# OPTUMCARE COLORADO MEDICAL GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** New West Physicians Spine and Sports Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447017017
- **Authorized official:** EMILY CASTILLO (REGIONAL MEDICAL STAFF MANAGER)
- **Authorized official phone:** (702) 579-3253

## Contact information

- **Practice address:** 2801 YOUNGFIELD ST STE 150, GOLDEN, CO 80401-0209
- **Practice address phone:** (303) 238-4277
- **Practice address fax:** (303) 238-4977
- **Mailing address:** 2 S CASCADE AVE STE 140, COLORADO SPRINGS, CO 80903-1604
- **Mailing address phone:** (719) 538-2900
- **Mailing address fax:** (719) 538-2990

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/29/2024
- **Last updated:** 03/13/2024