MEMORIAL HEALTH SYSTEM (NPI# 1003134644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003134644 |
| Entity Type | Organization |
| Organization Name | MEMORIAL HEALTH SYSTEM |
| Other Organization Name | MEMORIAL PHYSICIAN NETWORK -BREAST SURGERY |
| Practice Address |
4110 Briargate Pkwy Suite 465 Colorado Springs CO 80920-7835 |
| Practice Telephone | 7193659951 |
| Mailing Telephone | 7193659951 |
| Enumeration Date | 2010-05-06 |
| Last Update Date | 2010-06-16 |
| Authorized Official Name | MARY JO YANTIS (VICE PRESIDENT) |
| Authorized Official Telephone | 7193659951 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEMORIAL HEALTH SYSTEM |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Memorial Physician Network -Breast Surgery | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164740700 | Memorial Health System | Specialist | 2121 E La Salle St, Colorado Springs, CO 80909-2270 | 2010-05-06 |
| 1316265697 | Memorial Health System | Specialist | 8890 N Union Blvd, Suite 160, Colorado Springs, CO 80920-7799 | 2010-05-11 |
| 1952629347 | Memorial Health System | Specialist | 175 S Union Blvd, # 300, Colorado Springs, CO 80910-3113 | 2010-05-10 |
| 1316265705 | Memorial Health System | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 175 S Union Blvd, #115, Colorado Springs, CO 80910-3113 | 2010-05-10 |
| 1043538432 | Memorial Health System | Obstetrics & Gynecology | 1400 E Boulder St, Colorado Springs, CO 80909-5533 | 2010-05-10 |
| 1427376060 | Memorial Health System | Specialist | 1725 E Boulder St, Suite 104, Colorado Springs, CO 80909-5768 | 2010-05-06 |
| 1366760902 | Memorial Health System | Specialist | 525 N Foote Ave, Suite 202, Colorado Springs, CO 80909-4554 | 2010-05-06 |
| 1568668754 | Memorial Health System | Family Medicine | 1400 E Boulder St, Colorado Springs, CO 80909-5533 | 2007-06-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MEMORIAL HEALTH SYSTEM | 701 North 1st St, Springfield, IL 62781-0001 |
| System for Award Management (SAM) Entities | MEMORIAL HEALTH SYSTEM OF EAST TEXAS | 1717 Highway 59 Loop N, Livingston, TX 77351-5710 |
| Colorado Business Entities | Memorial Health System, Inc. | 1400 East Boulder Street, Colorado Springs, CO 80909 |
| Street Address |
4110 BRIARGATE PKWY SUITE 465 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80920-7835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114922978 | Theodore Lee Stringer | Orthopaedic Surgery | 4110 Briargate Pkwy, Suite 300, Colorado Springs, CO 80920-7835 | 2005-06-17 |
| 1902282809 | Johanna Moore | Nurse Practitioner | 4110 Briargate Pkwy, Suite 300, Colorado Springs, CO 80920-7835 | 2015-08-03 |
| 1740694207 | Lyndee Paulus | Physical Therapist | 4110 Briargate Pkwy, Suite 300, Colorado Springs, CO 80920-7835 | 2014-06-12 |
| 1942540851 | The Orthopaedic and Spine Center of Southern Colorado, LLC | Clinic/Center | 4110 Briargate Pkwy, Suite 200, Colorado Springs, CO 80920-7835 | 2013-03-01 |
| 1760768683 | Kristin M Hatin | Physical Therapist | 4110 Briargate Pkwy, Suite 300, Colorado Springs, CO 80920-7835 | 2011-10-24 |
| 1184933863 | Megan Perry | Physician Assistant | 4110 Briargate Pkwy, Suite 300, Colorado Springs, CO 80920-7835 | 2010-09-29 |
| 1245542505 | Ellen Ranz Miller | Ophthalmology | 4110 Briargate Pkwy, Suite 440, Colorado Springs, CO 80920-7835 | 2010-07-02 |
