PUEBLO RADIOLOGICAL GROUP, P.C.


Address: 3245 E Hwy 50 Unit E, Canon City, CO 81212-9343
Phone: 7195847410

PUEBLO RADIOLOGICAL GROUP, P.C. (NPI# 1154922938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154922938
Entity Type Organization
Organization Name PUEBLO RADIOLOGICAL GROUP, P.C.
Practice Address 3245 E Hwy 50 Unit E
Canon City
CO 81212-9343
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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1063013860 Pueblo Radiological Group, P.C. Radiology 245 Balmoral Way, Colorado Springs, CO 80906-7907 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

Office Location

Street Address 3245 E HWY 50 UNIT E
City CANON CITY
State CO
Zip Code 81212-9343

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1083212393 Buck Jack LLC Physical Therapist Mountain View Core Knowledge School 890 Field Ave, Cannon City, CO 81212 2020-10-09
1942841374 Glorious Works Neurotherapy Community/Behavioral Health 115 N 7th Street, Canon City, CO 81212 2019-10-07
1376046292 Lonnie Mccarron Social Worker 600 Evans Rd, Fremont Correctional Facility, Canon City, CO 81212 2018-03-16
1487156964 Patrick Neil Cox Case Manager/Care Coordinator 3239 Independence Road, Canon City, CO 81212 2018-03-01
1831559806 Justin Ensinger Counselor 700 Four Mile Parkway, Canon City, CO 81212 2016-03-03
1710365713 Amber Conover Health Educator 105 N 10th Street, Canon City, CO 81212 2015-05-11
1902073448 Richard R Williams Counselor 612 Field Ave, Canon City, CO 81212 2008-05-14
1861662249 Huh Inc Hearing Instrument Specialist 121 Justice Center Rd Ste D, Canon City, CO 81212 2008-03-03
1013113828 Deborah Eileen Shock Nurse Practitioner 275 W Hwy 50, Canon City, CO 81212 2007-06-27
1245433564 Lindsey Elizabeth Fish Internal Medicine 275 West Hwy 50, Colorado Territorial Correctional Facility, Canon City, CO 81212 2007-06-06
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063013852 Pueblo Radiological Group, P.C. Radiology 933 Sell Ave, Canon City, CO 81212-4929 2020-11-06
1699376764 Pueblo Radiological Group, P.C. Radiology 1338 Phay Ave, Canon City, CO 81212-2311 2020-11-05

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1063013860 Pueblo Radiological Group, P.C. Radiology 245 Balmoral Way, Colorado Springs, CO 80906-7907 2020-11-06
1548861529 Pueblo Radiological Group, P.C. Radiology 1804 Oakmoor Hts, Colorado Springs, CO 80906-1171 2020-11-05
1346855905 Cher LLC Radiology 2236 E Harmony Rd, Fort Collins, CO 80528-3412 2020-09-10
1376153965 Colorado Springs Radiologists PC Radiology 5607 Barnes Rd # 140, Colorado Springs, CO 80917-1347 2020-08-07
1255949608 Rocky Mountain Cancer Centers LLP Radiology 1800 N Williams St Ste 100, Denver, CO 80218-1237 2020-07-21
1376189258 Smi Imaging LLC Radiology 7903 S Broadway Ste A, Littleton, CO 80122-2712 2019-11-26
1548806425 Smi Imaging LLC Radiology 3840 Wadsworth Blvd Ste 5, Wheat Ridge, CO 80033-4613 2019-11-26
1881230829 Smi Imaging LLC Radiology 939 N Broadway, Denver, CO 80203-2705 2019-11-25
1598301533 Smi Imaging LLC Radiology 12520 Grant Dr Ste 200, Thornton, CO 80241-2512 2019-11-25
1780220723 Smi Imaging LLC Radiology 14251 E Fremont Ave Unit A, Centennial, CO 80112-4444 2019-11-25
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Competitor

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City CANON CITY
Zip Code 81212

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Dataset Information

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.

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