PUEBLO ER PHYSICIANS LLC (NPI# 1174063077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174063077 |
| Entity Type | Organization |
| Organization Name | PUEBLO ER PHYSICIANS LLC |
| Practice Address |
2035 S Pueblo Blvd Pueblo CO 81005-2577 |
| Mailing Address |
Po Box 93251 Southlake TX 76092-0112 |
| Practice Telephone | 8175273431 |
| Practice Fax Number | 8175273445 |
| Mailing Telephone | 8174210012 |
| Mailing Fax Number | 8174210036 |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2017-04-26 |
| Authorized Official Name | JOHN BRAXTON NEIMAN (GENERAL COUNSEL) |
| Authorized Official Telephone | 8174210031 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
Allopathic & Osteopathic Physicians |
| Street Address |
2035 S PUEBLO BLVD |
| City | PUEBLO |
| State | CO |
| Zip Code | 81005-2577 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992248728 | Colorado Complete Urgent Care Physicians LLC | Clinic/Center | 2035 S Pueblo Blvd, Pueblo, CO 81005-2577 | 2016-11-28 |
| 1013518000 | Pueblo Radiological Group, P.C. | Radiology | 2035 S Pueblo Blvd, Pueblo, CO 81005-2577 | 2020-11-05 |
| 1093295982 | Vitalpoint Urgent Care | Clinic/Center | 2035 S Pueblo Blvd, Pueblo, CO 81005-2577 | 2018-08-20 |
| 1972024453 | Angela Marie Perides | Nurse Practitioner | 2035 S Pueblo Blvd, Pueblo, CO 81005-2577 | 2017-07-05 |
| 1639619620 | Complete Emergency Care Pueblo LLC | Clinic/Center | 2035 S Pueblo Blvd, Pueblo, CO 81005-2577 | 2017-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225595630 | Kimberly Warfield | Specialist | 5825 W Hwy 78, Pueblo, CA 81005 | 2019-02-22 |
| 1417461823 | Yah Vision | Optometrist | 2568 Taylor Ln, Pueblo, CO 81005 | 2017-11-21 |
| 1245758168 | Jenny C Alas | Dentist | 2603 Vinewood Lane, Pueblo, CO 81005 | 2017-08-30 |
| 1801342472 | Cynthia Watson | Counselor | 2429 S. Prairie Avenue, Pueblo, CO 81005 | 2016-09-01 |
| 1598033664 | Kyle Andrew Bonds | Pharmacist | 2900 W. Northern Ave., Pueblo, CO 81005 | 2011-12-05 |
| 1346406196 | Samantha Coleman | Counselor | 2429 S Prairie Ave, Pueblo, CO 81005 | 2008-07-31 |
| 1184890915 | Hg Stringert Dds, Ms, PC | Dentist | 3955 Sandlewood Lane, Pueblo, CO 81005 | 2008-05-01 |
| 1992902423 | David Russell Baer | Dentist | 2041 Pepper Lane, Ste A, Pueblo, CO 81005 | 2007-06-28 |
| 1659443695 | Thomas Wesley Ready | Dentist | 643 So Pueblo Blvd, Pueblo, CO 81005 | 2006-11-14 |
| 1700969029 | Bradley Michael Almond | Dentist | 1221 S Pueblo Blvd, Pueblo, CO 81005 | 2006-10-23 |
| Find all providers in zip 81005 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982707964 | Alan Gene Walker | Emergency Medicine | 400 W 16th St, Pueblo, CO 81003-2745 | 2006-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801441613 | Grand Lake Fire Protection District | Emergency Medicine | 201 West Portal Road, Grand Lake, CO 80447 | 2019-08-08 |
| 1740789668 | Cirrusmd Provider Network | Emergency Medicine | 3513 Brighton Blvd Ste 230, Denver, CO 80216-3606 | 2018-02-06 |
| 1891064366 | Catholic Health Initiatives Colorado | Emergency Medicine | 1030 Johnson Street, Suite 200, Golden, CO 80401 | 2011-12-29 |
| 1467692962 | Carolyn Louise Scott | Emergency Medicine | 421 Adams St, Naturita, CO 81422-5018 | 2009-02-24 |
| 1982849998 | Arthur Kanowitz | Emergency Medicine | 8 Red Birch, Littleton, CO 80127-3556 | 2008-12-04 |
| 1649334517 | Kent Randal Britton | Emergency Medicine | 2552 57th Ave, Greeley, CO 80634-4506 | 2006-12-21 |
| 1326121237 | Jay Michael Straight | Emergency Medicine | 850 E Harvard Ave Ste 265, Denver, CO 80210-5075 | 2006-10-23 |
| 1215037403 | Kimberly D'eramo | Emergency Medicine | 1022 Heritage Rd, Hesperus, CO 81326-8709 | 2006-09-25 |
| 1588673107 | Mark Thomas Holley | Emergency Medicine | 2227 West 35th Ave., Denver, CO 80211 | 2006-08-05 |
| 1619903564 | Julie Seaman | Emergency Medicine | Lutheran Medical Center Emergency Dept, 8300 West 38th Ave, Wheat Ridge, CO 80033 | 2006-06-23 |
| 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.