HERITAGE COLORADO PHYSICIAN ASSOCIATES, P.C. (NPI# 1285257717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285257717 |
| Entity Type | Organization |
| Organization Name | HERITAGE COLORADO PHYSICIAN ASSOCIATES, P.C. |
| Practice Address |
4170 S Club Dr Colorado Springs CO 80906-4363 |
| Mailing Address |
8510 Balboa Blvd Ste 285 Northridge CA 91325-5804 |
| Practice Telephone | 8186543465 |
| Enumeration Date | 2020-05-19 |
| Last Update Date | 2020-05-19 |
| Authorized Official Name | ALBERT BRICCETTI (SHAREHOLDER) |
| Authorized Official Telephone | 9513147304 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Heritage Colorado Physician Associates, P.C. | 4170 South Club, Colorado Springs, CO 80906 |
| Street Address |
4170 S CLUB DR |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80906-4363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437797339 | Michael Crise | Behavior Technician | 1330 Qual Lake Loop Ste 120, Colorado Springs, CO 80906 | 2019-12-11 |
| 1730720541 | Amanda Salinas | Massage Therapist | 1235 Lake Plaza Drive Suite 230, Colorado Springs, CO 80906 | 2019-10-02 |
| 1225511488 | Sheila Meggison | Massage Therapist | 1235 Lake Plaza Drive, Suite 230, Colorado Springs, CA 80906 | 2018-09-12 |
| 1316429756 | Vivus Counseling Services LLC | Counselor | 108 East Cheyenne Rd Suite 201, Colorado Springs, CO 80906 | 2018-09-01 |
| 1043796949 | Erin Lee Recinos | Nurse Practitioner | 225 E Cheyenne Mountain Blvd Ste 220, Colorado Springs, CO 80906 | 2018-07-13 |
| 1982103875 | Savannah Adeline Rentrop | Behavior Technician | 2989 Broadmoor Valley Rd D, Colorado Springs, CO 80906 | 2018-02-06 |
| 1205335288 | Ross Knowlton | Behavior Technician | 1330 Quail Lake Loop Suite 200, Colorado Springs, CO 80906 | 2018-02-06 |
| 1942709845 | Adrienne Bohlen | Behavior Technician | 1330 Quail Lake Loop, Ste. 200, Colorado Springs, CO 80906 | 2018-02-06 |
| 1881110088 | Christine Gonzales | Nurse Practitioner | 2739 E Las Vegas St, Colorado Springs, CO 80906 | 2017-08-18 |
| 1225568470 | Larry Alwine | Counselor | 2860 South Circle Drive, Unit 250k, Colorado Springs, CO 80906 | 2017-06-19 |
| Find all providers in zip 80906 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699389353 | Poudre Valley Medical Group, LLC | Internal Medicine | 5818 N Nevada Ave, Suite 225, Colorado Springs, CO 80918 | 2020-09-01 |
| 1457962318 | Mosaic Infusion Solutions LLC | Internal Medicine | 2270 Garden of The Gods Rd Ste 103, Colorado Springs, CO 80907-9440 | 2020-08-13 |
| 1528440559 | Swosti Roka Magar | Internal Medicine | 5818 N Nevada, Suite 225, Colorado Springs, CO 80918 | 2015-06-25 |
| 1104147453 | David P Theis | Internal Medicine | 595 Chapel Hills Dr Ste 201, Colorado Springs, CO 80920-1056 | 2010-06-21 |
| 1659370427 | Martha Dambrosio Md | Internal Medicine | 8295 Old Exchange Dr, Colorado Springs, CO 80920-4811 | 2005-07-14 |
| 1467456301 | Michael Roger Baker | Internal Medicine | 595 Chapel Hills Drive, Ste 201, Colorado Springs, CO 80920 | 2005-06-09 |
| 1356801450 | Heidi C Rogers Md PC | Internal Medicine | 595 Chapel Hills Dr Ste 201, Colorado Springs, CO 80920-1056 | 2019-03-23 |
| 1740718998 | David Theis, D.o., P.C. | Internal Medicine | 595 Chapel Hills Dr Ste 201, Colorado Springs, CO 80920-1056 | 2017-06-01 |
| 1083064711 | Colorado Permanente Medical Group, PC | Internal Medicine | 215 S Parkside Dr, Colorado Springs, CO 80910-3131 | 2016-06-14 |
| 1316359763 | Christopher E Chong Md PC | Internal Medicine | 215 S Parkside Dr, Colorado Springs, CO 80910-3131 | 2014-05-20 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80906 |
Please comment or provide details below to improve the information on HERITAGE COLORADO PHYSICIAN ASSOCIATES, P.C..
| 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.