NPI
Evergreen Spine And Sports Medicine Llc
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2013-10-29
- Last updated
- 2023-02-10
Specialties
Licenses
The registry row did not include a license.
Location
- Practice location
- 3042 Evergreen Pkwy Ste 100
- City
- Evergreen CO
- Postal code
- 80439-7992
- Phone
- (303) 670-8902
Organization contact
- Name
- MAYA GONZALES
- Title
- Owner
- Phone
- 3036708902
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Evergreen, CO. 663 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.