MEMORIAL HEALTH SYSTEM (NPI# 1316265705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316265705 |
| Entity Type | Organization |
| Organization Name | MEMORIAL HEALTH SYSTEM |
| Other Organization Name | MEMORIAL PHYSICIAN NETWORK-CARDIOTHORACIC SURGERY |
| Practice Address |
175 S Union Blvd #115 Colorado Springs CO 80910-3113 |
| Practice Telephone | 7193659951 |
| Mailing Telephone | 7193659951 |
| Enumeration Date | 2010-05-10 |
| Last Update Date | 2010-06-16 |
| Authorized Official Name | MARY JO YANTIS (VICE PRESIDENT) |
| Authorized Official Telephone | 7193659951 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEMORIAL HEALTH SYSTEM |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Memorial Physician Network-Cardiothoracic Surgery | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164740700 | Memorial Health System | Specialist | 2121 E La Salle St, Colorado Springs, CO 80909-2270 | 2010-05-06 |
| 1316265697 | Memorial Health System | Specialist | 8890 N Union Blvd, Suite 160, Colorado Springs, CO 80920-7799 | 2010-05-11 |
| 1952629347 | Memorial Health System | Specialist | 175 S Union Blvd, # 300, Colorado Springs, CO 80910-3113 | 2010-05-10 |
| 1043538432 | Memorial Health System | Obstetrics & Gynecology | 1400 E Boulder St, Colorado Springs, CO 80909-5533 | 2010-05-10 |
| 1003134644 | Memorial Health System | Specialist | 4110 Briargate Pkwy, Suite 465, Colorado Springs, CO 80920-7835 | 2010-05-06 |
| 1427376060 | Memorial Health System | Specialist | 1725 E Boulder St, Suite 104, Colorado Springs, CO 80909-5768 | 2010-05-06 |
| 1366760902 | Memorial Health System | Specialist | 525 N Foote Ave, Suite 202, Colorado Springs, CO 80909-4554 | 2010-05-06 |
| 1568668754 | Memorial Health System | Family Medicine | 1400 E Boulder St, Colorado Springs, CO 80909-5533 | 2007-06-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MEMORIAL HEALTH SYSTEM | 701 North 1st St, Springfield, IL 62781-0001 |
| System for Award Management (SAM) Entities | MEMORIAL HEALTH SYSTEM OF EAST TEXAS | 1717 Highway 59 Loop N, Livingston, TX 77351-5710 |
| Colorado Business Entities | Memorial Health System, Inc. | 1400 East Boulder Street, Colorado Springs, CO 80909 |
| Street Address |
175 S UNION BLVD #115 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80910-3113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154324168 | Colorado Professional Medical, Inc | Prosthetic/Orthotic Supplier | 175 S Union Blvd, Ste 370, Colorado Springs, CO 80910-3113 | 2005-05-23 |
| 1538788823 | Katharine Berscheid | Physical Therapist | 175 S Union Blvd, Colorado Springs, CO 80910-3113 | 2020-04-16 |
| 1518586635 | Kathryn Allison Seidman | Speech-Language Pathologist | 175 S Union Blvd, Colorado Springs, CO 80910-3113 | 2020-04-09 |
| 1487283008 | Carolyn Montgomery | Physical Therapist | 175 S Union Blvd, Colorado Springs, CO 80910-3113 | 2020-04-06 |
| 1316506231 | Uch-mhs | Clinic/Center | 175 S Union Blvd, Colorado Springs, CO 80910-3113 | 2019-06-13 |
| 1790344042 | Uch-mhs | Clinic/Center | 175 S Union Blvd, Suite 100, Colorado Springs, CO 80910-3117 | 2019-06-11 |
| 1588175483 | Sarah Farrell | Speech-Language Pathologist | 175 S Union Blvd, Suite 225, Colorado Springs, CO 80910 | 2017-10-18 |
| 1477090538 | Claribel Polanco | Speech-Language Pathologist | 175 S Union Blvd, Suite 255, Colorado Springs, CO 80910-3113 | 2017-01-27 |
