PIKES PEAK NEPHROLOGY ASSOCIATES PC (NPI# 1407833767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407833767 |
| Entity Type | Organization |
| Organization Name | PIKES PEAK NEPHROLOGY ASSOCIATES PC |
| Practice Address |
2002 Lelaray St #100 Colorado Springs CO 80909-2804 |
| Practice Telephone | 7196327641 |
| Practice Fax Number | 7196322925 |
| Mailing Telephone | 7196327641 |
| Mailing Fax Number | 7196322925 |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2019-06-11 |
| Authorized Official Name | BRAD H YUAN (OWNER PRESIDENT) |
| Authorized Official Telephone | 7196327641 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 04850046 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851738 | Pikes Peak Nephrology Associates PC | Internal Medicine | 850 Eagleridge Blvd # 100, Pueblo, CO 81008-2148 | 2020-11-04 |
| 1427658277 | Pikes Peak Nephrology Associates PC | Internal Medicine | 1910 Lelaray St, Colorado Springs, CO 80909-2800 | 2020-10-30 |
| 1841890597 | Pikes Peak Nephrology Associates PC | Internal Medicine | 2002 Lelaray St Ste 130, Colorado Springs, CO 80909-2804 | 2020-10-30 |
| 1689274953 | Pikes Peak Nephrology Associates PC | Internal Medicine | 850 Eagleridge Blvd, Pueblo, CO 81008-2148 | 2020-10-27 |
| 1386244036 | Pikes Peak Nephrology Associates PC | Internal Medicine | 2508 Airport Rd, Colorado Springs, CO 80910-3120 | 2020-10-30 |
| 1114527967 | Pikes Peak Nephrology Associates PC | Internal Medicine | 6071 E Woodmen Rd, Colorado Springs, CO 80923-2607 | 2020-10-30 |
| 1396345047 | Pikes Peak Nephrology Associates PC | Internal Medicine | 2222 N Nevada Ave, Colorado Springs, CO 80907-6819 | 2020-10-30 |
| 1154921906 | Pikes Peak Nephrology Associates PC | Internal Medicine | 1400 E Boulder St, Colorado Springs, CO 80909-5533 | 2020-10-30 |
| 1700486545 | Pikes Peak Nephrology Associates PC | Internal Medicine | 612 Del Sol Dr, Alamosa, CO 81101-8548 | 2020-10-30 |
| 1982204210 | Pikes Peak Nephrology Associates PC | Internal Medicine | 2802 International Cir, Colorado Springs, CO 80910-3127 | 2020-10-27 |
| Street Address |
2002 LELARAY ST #100 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80909-2804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497730485 | Darcy A Kolassa | Nurse Practitioner | 2002 Lelaray St, #100, Colorado Springs, CO 80909-2804 | 2005-12-13 |
| 1396286035 | Ppna Asc LLC | Clinic/Center | 2002 Lelaray St, Suite 100, Colorado Springs, CO 80909-2804 | 2017-03-14 |
| 1366779191 | Ppn Home Dialysis LLC | Clinic/Center | 2002 Lelaray St, Suite 100, Colorado Springs, CO 80909-2804 | 2009-11-16 |
| 1922103530 | R Susan Stewart | Nurse Practitioner | 2002 Lelaray St, Suite 100, Colorado Springs, CO 80909-2804 | 2006-09-14 |
| 1518934702 | Total Renal Care Inc | Clinic/Center | 2002 Lelaray St, Ste 130, Colorado Springs, CO 80909-2804 | 2006-03-07 |
| 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 | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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 |
|---|---|---|---|---|
| 1427658277 | Pikes Peak Nephrology Associates PC | Internal Medicine | 1910 Lelaray St, Colorado Springs, CO 80909-2800 | 2020-10-30 |
| 1841890597 | Pikes Peak Nephrology Associates PC | Internal Medicine | 2002 Lelaray St Ste 130, Colorado Springs, CO 80909-2804 | 2020-10-30 |
| 1003074568 | William Julius Klein Jr. | Internal Medicine | 855 Gold Camp Rd, Colorado Springs, CO 80906-5869 | 2008-05-30 |
| 1386244036 | Pikes Peak Nephrology Associates PC | Internal Medicine | 2508 Airport Rd, Colorado Springs, CO 80910-3120 | 2020-10-30 |
| 1114527967 | Pikes Peak Nephrology Associates PC | Internal Medicine | 6071 E Woodmen Rd, Colorado Springs, CO 80923-2607 | 2020-10-30 |
| 1396345047 | Pikes Peak Nephrology Associates PC | Internal Medicine | 2222 N Nevada Ave, Colorado Springs, CO 80907-6819 | 2020-10-30 |
| 1154921906 | Pikes Peak Nephrology Associates PC | Internal Medicine | 1400 E Boulder St, Colorado Springs, CO 80909-5533 | 2020-10-30 |
| 1982204210 | Pikes Peak Nephrology Associates PC | Internal Medicine | 2802 International Cir, Colorado Springs, CO 80910-3127 | 2020-10-27 |
| 1992305262 | Pikes Peak Nephrology Associates PC | Internal Medicine | 6001 E Woodmen Rd, Colorado Springs, CO 80923-2601 | 2020-10-27 |
| 1538769872 | Pikes Peak Nephrology Associates PC | Internal Medicine | 2180 Hollow Brook Dr, Colorado Springs, CO 80918-1444 | 2020-10-27 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80909 |
Please comment or provide details below to improve the information on PIKES PEAK NEPHROLOGY ASSOCIATES PC.
| 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.