| 1790019818 | Meredith J Mckee | Nurse Practitioner | 4110 Briargate Pkwy, Suite 465, Colorado Springs, CO 80920-7835 | 2009-09-22 |
| 1538398060 | Aaron David White | Physician Assistant | 4110 Briargate Pkwy, Suite 200, Colorado Springs, CO 80920-7835 | 2009-07-06 |
| 1285862367 | Robert A Peterson II | Physician Assistant | 4110 Briargate Pkwy, Suite 300, Colorado Springs, CO 80920-7835 | 2009-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407463409 | Cynthia Cruz | Marriage & Family Therapist | 7710 N. Union, Ste 100b and 100c, Colorado Springs, CO 80920 | 2020-09-24 |
| 1851905178 | Emergency Medical Specialists, PC | Emergency Medicine | Woodmen Fsed - Md, 3790 E. Woodmen Road, Colorado Springs, CO 80920 | 2020-09-03 |
| 1114531431 | Emergency Medical Specialists, PC | Emergency Medicine | Memorial Hospital North - Md, 4050 Briargate Pkway, Colorado Springs, CO 80920 | 2020-09-03 |
| 1205440583 | Emergency Medical Specialists, PC | Emergency Medicine | Memorial Hospital North - App, 4050 Briargate Pkway, Colorado Springs, CO 80920 | 2020-09-03 |
| 1700490455 | Poudre Valley Medical Group, LLC | Radiology | 4080 Briargate Parkway, Colorado Springs, CO 80920 | 2020-09-01 |
| 1962015792 | Emergency Medical Specialists, PC | Emergency Medicine | Woodmen Fsed - App, 3790 E. Woodmen Road, Colorado Springs, CO 80920 | 2020-08-31 |
| 1194296491 | Kramer Dentistry Inc | Clinic/Center | 9290 Highland Ridge Heights Suite # 120, Colorado Springs, CO 80920 | 2018-12-12 |
| 1134602279 | Juliana Plucinik | Assistant Behavior Analyst | 7011 Campus Drive Suite 205, Colorado Springs, CO 80920 | 2018-09-14 |
| 1811473861 | Vsb Colorado Providers Pllc | Dentist | 1750 Telstar Drive, Suite 200, Colorado Springs, CO 80920 | 2018-07-12 |
| 1336637438 | Children's Hospital Colorado | General Acute Care Hospital | 4090 Briargate Parkway, Colorado Springs, CO 80920 | 2018-04-25 |
| Find all providers in zip 80920 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942171 | Colorado Otolaryngology Associates, LLC | Specialist | 6031 E. Woodmen Rd., Ste. 300, Colorado Springs, CO 80923 | 2020-11-06 |
| 1669079075 | Colorado Otolaryngology Associates, LLC | Specialist | 6071 E Woodmen Rd Ste 325, Colorado Springs, CO 80923-2612 | 2020-10-08 |
| 1205459633 | Associates In Gastroenterology, P.C. | Specialist | 6011 E Woodmen Rd Ste 345, Colorado Springs, CO 80923-2606 | 2020-05-20 |
| 1154973451 | Jimson Franck | Specialist | 4330 Hunting Meadows Cir, Colorado Springs, CO 80916-2460 | 2019-07-16 |
| 1477083954 | Elizabeth Mary Edling | Specialist | 8321 Steadman Dr, Colorado Springs, CO 80920-7058 | 2017-06-15 |
| 1306385026 | Kirsten Arbogast | Specialist | 2017 E Van Buren St, Colorado Springs, CO 80909-7828 | 2017-02-14 |
| 1538602750 | Shelby Thomas | Specialist | 6225 Emma Ln, Colorado Springs, CO 80922-1825 | 2016-11-19 |
| 1174073431 | Danella Ann Lynn | Specialist | 6140 Tutt Blvd Ste 120, Colorado Springs, CO 80923-3574 | 2016-10-11 |
| 1821449851 | Deana Schlepp | Specialist | 6219 Gemfield Dr, Colorado Springs, CO 80918-6107 | 2016-06-30 |
| 1639539612 | Andrew Bonner | Specialist | 102 S Tejon St Ste 1100, Colorado Springs, CO 80903 | 2016-03-03 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80920 |
Please comment or provide details below to improve the information on MEMORIAL HEALTH SYSTEM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.