FRED JAMES GREMILLION (NPI# 1275517872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275517872 |
| Entity Type | Individual |
| Full Name | FRED JAMES GREMILLION |
| Credential | DPM |
| Practice Address |
3100 N Academy Blvd Suite #115 Colorado Springs CO 80917-5321 |
| Mailing Address |
3100 N Academy Blvd Ste # 115 Colorado Springs CO 80917-5321 |
| Practice Telephone | 7195749800 |
| Practice Fax Number | 7195749749 |
| Mailing Telephone | 7195749800 |
| Mailing Fax Number | 7195749749 |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2011-06-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
366 | CO | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 01003664 | 05 |
| Street Address |
3100 N ACADEMY BLVD SUITE #115 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80917-5321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629519723 | Wasatch Payroll LLC | Clinic/Center | 3100 N Academy Blvd, 107, Colorado Springs, CO 80917-5321 | 2017-03-09 |
| 1265979488 | Peak Balance Family Wellness | Clinic/Center | 3100 N Academy Blvd, Suite 103, Colorado Springs, CO 80917-5321 | 2017-01-25 |
| 1659755338 | Colorado Springs Oral and Facial Surgery | Dentist | 3100 N Academy Blvd, #213, Colorado Springs, CO 80917-5321 | 2015-07-13 |
| 1710398573 | Stacie Lynn Kipp | Nurse Practitioner | 3100 N Academy Blvd, Colorado Springs, CO 80917-5321 | 2014-05-14 |
| 1316378797 | Jerrico Grimard | Nurse Practitioner | 3100 N Academy Blvd, Suite 211, Colorado Springs, CO 80917-5321 | 2013-12-10 |
| 1629317979 | John E. Augspurger | Dentist | 3100 N Academy Blvd, Suite 203, Colorado Springs, CO 80917-5321 | 2013-02-06 |
| 1053655613 | Maria Smith | Nurse Practitioner | 3100 N Academy Blvd, Colorado Springs, CO 80917-5321 | 2012-11-20 |
| 1528261682 | Dale L Alto | Dentist | 3100 N Academy Blvd, Suite 213, Colorado Springs, CO 80917-5321 | 2007-06-07 |
| 1447384532 | Affiliates In Oral & Maxillofacial Surgery,p.c. | Dentist | 3100 N Academy Blvd, Suite 213, Colorado Springs, CO 80917-5321 | 2007-03-14 |
| 1841339819 | Ronald J Charity Dmd PC | Dentist | 3100 N Academy Blvd, Suite 103, Colorado Springs, CO 80917-5321 | 2007-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952910499 | Select Physical Therapy of Colorado Springs Lp | Durable Medical Equipment & Medical Supplies | 5660 Barnes Road, Suite 116, Colorado Springs, CO 80917 | 2020-07-30 |
| 1043796774 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 3475 North Academy Blvd, Colorado Springs, CO 80917 | 2018-07-16 |
| 1598273153 | Ariana Goemaere | Behavior Technician | 3535 Parkmoor Village Dr, Colorado Springs, CO 80917 | 2018-01-17 |
| 1366959769 | Behavioral Health Consultants, Inc. | Clinic/Center | 3210 North Academy Blvd, Suite 3, Colorado Springs, CO 80917 | 2018-01-08 |
| 1558870030 | Falisha Rief | Assistant Behavior Analyst | 2790 North Academy Blvd, Suite 180, Colorado Springs, CO 80917 | 2017-09-27 |
| 1407374655 | Christina Otto | Assistant Behavior Analyst | 2790 North Academy, Suite 180, Colorado Springs, CO 80917 | 2017-09-07 |
| 1992155956 | Georgina Segura | Nurse Practitioner | 5135 Iron Horse Trl, Colorado Springs, CO 80917 | 2016-06-20 |
| 1952685182 | Barbara Hazard Henning | Pharmacist | 3840 N Academy Blvd, Colorado Springs, CO 80917 | 2011-10-06 |
| 1659651412 | Nicole Blakesley | Psychologist | 3264 Vail Pass Drive, Colorado Springs, CO 80917 | 2011-08-25 |
| 1427360254 | Austinbluffs Dental Prof. LLC | Dentist | 3952 North Academy, Colorado Springs, CO 80917 | 2010-07-09 |
| Find all providers in zip 80917 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710042841 | Hainge Foot & Ankle Clinic PC | Podiatrist | 3920 N Union Blvd Ste 320, Colorado Springs, CO 80907-4916 | 2006-12-27 |
| 1235176546 | Bryan Alan Groth | Podiatrist | 455 E Pikes Peak Ave Ste 220, Colorado Springs, CO 80903-3673 | 2006-06-02 |
| 1114921731 | Nicholas Sol | Podiatrist | 5014 El Camino Dr, The Walking Clinic, PC, Colorado Springs, CO 80918-2106 | 2005-06-10 |
| 1598396889 | Optumcare Colorado Springs, LLC | Podiatrist | 5014 El Camino Dr, Colorado Springs, CO 80918-2104 | 2020-01-27 |
| 1003362450 | Mcvay Foot & Ankle, PC | Podiatrist | 6160 Tutt Blvd, Ste 150, Colorado Springs, CO 80923-3500 | 2016-08-26 |
| 1134583172 | Darrick Richard Dominick | Podiatrist | 1465 Kelly Johnson Blvd Ste 100, Colorado Springs, CO 80920-3945 | 2016-04-06 |
| 1851769152 | Teague Gearhart | Podiatrist | 1155 Kelly Johnson Blvd, Colorado Springs, CO 80920-3932 | 2015-09-03 |
| 1003294083 | Foot and Ankle Institute of Colorado, PC | Podiatrist | 1465 Kelly Johnson Blvd Ste 100, Colorado Springs, CO 80920-3945 | 2015-05-11 |
| 1457746844 | Travis Kotter | Podiatrist | 4190 E Woodmen Rd Ste 100, Colorado Springs, CO 80920 | 2015-04-01 |
| 1356743447 | Tiffany Liu | Podiatrist | 8580 Scarborough Dr Ste 120, Colorado Springs, CO 80920-7583 | 2014-09-19 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80917 |
Please comment or provide details below to improve the information on FRED JAMES GREMILLION.
| 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.