| 1487197646 | Kristen Elizabeth Arestad | Occupational Therapist | 175 S Union Blvd, Suite 255, Colorado Springs, CO 80910-3113 | 2016-11-21 |
| 1336590801 | Brittany Pieters | Speech-Language Pathologist | 175 S Union Blvd, Suite 255, Colorado Springs, CO 80910-3113 | 2016-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952955403 | Marian Lin Mondy | Social Worker | 2909 Wellshire Blvd., Colorado Springs, CO 80910 | 2019-08-01 |
| 1538727474 | Lisa Morales | Audiologist | 3225 International Cir Ste 102, Colorado Springs, CO 80910 | 2019-06-05 |
| 1134617038 | Paul Gross | Counselor | 411 Lakewood Circle Dr, C-204-b, Colorado Springs, CO 80910 | 2018-04-25 |
| 1821502923 | Kathleen Lubos Ambros-dahilig | Dental Assistant | 2240 Gilpin Ave, Colorado Springs, CO 80910 | 2017-11-28 |
| 1508384793 | Shawn Maul | Registered Nurse | 115 S Parkside, Colorado Springs, CO 80910 | 2017-09-07 |
| 1376910521 | Kelley Elizabeth Smith Bouchard | Nurse Practitioner | 3225 International Circle Suite 220, Colorado Springs, CO 80910 | 2015-08-24 |
| 1619353430 | Dr. Steven Alan Gould Dds PC | Dentist | 2859 E. Fountain Blvd, Colorado Springs, CO 80910 | 2015-08-04 |
| 1881029155 | Francis Hammet | Chiropractor | 411 Lakewood Circle A1104, Colorado Springs, CO 80910 | 2013-09-05 |
| 1447697586 | Mcb Clinical Research Centers, LLC | Psychologist | 110 S. Parkside Drive, Colorado Springs, CO 80910 | 2013-05-30 |
| 1417206723 | Augustus Albert Edwards | Case Manager/Care Coordinator | 115 Parkside Drive, Colorado Springs, CO 80910 | 2012-08-31 |
| Find all providers in zip 80910 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710208202 | Paul Franklin Eckstein | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 22 West Cheyenne Mountain Blvd, Colorado Springs, CO 80906-4335 | 2010-06-18 |
| 1487863700 | Crystal Joy Erickson | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 525 Bob Peters Grv Ste 302, Colorado Springs, CO 80909-4533 | 2007-05-22 |
| 1053368977 | Catholic Health Initiatives Colorado | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2222 N. Nevada Avenue, Suite 5011, Colorado Springs, CO 80907 | 2006-05-27 |
| 1629072228 | Martin Lynn Beggs | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 525 N Foote Ave, Ste 302, Colorado Springs, CO 80909-4501 | 2005-06-10 |
| 1548875677 | Poudre Valley Medical Group, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 525 Bob Peters Grv Ste 302, Colorado Springs, CO 80909-4533 | 2020-09-15 |
| 1518596774 | Poudre Valley Medical Group, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1400 E Boulder St Ste 700, Colorado Springs, CO 80909-5533 | 2020-04-08 |
| 1831666452 | Specialty Medcare Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2222 N Nevada Ave Ste 5011, Colorado Springs, CO 80907-6819 | 2018-11-01 |
| 1770915043 | Catholic Health Initiatives Colorado | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2222 N Nevada Ave Ste 5010, Colorado Springs, CO 80907 | 2013-08-08 |
| 1356783351 | Catholic Health Initiatives Colorado | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2222 N Nevada Ave, Suite 5011, Colorado Springs, CO 80907-6819 | 2013-07-19 |
| 1467611996 | Tyler Cooley Spata | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2222 N Nevada Ave Ste 5011, Colorado Springs, CO 80907 | 2008-06-09 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80910 |
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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.