PUEBLO SPORTS AND FAMILY MEDICINE PLLC


Address: 1315 Fortino Blvd Ste C, Pueblo, CO 81008-1981
Phone: 7195442740

PUEBLO SPORTS AND FAMILY MEDICINE PLLC (NPI# 1225525132) 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) 1225525132
Entity Type Organization
Organization Name PUEBLO SPORTS AND FAMILY MEDICINE PLLC
Practice Address 1315 Fortino Blvd Ste C
Pueblo
CO 81008-1981
Practice Telephone 7195442740
Mailing Telephone 7195442740
Enumeration Date 2018-04-16
Last Update Date 2018-04-22
Authorized Official Name MR. RAKESH KHOSLA (PRESIDENT)
Authorized Official Telephone 7195442740
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QS0010X Family Medicine
Specialization: Sports Medicine
543004 CO Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CO 1268788 05
CO PA NUMBER 0004910 01

Other Data Sources

Entity Type Entity Name Entity Address
Colorado Business Entities Pueblo Sports and Family Medicine PLLC 1315 Fortino Blvd, Suite C, Pueblo, CO 81008

Office Location

Street Address 1315 FORTINO BLVD STE C
City PUEBLO
State CO
Zip Code 81008-1981

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Taxonomy Information

Taxonomy Code 207QS0010X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Sports Medicine

Taxonomy Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205112596 Catholic Health Initiatives Colorado Family Medicine 1315 Fortino Blvd, Pueblo, CO 81008-1981 2011-10-31

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1093338840 St Mary's Hospital and Medical Center, Inc Family Medicine 2698 Patterson Rd Unit 42, Grand Junction, CO 81506-8818 2020-05-27
1356980940 Catholic Health Initiatives Colorado Family Medicine 4925 N Nevada Ave, Colorado Springs, CO 80918-8600 2019-12-30
1013274281 Sports and Family Medicine of Colorado Family Medicine 6390 Gardenia St Unit 140, Arvada, CO 80004-3536 2012-04-12
1407142623 John D. Breck Family Medicine 1900 Wardenburg Way, Boulder, CO 80309 2011-06-27
1316184120 10k Sports Medicine, PC Family Medicine Unit 101b, 12 Snowmass Rd, Crested Butte, CO 81224-8046 2009-01-15
1497908362 All Sports Medicine of Boulder Family Medicine 3825 Iris Ave, Suite 300, Boulder, CO 80301-2003 2008-10-23
1740467315 Workpartners Family Medicine 1060 Orchard Ave Unit O, Grand Junction, CO 81501-2997 2008-01-26
1578686382 Lisa Brone Family Medicine 149 S Briggs St, Ste 103b, Erie, CO 80516-4064 2007-04-08
1861547572 Girish Anand Paranjape Family Medicine 2240 Buchtel Blvd, 3rd Floor Clinic - Ritchie Center, Denver, CO 80208-0001 2007-01-24
1144305038 Herbert G Parris Family Medicine 2610 E 3rd Ave, Denver, CO 80206-4721 2006-10-26
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Competitor

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City PUEBLO
Zip Code 81008

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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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