KENNETH MADSEN (NPI# 1164412862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164412862 |
| Entity Type | Individual |
| Full Name | KENNETH MADSEN |
| Credential | MD |
| Practice Address |
3530 E Spaulding Ave Pueblo CO 81008-2209 |
| Mailing Address |
Po Box 7702 Loveland CO 80537-0702 |
| Practice Telephone | 7192969000 |
| Practice Fax Number | 7192969001 |
| Mailing Telephone | 9706632742 |
| Mailing Fax Number | 9706670847 |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2016-03-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 6720A | WY | Allopathic & Osteopathic Physicians |
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
6720A | WY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 01371657 | 05 | |
| WY | 121692900 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457323719 | Kenneth A Madsen Jr. | Dentist | 1035 1st Ave West, Flathead Community Health Center, Kalispell, MT 59901-5607 | 2006-02-02 |
| Street Address |
3530 E SPAULDING AVE |
| City | PUEBLO |
| State | CO |
| Zip Code | 81008-2209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295242535 | Leann Watson | Specialist/Technologist, Other | 3530 E Spaulding Ave, Pueblo, CO 81008-2209 | 2018-01-09 |
| 1326430497 | Vascucare PC | Surgery | 3530 E Spaulding Ave, Pueblo, CO 81008-2209 | 2015-02-26 |
| 1578635371 | Andrew B. Roberts | Specialist | 3530 E Spaulding Ave, Pueblo, CO 81008-2209 | 2006-11-15 |
| 1285714402 | Mark Porter | Orthopaedic Surgery | 3530 E Spaulding Ave, Pueblo, CO 81008-2209 | 2006-10-16 |
| 1770684409 | Kenneth D Danylchuk | Specialist | 3530 E Spaulding Ave, Pueblo, CO 81008-2209 | 2006-09-26 |
| 1083624944 | Robert Thomas | Orthopaedic Surgery | 3530 E Spaulding Ave, Pueblo, CO 81008-2209 | 2006-08-09 |
| 1861409310 | Thomas A Hoffeld | Orthopaedic Surgery | 3530 E Spaulding Ave, Pueblo, CO 81008-2209 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164058913 | Healthone Clinic Services - Oncology Hematology LLC | Internal Medicine | 3678 Parker Blvd, Pueblo, CO 81008 | 2020-03-12 |
| 1073026423 | Carmel Community Living Corporation | Respite Care | 2003 Northmoor Terrace, Suite 100, Pueblo, CO 81008 | 2017-11-08 |
| 1568987121 | Hannah Vivian Roadruck | Pharmacist | 4200 Dillon Dr., Pueblo, CO 81008 | 2017-08-04 |
| 1184170425 | Brett Burana | Dentist | 729 Us-50, Pueblo, CO 81008 | 2016-08-28 |
| 1760832885 | Irby Dental Cottage | Dental Hygienist | 2099 West St # 50, Suite 180, Pueblo, CO 81008 | 2016-06-20 |
| 1649624362 | Curley Peak Dentistry Pllc | Dentist | 1640 W Fortino Blvd, Pueblo, CO 81008 | 2016-04-19 |
| 1336507847 | Kyle Tipton | Nurse Anesthetist, Certified Registered | 4741 Eagleridge Circle, 206, Pueblo, CO 81008 | 2016-01-29 |
| 1407211931 | Center At Park West, LLC | Skilled Nursing Facility | 3727 Parker Blvd., Pueblo, CO 81008 | 2015-12-29 |
| 1417327461 | Nicole Betts | Registered Nurse | 1310 Fortino Blvd Ste D, Pueblo, CO 81008 | 2015-10-02 |
| 1437578028 | Pueblo Modern Dentistry and Orthodontics, LLP | Dentist | 727 Us Hwy 50 West, Pueblo, CO 81008 | 2014-04-10 |
| Find all providers in zip 81008 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376015297 | Molly Goldstein | Surgery | 1401 Court St, Pueblo, CO 81003-2715 | 2018-12-18 |
| 1053464669 | Cardiovascular and Thoracic Surgical Associates | Surgery | 1600 N Grand Ave Ste 500, Pueblo, CO 81003-2757 | 2007-01-18 |
| 1326430497 | Vascucare PC | Surgery | 3530 E Spaulding Ave, Pueblo, CO 81008-2209 | 2015-02-26 |
| 1457343014 | Donovan C James | Surgery | 1925 E Orman Ave, Suite A109, Pueblo, CO 81004-3537 | 2005-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831706506 | University Physicians, Incorporated | Surgery | 13100 E Colfax Ave Ste 70, Aurora, CO 80011-5517 | 2020-09-28 |
| 1437412723 | Junior Univers | Surgery | 2643 Patterson Rd Ste 401, Grand Junction, CO 81506-1937 | 2012-06-21 |
| 1275896508 | Dmitriy Rybitskiy | Surgery | 2222 N Nevada Ave Ste 5010, Colorado Springs, CO 80907-6865 | 2012-06-21 |
| 1518230333 | James Gilbert Chandler | Surgery | 3721 Mountain Laurel Pl, Boulder, CO 80304-0798 | 2012-02-10 |
| 1982982567 | Benson M Powell II | Surgery | 2572 Silver Oak Ct, Grand Junction, CO 81505-1091 | 2011-07-29 |
| 1205078912 | Rafael Demarchi Malgor | Surgery | 12631 E 17th Ave # Msc312, Aurora, CO 80045-2527 | 2009-03-26 |
| 1770610735 | Thomas F Rehring | Surgery | 2045 N Franklin St Fl 3, Denver, CO 80205-5437 | 2007-02-27 |
| 1770624298 | Charles O Brantigan Md | Surgery | 2253 Downing St, Denver, CO 80205-5234 | 2007-02-09 |
| 1588717656 | Cass William Conaway | Surgery | 721 19th St, Denver, CO 80202-2500 | 2007-01-19 |
| 1326148693 | Decatur Vein Clinic Colorado PC | Surgery | 601 Center Ave, Grand Junction, CO 81501-2041 | 2006-09-25 |
| Find all providers with the same taxonomy | ||||
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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.