COLORADO PERMANENTE MEDICAL GROUP, P.C. (NPI# 1487100541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487100541 |
| Entity Type | Organization |
| Organization Name | COLORADO PERMANENTE MEDICAL GROUP, P.C. |
| Other Organization Name | KAISER PERMANENTE PARKSIDE MEDICAL OFFICES |
| Practice Address |
215 S Parkside Dr Ste 215 Colorado Springs CO 80910-3131 |
| Mailing Address |
10350 E Dakota Ave Denver CO 80247-1314 |
| Practice Telephone | 3033384545 |
| Mailing Telephone | 3033384545 |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2019-09-24 |
| Authorized Official Name | MATTHEW J SPLINTER (CPMG CFO) |
| Authorized Official Telephone | 3033447345 |
| Is Organization Subpart | Y |
| Parent Organization Name | COLORADO PERMANENTE MEDICAL GROUP, P.C. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | CO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 04710083 | 05 |
| Other Name | Type Code |
|---|---|
| Kaiser Permanente Parkside Medical Offices | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336775469 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 3920 N Union Blvd, Colorado Springs, CO 80907-4900 | 2020-03-20 |
| 1952937039 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 14701 E Exposition Ave, Aurora, CO 80012-2623 | 2020-03-20 |
| 1851927933 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 10240 Park Meadows Dr, Lone Tree, CO 80124-5425 | 2020-03-20 |
| 1669008744 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 8383 W Alameda Ave, Lakewood, CO 80226-3007 | 2020-03-20 |
| 1639641152 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 2625 W Pueblo Blvd, Pueblo, CO 80014-5833 | 2018-12-21 |
| 1083161152 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 226 Lusher Court, Ste 104, Frisco, CO 80443-7600 | 2016-09-07 |
| 1932655099 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 56 Edwards Village Blvd, Ste 208, Edwards, CO 81632-7802 | 2016-08-29 |
| 1205382363 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 1136 E Stuart St, Bldg 3, 2nd Floor, Fort Collins, CO 80525-1195 | 2016-08-29 |
| 1174079594 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 4318 Trail Boss Dr, Ste 100, Castle Rock, CO 80104-7512 | 2016-08-26 |
| 1881140200 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 10168 Parkglenn Way, Parker, CO 80138-3868 | 2016-08-26 |
| Street Address |
215 S PARKSIDE DR STE 215 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80910-3131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871537803 | David I Greenberg | Internal Medicine | 215 S Parkside Dr, Suite 215, Colorado Springs, CO 80910-3131 | 2006-06-16 |
| 1346789609 | Daniel Krawzyk | Registered Nurse | 215 S Parkside Dr, Colorado Springs, CO 80910-3131 | 2017-02-20 |
| 1083064711 | Colorado Permanente Medical Group, PC | Internal Medicine | 215 S Parkside Dr, Colorado Springs, CO 80910-3131 | 2016-06-14 |
| 1881090967 | Kaiser Foundation Health Plan of Colorado | Pharmacy | 215 S Parkside Dr, Colorado Springs, CO 80910-3131 | 2014-11-17 |
| 1982008785 | Kaiser Foundation Health Plan of Colorado | Clinical Medical Laboratory | 215 S Parkside Dr, Ste 215, Colorado Springs, CO 80910-3131 | 2014-10-22 |
| 1316359763 | Christopher E Chong Md PC | Internal Medicine | 215 S Parkside Dr, Colorado Springs, CO 80910-3131 | 2014-05-20 |
