PARKVIEW ANCILLARY SERVICES (NPI# 1316580061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316580061 |
Entity Type | Organization |
Organization Name | PARKVIEW ANCILLARY SERVICES |
Practice Address |
3676 Parker Blvd Ste 110 Pueblo CO 81008-2213 |
Mailing Address |
408 N Main St Pueblo CO 81003-3123 |
Practice Telephone | 7195957707 |
Practice Fax Number | 7195957629 |
Mailing Telephone | 7195957417 |
Mailing Fax Number | 7195420809 |
Enumeration Date | 2019-10-25 |
Last Update Date | 2019-10-25 |
Authorized Official Name | DARRIN R SMITH (SR. VP/COO) |
Authorized Official Telephone | 7195844290 |
Is Organization Subpart | Y |
Parent Organization Name | PARKVIEW ANCILLARY SERVICES |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CO | 22584226 | 05 |
Other Name | Type Code |
---|---|
Parkview Medical Group Internal Medicine | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144869371 | Parkview Ancillary Services | Internal Medicine | 109 Latigo Ln Ste E, Canon City, CO 81212-8113 | 2020-01-06 |
1790329035 | Parkview Ancillary Services | Psychiatry & Neurology | 1619 N. Greenwood St., Ste. 402, Pueblo, CO 81003-2658 | 2019-10-30 |
1346883097 | Parkview Ancillary Services | Nurse Practitioner | 1600 N Grand Ave Ste 210, Pueblo, CO 81003-2749 | 2019-10-25 |
1609419738 | Parkview Ancillary Services | Anesthesiology | 330 West 14th Street, Pueblo, CO 81003-2705 | 2019-10-22 |
1548802747 | Parkview Ancillary Services | Obstetrics & Gynecology | 1501 Court, Pueblo, CO 81003-2720 | 2019-10-09 |
1346882602 | Parkview Ancillary Services | Psychiatry & Neurology | 56 Club Manor Dr Ste 100, Pueblo, CO 81008-1685 | 2019-10-08 |
1790335909 | Parkview Ancillary Services | Specialist | 4100 Jerry Murphy, Pueblo, CO 81001-1046 | 2019-09-19 |
1164048062 | Parkview Ancillary Services | Family Medicine | 1600 N. Grand Ave., Ste. 230, Pueblo, CO 81003-2731 | 2020-06-17 |
1902436256 | Parkview Ancillary Services | Urology | 4100 Jerry Murphy, Pueblo, CO 81001-1046 | 2020-01-24 |
1215567383 | Parkview Ancillary Services | Internal Medicine | 3670 Parker Blvd., Ste. 101, Pueblo, CO 81008-2285 | 2020-01-17 |
Street Address |
3676 PARKER BLVD STE 110 |
City | PUEBLO |
State | CO |
Zip Code | 81008-2213 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952334179 | Twee Thi Do | Orthopaedic Surgery | 3676 Parker Blvd Ste 110, Pueblo, CO 81008-2213 | 2006-07-09 |
1033515895 | Ronda Orndoff | Nurse Practitioner | 3676 Parker Blvd Ste 110, Pueblo, CO 81008 | 2014-11-06 |
1316268972 | Craig Alan Drew | Nurse Practitioner | 3676 Parker Blvd Ste 110, Pueblo, CO 81008-2213 | 2010-06-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164058913 | Healthone Clinic Services - Oncology Hematology LLC | Internal Medicine | 3678 Parker Blvd, Pueblo, CO 81008 | 2020-03-12 |
1073026423 | Carmel Community Living Corporation | Respite Care | 2003 Northmoor Terrace, Suite 100, Pueblo, CO 81008 | 2017-11-08 |
1568987121 | Hannah Vivian Roadruck | Pharmacist | 4200 Dillon Dr., Pueblo, CO 81008 | 2017-08-04 |
1184170425 | Brett Burana | Dentist | 729 Us-50, Pueblo, CO 81008 | 2016-08-28 |
1760832885 | Irby Dental Cottage | Dental Hygienist | 2099 West St # 50, Suite 180, Pueblo, CO 81008 | 2016-06-20 |
1649624362 | Curley Peak Dentistry Pllc | Dentist | 1640 W Fortino Blvd, Pueblo, CO 81008 | 2016-04-19 |
1336507847 | Kyle Tipton | Nurse Anesthetist, Certified Registered | 4741 Eagleridge Circle, 206, Pueblo, CO 81008 | 2016-01-29 |
1407211931 | Center At Park West, LLC | Skilled Nursing Facility | 3727 Parker Blvd., Pueblo, CO 81008 | 2015-12-29 |
1417327461 | Nicole Betts | Registered Nurse | 1310 Fortino Blvd Ste D, Pueblo, CO 81008 | 2015-10-02 |
1437578028 | Pueblo Modern Dentistry and Orthodontics, LLP | Dentist | 727 Us Hwy 50 West, Pueblo, CO 81008 | 2014-04-10 |
Find all providers in zip 81008 |
Taxonomy Code | 207RG0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Geriatric Medicine |
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
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 |
---|---|---|---|---|
1770788770 | Sunshine Medical Group Pllc | Internal Medicine | 1600 N Grand Ave, Suite 120, Pueblo, CO 81003-2700 | 2007-06-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477151934 | Geriatric Medicine Associates, PC | Internal Medicine | 500 W 144th Ave Ste 140, Westminster, CO 80023-9326 | 2020-10-15 |
1609241264 | Goodness Health, LLC | Internal Medicine | 6816 W 84th Cir Unit 36, Arvada, CO 80003-1139 | 2015-12-08 |
1932528247 | Ian Reynolds | Internal Medicine | 13001 E 17th Pl # P, Aurora, CO 80045-2570 | 2014-04-15 |
1801037726 | Elizabeth Suzanne Clarke | Internal Medicine | 301 W 6th Ave # Mc3251, Wellington E Webb Center for Primary Care, Denver, CO 80204-5182 | 2009-03-23 |
1528232402 | Shalom Park Professional Services LLC | Internal Medicine | 14800 E Belleview Drive, Aurora, CO 80015-2258 | 2008-04-22 |
1023297579 | Long Term Care & Rehab Consultants, LLC | Internal Medicine | 5792 Cole Ct, Arvada, CO 80002-1155 | 2007-11-01 |
1811176688 | Preferred Provider Services | Internal Medicine | 8200 S Quebec St Ste A3-313, Centennial, CO 80112-4411 | 2007-10-30 |
1821289752 | William A Solomon, Md, P.C. | Internal Medicine | 3140 S Peoria St # 266, Aurora, CO 80014-3178 | 2007-08-06 |
1124223847 | Pamela Tyrrell Md PC | Internal Medicine | 1305 Krameria St # H143, Denver, CO 80220-2743 | 2007-06-21 |
1962524942 | Fred Michael Feinsod | Internal Medicine | 9 Alta Vista Rd, Colorado Springs, CO 80906-4202 | 2007-04-03 |
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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.