OAK SPRINGS FAMILY MEDICINE PC (NPI# 1487868980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487868980 |
Entity Type | Organization |
Organization Name | OAK SPRINGS FAMILY MEDICINE PC |
Practice Address |
3910 S Carefree Cir Ste C Colorado Springs CO 80917-3053 |
Practice Telephone | 7195744780 |
Practice Fax Number | 7195748405 |
Mailing Telephone | 7195744780 |
Mailing Fax Number | 7195748405 |
Enumeration Date | 2007-05-10 |
Last Update Date | 2013-07-18 |
Authorized Official Name | GARY SAMUEL JEWELL (PRESIDENT) |
Authorized Official Telephone | 7195744780 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
Street Address |
3910 S CAREFREE CIR STE C |
City | COLORADO SPRINGS |
State | CO |
Zip Code | 80917-3053 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194759274 | Joanne E Vogel | Nurse Practitioner | 3910 S Carefree Cir Ste C, Colorado Springs, CO 80917-3053 | 2006-07-11 |
1801440433 | Rita Alexis Karones Yang | Nurse Practitioner | 3910 S Carefree Cir Ste C, Colorado Springs, CO 80917-3053 | 2019-07-31 |
1811468259 | Fenix Health Dme LLC | Durable Medical Equipment & Medical Supplies | 3910 S Carefree Cir Ste C, Colorado Springs, CO 80917-3053 | 2018-12-11 |
1811467517 | Fenix Health LLC | Pain Medicine | 3910 S Carefree Cir Ste C, Colorado Springs, CO 80917-3053 | 2018-11-26 |
1275051955 | Hillary Sheppeard | Nurse Practitioner | 3910 S Carefree Cir Ste C, Colorado Springs, CO 80917-3053 | 2017-09-01 |
1447643127 | Colorado Institute for Pain Management LLC | Physical Medicine & Rehabilitation | 3910 S Carefree Cir Ste C, Colorado Springs, CO 80917-3053 | 2015-03-05 |
1124264601 | Monica Marie Preston | Nurse Practitioner | 3910 S Carefree Cir Ste C, Colorado Springs, CO 80917 | 2009-01-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952910499 | Select Physical Therapy of Colorado Springs Lp | Durable Medical Equipment & Medical Supplies | 5660 Barnes Road, Suite 116, Colorado Springs, CO 80917 | 2020-07-30 |
1043796774 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 3475 North Academy Blvd, Colorado Springs, CO 80917 | 2018-07-16 |
1598273153 | Ariana Goemaere | Behavior Technician | 3535 Parkmoor Village Dr, Colorado Springs, CO 80917 | 2018-01-17 |
1366959769 | Behavioral Health Consultants, Inc. | Clinic/Center | 3210 North Academy Blvd, Suite 3, Colorado Springs, CO 80917 | 2018-01-08 |
1558870030 | Falisha Rief | Assistant Behavior Analyst | 2790 North Academy Blvd, Suite 180, Colorado Springs, CO 80917 | 2017-09-27 |
1407374655 | