PUEBLO RADIOLOGICAL GROUP, P.C. (NPI# 1063013860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063013860 |
| Entity Type | Organization |
| Organization Name | PUEBLO RADIOLOGICAL GROUP, P.C. |
| Practice Address |
245 Balmoral Way Colorado Springs CO 80906-7907 |
| Mailing Address |
Po Box 7693 Loveland CO 80537-0693 |
| Practice Telephone | 7195847410 |
| Practice Fax Number | 7195427019 |
| Mailing Telephone | 9706632742 |
| Mailing Fax Number | 9703422093 |
| Enumeration Date | 2020-11-06 |
| Last Update Date | 2020-11-06 |
| Authorized Official Name | ROBIN L BOYER (AUTH REP/DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 9706632742 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154922938 | Pueblo Radiological Group, P.C. | Radiology | 3245 E Hwy 50 Unit E, Canon City, CO 81212-9343 | 2020-11-06 |
| 1548861529 | Pueblo Radiological Group, P.C. | Radiology | 1804 Oakmoor Hts, Colorado Springs, CO 80906-1171 | 2020-11-05 |
| 1063013852 | Pueblo Radiological Group, P.C. | Radiology | 933 Sell Ave, Canon City, CO 81212-4929 | 2020-11-06 |
| 1396346185 | Pueblo Radiological Group, P.C. | Radiology | 4112 Outlook Blvd Ste 255, Pueblo, CO 81008-1667 | 2020-11-06 |
| 1114528908 | Pueblo Radiological Group, P.C. | Radiology | 1020 Lakeview Ave, Pueblo, CO 81004-3508 | 2020-11-06 |
| 1346841129 | Pueblo Radiological Group, P.C. | Radiology | 4112 Outlook Blvd Ste 96, Pueblo, CO 81008-1667 | 2020-11-06 |
| 1699376764 | Pueblo Radiological Group, P.C. | Radiology | 1338 Phay Ave, Canon City, CO 81212-2311 | 2020-11-05 |
| 1962003947 | Pueblo Radiological Group, P.C. | Radiology | 4194 Royal Pine Dr, Colorado Springs, CO 80920-1507 | 2020-11-05 |
| 1013518000 | Pueblo Radiological Group, P.C. | Radiology | 2035 S Pueblo Blvd, Pueblo, CO 81005-2577 | 2020-11-05 |
| 1164023131 | Pueblo Radiological Group, P.C. | Radiology | 4112 Outlook Blvd Ste 37, Pueblo, CO 81008-1667 | 2020-11-05 |
| Street Address |
245 BALMORAL WAY |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80906-7907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437797339 | Michael Crise | Behavior Technician | 1330 Qual Lake Loop Ste 120, Colorado Springs, CO 80906 | 2019-12-11 |
| 1730720541 | Amanda Salinas | Massage Therapist | 1235 Lake Plaza Drive Suite 230, Colorado Springs, CO 80906 | 2019-10-02 |
| 1225511488 | Sheila Meggison | Massage Therapist | 1235 Lake Plaza Drive, Suite 230, Colorado Springs, CA 80906 | 2018-09-12 |
| 1316429756 | Vivus Counseling Services LLC | Counselor | 108 East Cheyenne Rd Suite 201, Colorado Springs, CO 80906 | 2018-09-01 |
| 1043796949 | Erin Lee Recinos | Nurse Practitioner | 225 E Cheyenne Mountain Blvd Ste 220, Colorado Springs, CO 80906 | 2018-07-13 |
| 1982103875 | Savannah Adeline Rentrop | Behavior Technician | 2989 Broadmoor Valley Rd D, Colorado Springs, CO 80906 | 2018-02-06 |
| 1205335288 | Ross Knowlton | Behavior Technician | 1330 Quail Lake Loop Suite 200, Colorado Springs, CO 80906 | 2018-02-06 |
| 1942709845 | Adrienne Bohlen | Behavior Technician | 1330 Quail Lake Loop, Ste. 200, Colorado Springs, CO 80906 | 2018-02-06 |
| 1881110088 | Christine Gonzales | Nurse Practitioner | 2739 E Las Vegas St, Colorado Springs, CO 80906 | 2017-08-18 |
| 1225568470 | Larry Alwine | Counselor | 2860 South Circle Drive, Unit 250k, Colorado Springs, CO 80906 | 2017-06-19 |
| Find all providers in zip 80906 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861529 | Pueblo Radiological Group, P.C. | Radiology | 1804 Oakmoor Hts, Colorado Springs, CO 80906-1171 | 2020-11-05 |
| 1376153965 | Colorado Springs Radiologists PC | Radiology | 5607 Barnes Rd # 140, Colorado Springs, CO 80917-1347 | 2020-08-07 |
| 1447662325 | Lee Holder | Radiology | 6095 Grand Mesa Dr, Colorado Springs, CO 80923-3484 | 2014-05-27 |
| 1215270004 | Craig Thomas Mcmullen | Radiology | 1924 N Tejon St, Colorado Springs, CO 80907-6919 | 2013-04-01 |
| 1871853416 | Jamie A. Aminsharifi | Radiology | 18 W Buena Ventura St, Colorado Springs, CO 80907 | 2012-05-16 |
| 1689944290 | Richard Bard Mcmullen | Radiology | 405 Southfield Rd, Colorado Springs, CO 80919-3217 | 2012-01-12 |
| 1154690840 | Robert Warr | Radiology | 1160 Dancing Horse Dr, Colorado Springs, CO 80919-3908 | 2011-12-26 |
| 1841463452 | Gavin W. Arnett | Radiology | 1885 Mud Hen Dr, Colorado Springs, CO 80921-2094 | 2008-04-04 |
| 1770620106 | Jason Thomas Scism | Radiology | 1545 Napoli Way, Colorado Springs, CO 80906-5793 | 2007-02-01 |
| 1992896765 | Paul Andrew Yates | Radiology | 605 Struthers Loop, Colorado Springs, CO 80921-2430 | 2006-09-27 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80906 |
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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.