ELIZABETH EHRHARDT MD PROF LLC (NPI# 1346400413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346400413 |
| Entity Type | Organization |
| Organization Name | ELIZABETH EHRHARDT MD PROF LLC |
| Practice Address |
1619 N Greenwood St Ste 400 Pueblo CO 81003-2644 |
| Mailing Address |
1619 N Greenwood Ave Ste 400 Pueblo CO 81003 |
| Practice Telephone | 7195832330 |
| Practice Fax Number | 7195832670 |
| Mailing Telephone | 7195832330 |
| Mailing Fax Number | 7195835670 |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2008-06-12 |
| Authorized Official Name | SHARON ANNE ADAMS (OFFICE MANAGER) |
| Authorized Official Telephone | 7195832330 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 37792 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 13332261 | 05 |
| Street Address |
1619 N GREENWOOD ST STE 400 |
| City | PUEBLO |
| State | CO |
| Zip Code | 81003-2644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043206311 | Radiology Associates | Specialist | 1619 N Greenwood St, Suite 100, Pueblo, CO 81003-2644 | 2005-09-22 |
| 1437600608 | Diana Karnilaw | Nurse Practitioner | 1619 N Greenwood St, Suite 400, Pueblo, CO 81003-2644 | 2016-10-21 |
| 1629451091 | Rachel R Buck | Nurse Practitioner | 1619 N Greenwood St, Suite 208, Pueblo, CO 81003-2644 | 2015-07-03 |
| 1861808750 | Jamie Kathryn Rendler | Nurse Practitioner | 1619 N Greenwood St, Suite 208, Pueblo, CO 81003-2644 | 2014-07-11 |
| 1104181148 | Eric Andrew Lewis | Podiatrist | 1619 N Greenwood St, Suite 300, Pueblo, CO 81003-2644 | 2012-07-05 |
| 1144510660 | Sarah Elizabeth Bryant | Pediatrics | 1619 N Greenwood St, Suite 400, Pueblo, CO 81003-2644 | 2011-04-18 |
| 1043442791 | Steven Nafziger | Family Medicine | 1619 N Greenwood St, Suite 204, Pueblo, CO 81003-2644 | 2009-08-13 |
| 1841421344 | David Abbott | Radiology | 1619 N Greenwood St, Suite 103, Pueblo, CO 81003-2644 | 2009-07-31 |
| 1891923033 | Mark Edward Maurer | Podiatrist | 1619 N Greenwood St, Ste 300, Pueblo, CO 81003-2644 | 2009-06-25 |
| 1992974554 | Jed J Tatsuyama, Md, PC | Family Medicine | 1619 N Greenwood St, Suite 200, Pueblo, CO 81003-2644 | 2008-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164042016 | Sunil Kumar | Student in an Organized Health Care Education/Training Program | Parkview Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2020-04-21 |
| 1497382303 | Pueblo Family Dentistry Pllc | Dentist | 701 N Grand Avenue, Suite B, Pueblo, CO 81003 | 2020-03-23 |
| 1023654241 | Elmer A. Villalon, Dmd, LLC | Clinic/Center | 1225 North Main Street, #207, Pueblo, CO 81003 | 2019-11-22 |
| 1518434349 | Mariam Rahim | Internal Medicine | Parkview Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2018-10-30 |
| 1003308222 | Julia Mcneice | Internal Medicine | Parkview Medial Center, Parkveiw Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2018-06-04 |
| 1689164857 | Jessica Sels | Internal Medicine | Parkview Medical Center Adult Medicine Clinic, 311 W 14th St, Pueblo, CO 81003 | 2018-05-14 |
| 1700313459 | Allison Vigil | Occupational Therapist | 1600 W. 24th St, Pueblo, CO 81003 | 2017-05-12 |
| 1245682020 | Paul S Bongat | Internal Medicine | 411 W. 14th St., Parkview Adult Medicine Clinic, Pueblo, CO 81003 | 2016-07-06 |
| 1013368596 | Daniel R Long | Internal Medicine | 411 West 14th Street, Pueblo, CO 81003 | 2016-06-27 |
| 1396195665 | Parkview Medical Center | General Acute Care Hospital | 411 W. 14th St, Pueblo, CO 81003 | 2016-06-17 |
| Find all providers in zip 81003 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235446212 | Ladean Travis Spinuzzi | Pediatrics | 6234 W State Highway 78, Pueblo, CO 81005-9622 | 2010-09-11 |
| 1780811893 | Rhonda Renee Grigg | Pediatrics | 332 S Orchard Springs Dr. 150, Pueblo, CO 81007 | 2009-06-16 |
| 1689744591 | Daniel Abram Driscoll | Pediatrics | 3116 N Elizabeth St, Suite 202, Pueblo, CO 81008-1145 | 2006-11-08 |
| 1619059722 | Small World Pediatrics LLC | Pediatrics | 332 S. Orchard Springs Dr., Ste 150, Pueblo, CO 81007-6154 | 2006-10-19 |
| 1114022910 | Surya Kumar Sharma | Pediatrics | 1805 Aquila Dr, Pueblo, CO 81008-2617 | 2006-09-14 |
| 1710919865 | James E Simony II | Pediatrics | 3934 Sandalwood Ln, Pueblo, CO 81005-7503 | 2006-07-07 |
| 1861472011 | Fred Arthur Cox | Pediatrics | 3676 Parker Blvd Ste 260, Pueblo, CO 81008-2213 | 2006-01-21 |
| 1023003365 | Susan Jeanne Tool | Pediatrics | 332 S Orchard Springs Dr, Suite 150, Pueblo, CO 81007-6151 | 2005-09-13 |
| 1174160683 | Steel City Pediatrics | Pediatrics | 3934 Sandalwood Ln, Pueblo, CO 81005-7503 | 2019-12-03 |
| 1376058743 | Specialized Inpatient Medical Services, LLC | Pediatrics | 855 Hunter Dr, Pueblo, CO 81001-1867 | 2017-12-07 |
| Find all providers in PUEBLO | ||||
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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.