Spine Colorado PC
NPI 1083665657ActiveOrganization· Orthopaedic Surgery, Orthopaedic Surgery of the Spine· Durango, CO
Orthopaedic Surgery, Orthopaedic Surgery of the Spine in Durango, Colorado, registered in NPPES in May 2006. The authorized official on file is Katya Licciardi, CPC, Reimbursement Analyst. Enrolled in Medicare as dme supplier - physician - orthopedic/orthopedic surgery and part b supplier - clinic/group practice.
Overview
| NPI | 1083665657 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 16, 2006 |
| Last updated in NPPES | Aug 2, 2024 |
| Certified by provider | Aug 2, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery, Orthopaedic Surgery of the Spine Primary | 207XS0117X | — | — |
| Physical Medicine & Rehabilitation | 208100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Orthopedic/Orthopedic Surgery (CO); Part B Supplier - Clinic/Group Practice (CO) |
|---|
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