BLUE SAGE MEDICAL CORPORATION (NPI# 1053799171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053799171 |
| Entity Type | Organization |
| Organization Name | BLUE SAGE MEDICAL CORPORATION |
| Practice Address |
615 Fairhurst St Sterling CO 80751-4523 |
| Mailing Address |
3107 W Colorado Ave Box 291 Colorado Springs CO 80904-2088 |
| Practice Telephone | 9705220122 |
| Mailing Telephone | 7024533799 |
| Enumeration Date | 2015-05-08 |
| Last Update Date | 2015-05-08 |
| Authorized Official Name | LORI LABRECQUE (ACCOUNTS MANAGER) |
| Authorized Official Telephone | 7024533799 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | DR30054726 | CO | Allopathic & Osteopathic Physicians |
| Y | 208M00000X | Hospitalist | DR30054726 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | ID LICENSE | M12236 | 01 |
| CO | CO LICENSE | DR30054726 | 01 |
| Street Address |
615 FAIRHURST ST |
| City | STERLING |
| State | CO |
| Zip Code | 80751-4523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861495749 | Frank M Nash | Nurse Anesthetist, Certified Registered | 615 Fairhurst St, Sterling, CO 80751-4564 | 2005-05-24 |
| 1609490846 | Obstetrix Medical Group of Colorado, P.C. | Pediatrics | 615 Fairhurst St, Sterling, CO 80751-4523 | 2020-06-03 |
| 1558863415 | Lifelinc Anesthesia Colorado LLC | Nurse Anesthetist, Certified Registered | 615 Fairhurst St, Sterling, CO 80751-4523 | 2018-03-06 |
| 1669983722 | Sterling Regional Medcenter | Clinic/Center | 615 Fairhurst St, Sterling, CO 80751-4523 | 2017-10-17 |
| 1508385204 | Sterling Regional Medcenter | Clinical Medical Laboratory | 615 Fairhurst St, Sterling, CO 80751-4523 | 2017-09-13 |
| 1528518628 | Erin Egan LLC | Internal Medicine | 615 Fairhurst St, Sterling, CO 80751-4523 | 2016-10-12 |
| 1467837609 | Sterling Regional Medcenter | Clinic/Center | 615 Fairhurst St, Sterling, CO 80751-4523 | 2015-07-29 |
| 1255734141 | Haley Edwards | Dietitian, Registered | 615 Fairhurst St, Sterling, CO 80751-4523 | 2014-10-06 |
| 1942630835 | Bonnie Brownell | Nurse Practitioner | 615 Fairhurst St, Family Care Clinic, Sterling, CO 80751-4523 | 2013-11-14 |
| 1851736797 | Guirguiss Tadros | Surgery | 615 Fairhurst St, Sterling, CO 80751-4523 | 2013-05-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114557915 | Advantage Treatment Centers Inc | Clinic/Center | 12220 Hwy 61, Sterling, CO 80751 | 2020-01-21 |
| 1477018786 | Elizabeth Broadwell | Nurse Practitioner | 12101 Co-61, Sterling, CO 80751 | 2019-01-31 |
| 1396102794 | Jamie Soucie | Counselor | 330 W. Maint St. Ste B, Sterling, CO 80751 | 2016-01-15 |
| 1023487469 | Tappy Health & Wellness, Inc. | Physical Therapist | 309 S Railway St, Sterling, CO 80751 | 2015-09-16 |
| 1033465257 | Patricia Carol Smith | Physical Therapist | 100 Broadway St. Suite 24, Sterling, CO 80751 | 2012-07-25 |
| 1770855900 | Total Renal Care Inc | Clinic/Center | 603 Holly Dr, Sterling, CO 80751 | 2012-02-03 |
| 1609172782 | Keyna I Schlup | Family Medicine | 428 S 2nd St, Sterling, CO 80751 | 2011-02-07 |
| 1871811604 | Alexis Balstad | Obstetrics & Gynecology | 1405 S 8th Ave Suite 105, Sterling, CO 80751 | 2010-05-04 |
| 1770705659 | Donna Bishop Davis | Marriage & Family Therapist | 228 South Third Street, Suite 1, Sterling, CO 80751 | 2007-05-02 |
| 1659406338 | Kimberly Ann Suter | Dentist | 617 W Main Street, Sterling, CO 80751 | 2007-02-22 |
| Find all providers in zip 80751 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780128231 | A.m. Healthcare Inc | Hospitalist | 17 E 22nd Pl, Sterling, IL 61081-1263 | 2016-12-16 |
| 1134169675 | James A. Hejmanowski | Hospitalist | 100 E. Lefevre Road, Sterling, IL 61081-1279 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861006173 | Peak Medical Care, Pllc | Hospitalist | Pikes Peak Regional Hospital-md, 16420 W Us Highway 24, Woodland Park, CO 80863-8760 | 2020-09-03 |
| 1750995064 | Peak Medical Care, Pllc | Hospitalist | Uchealth Grandview Hospital - App, 5623 Pulpit Peak Vw, Colorado Springs, CO 80918-3954 | 2020-09-03 |
| 1659985968 | Peak Medical Care, Pllc | Hospitalist | Pikes Peak Regional Hospital-app, 16420 W Us Highway 24, Woodland Park, CO 80863-8760 | 2020-09-03 |
| 1124632765 | Peak Medical Care, Pllc | Hospitalist | Uchealth Grandview Hospital - Md, 5623 Pulpit Peak View, Colorado Springs, CO 80918-3954 | 2020-09-01 |
| 1710456512 | Rocky Mountain Healthcare Partners LLC | Hospitalist | 6256 Oxford Peak Ct, Castle Rock, CO 80108-9467 | 2018-11-21 |
| 1124414081 | Domenic Michael Terenzi | Hospitalist | 8001 E 11th Ave Unit 5210, Denver, CO 80220 | 2015-04-07 |
| 1497149645 | Jonathan Douglas Rice | Hospitalist | 12631 E 17th Ave # Msb158, Aurora, CO 80045-2527 | 2015-03-26 |
| 1568759306 | Eduardo Cruz Pareja | Hospitalist | 2637 Midpoint Dr, Fort Collins, CO 80525-4407 | 2011-06-30 |
| 1316246275 | Poudre Valley Health Care Inc | Hospitalist | 1024 S. Lemay Ave, Fort Collins, CO 80524-3929 | 2011-03-17 |
| 1174824817 | Physicians of Colorado LLC | Hospitalist | 1085 War Eagle Dr N, Colorado Springs, CO 80919-1640 | 2010-11-11 |
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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.