Address - Phone:303-662-8250
Mailing Address - Fax:
Practice Address - Street 1:325 S PARKSIDE DR
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80910-3134
Practice Address - Country:US
Practice Address - Phone:303-662-8250
Practice Address - Fax:303-662-8249
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-21
Last Update Date:2021-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty