JACQUELINE MITONGO KABONGO (NPI# 1417290032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417290032 |
| Entity Type | Individual |
| Full Name | JACQUELINE MITONGO KABONGO |
| Credential | M.D. |
| Practice Address |
2222 North Nevada Avenue Suite 4001 Colorado Springs CO 80907 |
| Mailing Address |
2 South Cascade Avenue Suite 140 Colorado Springs CO 80903-1604 |
| Practice Telephone | 7196369393 |
| Practice Fax Number | 7196369087 |
| Mailing Telephone | 7195382900 |
| Mailing Fax Number | 7195382961 |
| Enumeration Date | 2013-04-02 |
| Last Update Date | 2016-09-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | DR.0057178 | CO | Allopathic & Osteopathic Physicians |
| Street Address |
2222 NORTH NEVADA AVENUE SUITE 4001 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073591384 | John Lindley Frerichs | Surgery | 2222 North Nevada Avenue, Suite 5017, Colorado Springs, CO 80907-6865 | 2006-01-06 |
| 1396110045 | Jennifer Mae Martin | Nurse Practitioner | 2222 North Nevada Avenue, Suite 4001, Colorado Springs, CO 80907 | 2015-12-07 |
| 1982095089 | Gina Kaufman | Nurse Practitioner | 2222 North Nevada Avenue, Suite 4001, Colorado Springs, CO 80907 | 2015-02-10 |
| 1336555796 | Lisa Galaider | Hospitalist | 2222 North Nevada Avenue, Suite 4001, Colorado Springs, CO 80907 | 2014-07-07 |
| 1912341793 | Albert Hor | Internal Medicine | 2222 North Nevada Avenue, Suite 4001, Colorado Springs, CO 80907 | 2013-04-23 |
| 1093066243 | Lindsay Maye Mcclurg | Physician Assistant | 2222 North Nevada Avenue, Suite 4001, Colorado Springs, CO 80907 | 2012-09-27 |
| 1730442518 | Wajahat U Khan | Internal Medicine | 2222 North Nevada Avenue, Suite 4001, Colorado Springs, CO 80907 | 2012-06-18 |
| 1972607067 | Joseph Patrick Moore | Internal Medicine | 2222 North Nevada Avenue, Suite 5001, Colorado Springs, CO 80907-6865 | 2006-09-11 |
| 1093731432 | Benjamin Arthur Delano | Surgery | 2222 North Nevada Avenue, Suite 5017, Colorado Springs, CO 80907-6865 | 2006-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871124057 | Margaret Elizabeth Macnabb | Occupational Therapist | 955 West Fillmore Street, Colorado Springs, CO 80907 | 2020-01-28 |
| 1598300394 | Eric L Peterson | Counselor | 4570 Hilton Pwky, Colorado Springs, CO 80907 | 2019-11-15 |
| 1669020160 | Vcphcs Xii, LLC | Clinic/Center | 4157-4159 Centennial Blvd, Colorado Springs, CO 80907 | 2019-08-28 |
| 1366907123 | Natural Healthcare, LLC | Chiropractor | 3030 N Hancock Ave Suite D, Colorado Springs, CO 80907 | 2019-02-06 |
| 1063981777 | Samuel Ray Porterfield | Social Worker | Pfc Floyd K. Lindstrom Outpatient Clinic, 3141 Centennial Blvd., Colorado Springs, CO 80907 | 2018-11-26 |
| 1982170114 | A Physicians Home Care | Home Health | 905 W Garden of The Gods Rd Suite F, Colorado Springs, CO 80907 | 2018-10-15 |
| 1689196180 | Reena Annetta Manka | Counselor | 888 Garden of The Gods, 150, Colorado Springs, CO 80907 | 2017-07-17 |
| 1356870356 | Solaris Hc Co Inc | Hospice Care, Community Based | 1045 Garden of Gods Rd, Colorado Springs, CO 80907 | 2017-06-05 |
| 1649704826 | Colorado Springs Urological Associates Pllc | Urology | 1644 Medical Center Point, Suite 200, Colorado Springs, CO 80907 | 2017-04-14 |
| 1194274704 | Sarah Lynn Hartman | Dietitian, Registered | 3207 North Academy Blvd, Colorado, CO 80907 | 2016-09-23 |
| Find all providers in zip 80907 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1912435181 | Alpha Group LLC | Internal Medicine | 2920 N Cascade Ave Ste 201, Colorado Springs, CO 80907-6264 | 2017-05-31 |
| 1982013082 | Springs Medical Associates, Inc | Internal Medicine | 155 Printers Pkwy Ste 230, Colorado Springs, CO 80910-6102 | 2014-08-04 |
| 1477961787 | Karen Steinberg | Internal Medicine | 6117 Del Paz Dr, Colorado Springs, CO 80918-3003 | 2014-07-30 |
| 1114209079 | Touchstone Internal Medicine Pllc | Internal Medicine | 218 E Cheyenne Mtn Blvd, Colorado Springs, CO 80906-3720 | 2011-09-15 |
| 1336470608 | Robert Anthony Hannaman | Internal Medicine | 1455 Quail Lake Loop, Ste 100, Colorado Springs, CO 80906-4664 | 2010-01-26 |
| 1548402647 | Colorado Community Clinic Inc | Internal Medicine | 1605 N Union Blvd Ste 100, Colorado Springs, CO 80909 | 2009-04-03 |
| 1255589297 | Kendra D Robison | Internal Medicine | 6340 E Barnes Road, Colorado Springs Health Partners Internal Medicine, Colorado Springs, CO 80922 | 2008-09-03 |
| 1902066442 | David Carlton Shepherd | Internal Medicine | 5550 Vessey Rd, Colorado Springs, CO 80908-3288 | 2008-06-09 |
| 1831360585 | Munni Selagamsetty,md,pc | Internal Medicine | 2875 International Circle, Colorado Springs, CO 80910 | 2008-03-20 |
| 1023212602 | Catherine Noelle O'shea | Internal Medicine | 8501 Jacks Fork Dr, Colorado Springs, CO 80924-8117 | 2007-06-14 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80907 |
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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.