TIFFANY MARIE WILLARD (NPI# 1396769436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396769436 |
| Entity Type | Individual |
| Full Name | TIFFANY MARIE WILLARD |
| Credential | M.D. |
| Practice Address |
1400 E Boulder St Suite 600 Colorado Springs CO 80909-5533 |
| Mailing Address |
2695 Rocky Mountain Ave Ste 150 Loveland CO 80538-9071 |
| Practice Telephone | 7193646487 |
| Practice Fax Number | 7193646488 |
| Mailing Telephone | 9706242412 |
| Mailing Fax Number | 7193646488 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2019-12-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
DR.0046934 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 20634064 | 05 |
| Street Address |
1400 E BOULDER ST SUITE 600 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80909-5533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558363705 | Pikes Peak Cardiology A Professional LLP | Specialist | 1400 E Boulder St, Suite 700, Colorado Springs, CO 80909-5533 | 2005-06-01 |
| 1154921906 | Pikes Peak Nephrology Associates PC | Internal Medicine | 1400 E Boulder St, Colorado Springs, CO 80909-5533 | 2020-10-30 |
| 1376143297 | Fabienne Sophie Haas | Student in an Organized Health Care Education/Training Program | 1400 E Boulder St, Colorado Springs, CO 80909-5533 | 2020-10-29 |
| 1255930004 | Poudre Valley Medical Group, LLC | Social Worker | 1400 E Boulder St, Colorado Springs, CO 80909-5533 | 2020-10-22 |
| 1497353247 | Stander Neurology Inc. | General Acute Care Hospital | 1400 E Boulder St, Colorado Springs, CO 80909-5533 | 2020-10-14 |
| 1497378343 | Ashley Marie Griffin | Nurse Practitioner | 1400 E Boulder St, Colorado Springs, CO 80909-5533 | 2020-05-27 |
| 1831711944 | Poudre Valley Medical Group, LLC | Obstetrics & Gynecology | 1400 E Boulder St, Colorado Springs, CO 80909-5533 | 2020-05-12 |
| 1033731120 | Poudre Valley Medical Group, LLC | General Practice | 1400 E Boulder St, Colorado Springs, CO 80909-5533 | 2020-05-12 |
| 1548882756 | Jolene Kendall | Pharmacist | 1400 E Boulder St, Colorado Springs, CO 80909-5533 | 2020-05-11 |
| 1932720471 | Margaret Porter | Occupational Therapist | 1400 E Boulder St, Colorado Springs, CO 80909-5533 | 2020-05-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376173765 | Ascent Health LLC | Community/Behavioral Health | 2608 Palmer Park Blvd., Colorado Springs, CO- COLORADO 80909 | 2020-01-24 |
| 1639714041 | Peak Vista Community Health Centers | Clinic/Center | 4041 E San Miguel St, Colorado Springs, CO 80909 | 2019-11-08 |
| 1437706231 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 445 N Circle Drive, Colorado Springs, CO 80909 | 2019-08-26 |
| 1760952964 | James Garofalo | Counselor | 2210 E La Salle St Ste 221, Colorado Spgs, CO 80909 | 2018-11-29 |
| 1144719055 | Autumn Leaves Counseling, LLC | Counselor | 2130 Academy Circle, Suite B, Co Springs, CO 80909 | 2018-05-07 |
| 1407353642 | Ambulnz Co, LLC | Ambulance | 2420 E Pikes Peak Ave Ste 1001, Colorado Springs, CO 80909 | 2018-04-12 |
| 1083117998 | Peak Wellness Counseling Service, LLC | Counselor | 2210 E. La Salle Street, Suite 208, Colorado Springs, CO 80909 | 2018-03-16 |
| 1043740822 | Ande Carol West | Dental Hygienist | 701 Citadel Drive East, Colorado Springs, CO 80909 | 2017-06-14 |
| 1043748791 | Colorado Springs Pharmacy LLC | Pharmacy | 2224 E. Pikes Peak Ave, Colorado Springs, CO 80909 | 2017-05-25 |
| 1215484365 | Brittney Nicole Roberts | Physical Therapist | 2201 Lelaray St., Colorado Springs, CO 80909 | 2016-09-07 |
| Find all providers in zip 80909 | ||||
| Taxonomy Code | 2086S0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Critical Care |
| A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043266463 | Thomas J. Schroeppel | Surgery | 1400 E Boulder St, Suite 600, Colorado Springs, CO 80909-5533 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285891762 | Ryan Anthony Lawless | Surgery | 777 Bannock St # Mc0206, Denver Health Department of Surgery, Denver, CO 80204-4507 | 2008-05-21 |
| 1699732024 | William Frederick Pfeifer IIi | Surgery | 1682 E Red Fox Pl, Highlands Ranch, CO 80126-2618 | 2006-04-28 |
| 1891333829 | Denver Surgical Assistants PC | Surgery | 7780 S Broadway Ste 250, Littleton, CO 80122-2633 | 2019-12-20 |
| 1750937215 | Tacs Colorado | Surgery | 601 E Hampden Ave Ste 200, Englewood, CO 80113-2788 | 2019-08-12 |
| 1548518962 | Alexander Coomey Schwed | Surgery | 12631 E 17th Ave, Aurora, CO 80045 | 2012-08-15 |
| 1750680484 | Christian James Dennis | Surgery | 2121 E Harmony Rd Unit 330, Fort Collins, CO 80528-3403 | 2011-03-21 |
| 1225341431 | Phillips Surgical PC | Surgery | 499 E Hampden Ave, Suite 380, Englewood, CO 80113-2780 | 2010-07-16 |
| 1003071903 | Juan Pablo Idrovo | Surgery | 12605 E 16th Ave, Aurora, CO 80045 | 2008-07-21 |
| 1508058710 | John F Wolz Md Prof LLC | Surgery | 625 W Platte Ave, Fort Morgan, CO 80701-2669 | 2007-08-11 |
| 1194819649 | John B Moore | Surgery | 777 Bannock St, Mc 7782, Denver, CO 80204-4507 | 2006-10-02 |
| Find all providers with the same taxonomy | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80909 |
Please comment or provide details below to improve the information on TIFFANY MARIE WILLARD.
| 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.