CHAMISA MACINDOE (NPI# 1104081637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104081637 |
Entity Type | Individual |
Full Name | CHAMISA MACINDOE |
Credential | D.O. |
Practice Address |
1725 E Boulder St Ste 101 Colorado Springs CO 80909 |
Mailing Address |
1725 E Boulder St Ste 101 Colorado Springs CO 80909-5740 |
Practice Telephone | 7193656300 |
Practice Fax Number | 7193656094 |
Enumeration Date | 2008-07-24 |
Last Update Date | 2018-08-28 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207P00000X | Emergency Medicine | DR.0051667 | CO | Allopathic & Osteopathic Physicians |
N | 207P00000X | Emergency Medicine | A-1568-10 | NM | Allopathic & Osteopathic Physicians |
N | 207P00000X | Emergency Medicine | OS014360 | PA | Allopathic & Osteopathic Physicians |
Y | 2084A2900X |
Psychiatry & Neurology Specialization: Neurocritical Care |
DR.0051667 | CO | Allopathic & Osteopathic Physicians |
Street Address |
1725 E BOULDER ST STE 101 |
City | COLORADO SPRINGS |
State | CO |
Zip Code | 80909 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598755092 | Christopher Steven Williams | Psychiatry & Neurology | 1725 E Boulder St Ste 101, Colorado Springs, CO 80909-5740 | 2005-10-26 |
1780297366 | Poudre Valley Medical Group, LLC | Physical Medicine & Rehabilitation | 1725 E Boulder St Ste 101, Colorado Springs, CO 80909-5740 | 2020-08-25 |
1831711704 | Poudre Valley Medical Group, LLC | Psychiatry & Neurology | 1725 E Boulder St Ste 101, Colorado Springs, CO 80909-5740 | 2020-05-13 |
1861021008 | Poudre Valley Medical Group, LLC | Psychiatry & Neurology | 1725 E Boulder St Ste 101, Colorado Springs, CO 80909-5740 | 2020-04-08 |
1003370230 | Kimberly M Atwater | Physician Assistant | 1725 E Boulder St Ste 101, Colorado Springs, CO 80909-5740 | 2019-01-22 |
1851874150 | Jace Michael Waguspack | Clinical Neuropsychologist | 1725 E Boulder St Ste 101, Colorado Springs, CO 80909-5740 | 2018-09-12 |
1811447451 | Madeline Lusk | Physician Assistant | 1725 E Boulder St Ste 101, Colorado Springs, CO 80909 | 2016-10-06 |
1487933586 | Julie Elizabeth Horwitz | Clinical Neuropsychologist | 1725 E Boulder St Ste 101, Colorado Springs, CO 80909 | 2011-08-08 |
1407159874 | Jeanette Baumann | Registered Nurse | 1725 E Boulder St Ste 101, Colorado Springs, CO 80909-5740 | 2010-12-07 |
1801026992 | Krista N Greenan | Neurological Surgery | 1725 E Boulder St Ste 101, Colorado Springs, CO 80909-5740 | 2009-07-23 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376173765 | Ascent Health LLC | Community/Behavioral Health | 2608 Palmer Park Blvd., Colorado Springs, CO- COLORADO 80909 | 2020-01-24 |
1639714041 | Peak Vista Community Health Centers | Clinic/Center | 4041 E San Miguel St, Colorado Springs, CO 80909 | 2019-11-08 |
1437706231 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 445 N Circle Drive, Colorado Springs, CO 80909 | 2019-08-26 |
1760952964 | James Garofalo | Counselor | 2210 E La Salle St Ste 221, Colorado Spgs, CO 80909 | 2018-11-29 |
1144719055 | Autumn Leaves Counseling, LLC | Counselor | 2130 Academy Circle, Suite B, Co Springs, CO 80909 | 2018-05-07 |
1407353642 | Ambulnz Co, LLC | Ambulance | 2420 E Pikes Peak Ave Ste 1001, Colorado Springs, CO 80909 | 2018-04-12 |
1083117998 | Peak Wellness Counseling Service, LLC | Counselor | 2210 E. La Salle Street, Suite 208, Colorado Springs, CO 80909 | 2018-03-16 |
1043740822 | Ande Carol West | Dental Hygienist | 701 Citadel Drive East, Colorado Springs, CO 80909 | 2017-06-14 |
1043748791 | Colorado Springs Pharmacy LLC | Pharmacy | 2224 E. Pikes Peak Ave, Colorado Springs, CO 80909 | 2017-05-25 |
1215484365 | Brittney Nicole Roberts | Physical Therapist | 2201 Lelaray St., Colorado Springs, CO 80909 | 2016-09-07 |
Find all providers in zip 80909 |
Taxonomy Code | 2084A2900X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Neurocritical Care |
The medical subspecialty of Neurocritical Care is devoted to the comprehensive, multisystem care of the critically-ill neurological patient. Like other intensivists, the neurointensivist generally assumes the primary role for coordinating the care of his or her patients in the ICU, both the neurological and medical management of the patient. They may also provide consultative services for these patients as requested within the health system. |
Notes: Source: Adapted from the United Council for Neurologic Subspecialties website definition at: http://www.ucns.org/go/subspecialty/neurocritical [7/1/2016: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982185443 | Christophe Eugene Jackson | Psychiatry & Neurology | 10099 Ridgegate Pkwy Ste 480, Lone Tree, CO 80124-5537 | 2018-08-23 |
City | COLORADO SPRINGS |
Zip Code | 80909 |
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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.