Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Optumcare Colorado Medical Group LLC

Organization Family Medicine Physician · NPI 1902437874

Optumcare Colorado Medical Group LLC provides Family Medicine Physician services in Colorado Springs, Colorado. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3470 Centennial Blvd Ste 210
Colorado Springs, CO 80907-8669
Phone: (719) 463-5600
Fax: (719) 538-2990
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1902437874
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationOptumcare Colorado Medical Group LLC
Authorized official Emily Castillo — Associate Director Credentialing · (702) 579-3253
Other names Mdvip Dr Theodore Lawson; Optumcare Colorado Springs Llc
NPI enumeratedJanuary 30, 2020
Last updated in NPPESAugust 20, 2024
Certification dateAugust 20, 2024
Mailing addressPo Box 35380, Las Vegas, NV 89133-5380

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