| 1053737304 | Kaiser Foundation Health Plan of Co | Clinic/Center | 215 S Parkside Dr, Ste 215, Colorado Springs, CO 80910-3131 | 2014-03-11 |
| 1952629024 | Pamela K Coffey | Family Medicine | 215 S Parkside Dr, Suite 215, Colorado Springs, CO 80910-3131 | 2010-05-13 |
| 1821314816 | Megan Danielle Hiles | Internal Medicine | 215 S Parkside Dr, Ste 215, Colorado Springs, CO 80910-3131 | 2010-04-15 |
| 1700015278 | Maria Laarni L Subang-doty | Internal Medicine | 215 S Parkside Dr, Suite 215, Colorado Springs, CO 80910-3131 | 2009-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952955403 | Marian Lin Mondy | Social Worker | 2909 Wellshire Blvd., Colorado Springs, CO 80910 | 2019-08-01 |
| 1538727474 | Lisa Morales | Audiologist | 3225 International Cir Ste 102, Colorado Springs, CO 80910 | 2019-06-05 |
| 1134617038 | Paul Gross | Counselor | 411 Lakewood Circle Dr, C-204-b, Colorado Springs, CO 80910 | 2018-04-25 |
| 1821502923 | Kathleen Lubos Ambros-dahilig | Dental Assistant | 2240 Gilpin Ave, Colorado Springs, CO 80910 | 2017-11-28 |
| 1508384793 | Shawn Maul | Registered Nurse | 115 S Parkside, Colorado Springs, CO 80910 | 2017-09-07 |
| 1376910521 | Kelley Elizabeth Smith Bouchard | Nurse Practitioner | 3225 International Circle Suite 220, Colorado Springs, CO 80910 | 2015-08-24 |
| 1619353430 | Dr. Steven Alan Gould Dds PC | Dentist | 2859 E. Fountain Blvd, Colorado Springs, CO 80910 | 2015-08-04 |
| 1881029155 | Francis Hammet | Chiropractor | 411 Lakewood Circle A1104, Colorado Springs, CO 80910 | 2013-09-05 |
| 1447697586 | Mcb Clinical Research Centers, LLC | Psychologist | 110 S. Parkside Drive, Colorado Springs, CO 80910 | 2013-05-30 |
| 1417206723 | Augustus Albert Edwards | Case Manager/Care Coordinator | 115 Parkside Drive, Colorado Springs, CO 80910 | 2012-08-31 |
| Find all providers in zip 80910 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295334746 | Joel Allen Miller | Clinic/Center | 2125 Norwich Dr, Colorado Springs, CO 80920-5332 | 2020-10-25 |
| 1972122232 | Chc Ncs, LLC | Clinic/Center | 11681 Voyager Pkwy Ste 110, Colorado Springs, CO 80921-3862 | 2020-04-15 |
| 1053880120 | Westside Wellness Pllc | Clinic/Center | 2020 W Colorado Ave Ste 201, Colorado Springs, CO 80904-3863 | 2018-11-19 |
| 1255831665 | Colorado Department of Corrections | Clinic/Center | 1250 Academy Park Loop, Colorado Springs, CO 80910-3708 | 2018-02-13 |
| 1205355732 | Healthworks Med Group of Colorado P C | Clinic/Center | 9970 Federal Dr, Colorado Springs, CO 80921-3616 | 2017-09-15 |
| 1841688058 | Thrive Wellness Centre | Clinic/Center | 3540 Austin Bluffs Pkwy, Ste 7 & 8, Colorado Springs, CO 80918-5731 | 2014-12-23 |
| 1609114560 | Sensible Chiropractic Pllc | Clinic/Center | 1880 Dublin Blvd Ste E, Colorado Springs, CO 80918-1224 | 2013-01-27 |
| 1194031575 | Rocky Mountain Brain Injury Services, LLC | Clinic/Center | 1420 E Fountain Blvd, Colorado Springs, CO 80910-3502 | 2010-08-24 |
| 1528220258 | Peter M. Bianco Do LLC | Clinic/Center | 5333 N Union Blvd, Ste 200, Colorado Springs, CO 80918-2051 | 2008-06-25 |
| 1740493329 | Tlc Vc, LLC | Clinic/Center | 6430 N Academy Blvd, Colorado Springs, CO 80918-8303 | 2007-05-08 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80910 |
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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.