SOUTHERN COLORADO FAMILY MEDICINE (NPI# 1235424003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235424003 |
| Entity Type | Organization |
| Organization Name | SOUTHERN COLORADO FAMILY MEDICINE |
| Practice Address |
902 Lakeview Ave Pueblo CO 81004-3597 |
| Practice Telephone | 7195575855 |
| Practice Fax Number | 7195575097 |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2011-06-09 |
| Authorized Official Name | LYNN M STRANGE (PROGRAM DIRECTOR) |
| Authorized Official Telephone | 7195575872 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
3209 | CO | Ambulatory Health Care Facilities |
| Street Address |
902 LAKEVIEW AVE |
| City | PUEBLO |
| State | CO |
| Zip Code | 81004-3597 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376549840 | Laura A Stein | Family Medicine | 902 Lakeview Ave, Pueblo, CO 81004 | 2005-06-21 |
| 1972114676 | Catholic Health Initiatives Colorado | Family Medicine | 902 Lakeview Ave, Pueblo, CO 81004-3597 | 2020-08-14 |
| 1275154668 | Alexander Thomas Grover | Family Medicine | 902 Lakeview Ave, Pueblo, CO 81004-3597 | 2020-04-27 |
| 1336769843 | Sydney Marie Brock | Family Medicine | 902 Lakeview Ave, Pueblo, CO 81004-3597 | 2020-04-24 |
| 1225658172 | Ashima Singh | Family Medicine | 902 Lakeview Ave, Pueblo, CO 81004-3597 | 2020-04-21 |
| 1467072249 | Joel Scott Bonzo | Family Medicine | 902 Lakeview Ave, Pueblo, CO 81004-3597 | 2020-04-21 |
| 1023638053 | Patrick Henke | Family Medicine | 902 Lakeview Ave, Pueblo, CO 81004-3597 | 2020-04-20 |
| 1659991917 | Kelsi Rae Brown | Family Medicine | 902 Lakeview Ave, Pueblo, CO 81004-3597 | 2020-04-16 |
| 1205474210 | John De Villa | Nurse Practitioner | 902 Lakeview Ave, Pueblo, CO 81004-3597 | 2019-12-20 |
| 1033773627 | Queenter Kisang | Family Medicine | 902 Lakeview Ave, Pueblo, CO 81004-3597 | 2019-04-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780155929 | Renee C Lane | Nurse Practitioner | 1925 E. Orman Ave. Ste. A109, Pueblo, CO 81004 | 2018-12-16 |
| 1215406913 | Kaiser Foundation Healthplan of Colorado | Pharmacy | 2625 W. Pueblo Blvd, Pueblo, CO 81004 | 2018-11-26 |
| 1053895532 | Rebecka Ann Reatherford | Nurse Practitioner | St Mary-corwin Medical Center, 1008 Minnequa Ave, Pueblo, CO 81004 | 2018-09-20 |
| 1124510821 | Angela M Sillas-green | Counselor | 327 Colorado Ave., Pueblo, CO 81004 | 2018-05-30 |
| 1558898569 | Alexandra R B King | Family Medicine | Southern Colorado Family Medicine, 902 Lakeview Avenue, Pueblo, CO 81004 | 2017-05-22 |
| 1578098752 | James Williams | Counselor | 414 Broadway Ave, Pueblo, CO 81004 | 2017-04-26 |
| 1740732601 | Valerie A Senger | Counselor | 635 W Corona Ave Ste 214, Pueblo, CO 81004 | 2016-10-26 |
| 1194111500 | A New Leaf Therapy, Pllc | Community/Behavioral Health | 327 Colorado Ave, Pueblo, CO 81004 | 2015-04-13 |
| 1619371671 | Mariah Mcginnis | Registered Nurse | 1232 Van Buren St., Pueblo, CO 81004 | 2014-10-20 |
| 1730593112 | Maritza Martinez | Registered Nurse | 1026 Wabriendo Ave, Pueblo, CO 81004 | 2014-06-13 |
| Find all providers in zip 81004 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538493424 | Associates In Family Practice PC | Clinic/Center | 1925 E Orman Ave Ste A345, Pueblo, CO 81004-3558 | 2009-09-24 |
| 1114149986 | Pueblo Family Medicine, PC | Clinic/Center | 1600 N Grand Ave Ste 310, Pueblo, CO 81003-2729 | 2007-05-02 |
| 1497397657 | Advanced Practice Health Clinic | Clinic/Center | 1128 Eagleridge Blvd, Pueblo, CO 81008-2103 | 2019-10-09 |
| 1508250911 | Spanish Peaks New Alternatives, Inc. | Clinic/Center | 41 Montebello Rd, Suite 116, Pueblo, CO 81001-1379 | 2015-03-24 |
| 1801206990 | Carlotta J. Fendrich, LLC | Clinic/Center | 401 Michigan St, Pueblo, CO 81004-2138 | 2014-04-29 |
| 1386082105 | Anna M. Martinez Pllc | Clinic/Center | 900 Indiana Ave, Suite B, Pueblo, CO 81004-3767 | 2013-06-14 |
| 1346586088 | Jandyco, LLC | Clinic/Center | 509 Colorado Ave Ste C, Pueblo, CO 81004-2008 | 2012-12-28 |
| 1912293374 | Castillo Primary Care | Clinic/Center | 1401 Anita St, Pueblo, CO 81001-2122 | 2011-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578160396 | Little Poudre Family Clinic LLC | Clinic/Center | 3817 W County Rd 54g, Laporte, CO 80535 | 2020-10-05 |
| 1548874761 | Scl Health Medical Group - Denver, LLC | Clinic/Center | 23770 E Smoky Hill Rd Ste 240, Aurora, CO 80016-3089 | 2020-09-04 |
| 1134731581 | Cync Health, Inc | Clinic/Center | 9284 Desert Willow Rd, Highlands Ranch, CO 80129-5715 | 2020-08-18 |
| 1992315279 | Gunnison Valley Family Physicians Crested Butte | Clinic/Center | 214 6th Street, Suite 1, Crested Butte, CO 81224 | 2020-08-03 |
| 1386261493 | Keystone Primary Care | Clinic/Center | 11111 E Mississippi Ave Ste 112, Aurora, CO 80012-3106 | 2020-07-06 |
| 1518582865 | Pediatrics West, P.C. | Clinic/Center | 13402 W Coal Mine Ave Ste 200, Littleton, CO 80127-5407 | 2020-06-12 |
| 1902420862 | Cloud Medical LLC | Clinic/Center | 3601 Arapahoe Ave # D-176, Boulder, CO 80303-1310 | 2020-06-05 |
| 1063034221 | Premier Primary Care Clinic LLC | Clinic/Center | 3000 Lawrence St, Denver, CO 80205-3422 | 2020-05-11 |
| 1992330500 | Quality Medical Clinic LLC | Clinic/Center | 3604 Galley Rd Ste 201, Colorado Springs, CO 80909-4301 | 2020-03-04 |
| 1992344659 | Metropolitan General Practice PC | Clinic/Center | 7400 E Crestline Cir Ste 105, Greenwood Village, CO 80111-3656 | 2019-12-29 |
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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.