DR. GEOFFREY FUNG-SOON LIM (NPI# 1013335751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013335751 |
| Entity Type | Individual |
| Full Name | DR. GEOFFREY FUNG-SOON LIM |
| Credential | M.D. |
| Practice Address |
1633 Medical Center Pt Colorado Springs CO 80907 |
| Mailing Address |
1633 Medical Center Pt Colorado Springs CO 80907-5700 |
| Practice Telephone | 8144605237 |
| Practice Fax Number | 7196674155 |
| Mailing Telephone | 8144605237 |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2019-08-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | DR.0062048 | CO | Allopathic & Osteopathic Physicians |
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
DR.0062048 | CO | Allopathic & Osteopathic Physicians |
| Street Address |
1633 MEDICAL CENTER PT |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639168214 | Virginia M Quiroz | Nurse Practitioner | 1633 Medical Center Pt, Colorado Springs, CO 80907-5700 | 2005-10-17 |
| 1336616945 | Jennifer N Campbell | Nurse Practitioner | 1633 Medical Center Pt, Colorado Springs, CO 80907-5700 | 2018-11-01 |
| 1205359155 | Davita Medical Group Colorado Springs, LLC | Durable Medical Equipment & Medical Supplies | 1633 Medical Center Pt, Colorado Springs, CO 80907-5700 | 2017-07-24 |
| 1740732197 | Karen Steese | Nurse Practitioner | 1633 Medical Center Pt, Colorado Springs, CO 80907 | 2016-11-02 |
| 1497138267 | Ashley Pyne Read | Nurse Practitioner | 1633 Medical Center Pt, Colorado Springs, CO 80907-5700 | 2015-06-29 |
| 1104222918 | Davita Pharmacy Colorado, LLC | Pharmacy | 1633 Medical Center Pt, Colorado Springs, CO 80907-5700 | 2014-11-06 |
| 1154677508 | Sean Thomas Kelly | Orthopaedic Surgery | 1633 Medical Center Pt, Colorado Springs, CO 80907 | 2012-08-02 |
| 1144559725 | William H. Bray | Counselor | 1633 Medical Center Pt, Suite 253, Colorado Springs, CO 80907-8732 | 2009-12-10 |
| 1174852750 | Denise L. Kidd | Counselor | 1633 Medical Center Pt, Suite 253, Colorado Springs, CO 80907-8732 | 2009-12-10 |
| 1023344454 | Total Health Care | Community/Behavioral Health | 1633 Medical Center Pt, Colorado Springs, CO 80907-8732 | 2009-10-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871124057 | Margaret Elizabeth Macnabb | Occupational Therapist | 955 West Fillmore Street, Colorado Springs, CO 80907 | 2020-01-28 |
| 1598300394 | Eric L Peterson | Counselor | 4570 Hilton Pwky, Colorado Springs, CO 80907 | 2019-11-15 |
| 1669020160 | Vcphcs Xii, LLC | Clinic/Center | 4157-4159 Centennial Blvd, Colorado Springs, CO 80907 | 2019-08-28 |
| 1366907123 | Natural Healthcare, LLC | Chiropractor | 3030 N Hancock Ave Suite D, Colorado Springs, CO 80907 | 2019-02-06 |
| 1063981777 | Samuel Ray Porterfield | Social Worker | Pfc Floyd K. Lindstrom Outpatient Clinic, 3141 Centennial Blvd., Colorado Springs, CO 80907 | 2018-11-26 |
| 1982170114 | A Physicians Home Care | Home Health | 905 W Garden of The Gods Rd Suite F, Colorado Springs, CO 80907 | 2018-10-15 |
| 1689196180 | Reena Annetta Manka | Counselor | 888 Garden of The Gods, 150, Colorado Springs, CO 80907 | 2017-07-17 |
| 1356870356 | Solaris Hc Co Inc | Hospice Care, Community Based | 1045 Garden of Gods Rd, Colorado Springs, CO 80907 | 2017-06-05 |
| 1649704826 | Colorado Springs Urological Associates Pllc | Urology | 1644 Medical Center Point, Suite 200, Colorado Springs, CO 80907 | 2017-04-14 |
| 1194274704 | Sarah Lynn Hartman | Dietitian, Registered | 3207 North Academy Blvd, Colorado, CO 80907 | 2016-09-23 |
| Find all providers in zip 80907 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588284103 | Vanguard Medical Specialists LLC | Dermatology | 2620 Tenderfoot Hill St Ste 110, Colorado Springs, CO 80906-8356 | 2020-04-23 |
| 1902914658 | Patrick Joseph Sniezek | Dermatology | 170 Parkside Drive, Colorado Springs, CO 80910-3129 | 2006-08-25 |
| 1013538354 | Vanguard Medical Specialists LLC | Dermatology | 9348 Grand Cordera Pkwy Ste 160, Colorado Springs, CO 80924-7023 | 2020-04-28 |
| 1821618190 | Vanguard Medical Specialists LLC | Dermatology | 13492 Bass Pro Dr Ste 100, Colorado Springs, CO 80921-3852 | 2020-04-16 |
| 1518105253 | Vanguard Medical Specialists LLC | Dermatology | 9348 Grand Cordera Pkwy, Ste 160, Colorado Springs, CO 80924-7001 | 2009-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548874449 | Clearview Dermatology | Dermatology | 14789 W 87th Pkwy, Arvada, CO 80005-1338 | 2020-09-08 |
| 1558981175 | Vanguard Medical Specialists LLC | Dermatology | 41 State Highway 67 Unit B, Woodland Park, CO 80863-5009 | 2020-04-23 |
| 1427569243 | Clarity Dermatology Pllc | Dermatology | 4350 Limelight Avenue, Suite 205, Castle Rock, CO 80109-8034 | 2017-10-19 |
| 1770822249 | Becker Dermatology | Dermatology | 1122 Orange Pl, Boulder, CO 80304-0733 | 2013-02-04 |
| 1255637294 | Colorado Skin and Vein, P.C. | Dermatology | 195 Inverness Dr West, Ste 200, Englewood, CO 80112 | 2011-02-09 |
| 1124263546 | Kevan G Lewis Md LLC | Dermatology | 3879 E 120th Ave, Ste 238, Thornton, CO 80233-1658 | 2008-12-15 |
| 1508049206 | Todd Charles Becker | Dermatology | 2600 30th St Ste 100, Boulder, CO 80301-1237 | 2007-12-17 |
| 1265542377 | Karen B Nern | Dermatology | 1140 Edwards Village Blvd Suite B200, Edwards, CO 81632 | 2006-08-30 |
| 1942212857 | Samantha Fay Ghiselli | Dermatology | 501 S Cherry St Ste 310, Glendale, CO 80246-1322 | 2006-08-12 |
| 1730106642 | Bella Derma, LLC | Dermatology | 1140 Edwards Village Blvd, Suite B200, Edwards, CO 81632 | 2006-07-16 |
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| City | COLORADO SPRINGS |
| Zip Code | 80907 |
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| 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.