# PANORAMA ORTHOPEDICS AND SPINE CENTER PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PANORAMA ORTHOPEDICS AND SPINE CENTER PC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1285236620
- **Legal business name:** PANORAMA ORTHOPEDICS AND SPINE CENTER PC
- **Authorized official:** CHARLES A. GOTTLOB (PRESIDENT)
- **Authorized official phone:** (303) 274-7321

## Contact information

- **Practice address:** 14000 E ARAPAHOE RD STE 300, CENTENNIAL, CO 80112-4045
- **Practice address phone:** (303) 233-1223
- **Mailing address:** 660 GOLDEN RIDGE RD STE 250, GOLDEN, CO 80401-9541

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 2085R0202X | Diagnostic Radiology Physician | — | NULL | — |
| 2085R0202X | Diagnostic Radiology Physician | — | — | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |

## Other

- **Enumeration date:** 11/11/2020
- **Last updated:** 05/22/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 9000190918 | — | CO |
| 01 | — | MEDICARE | CR5408 | CO |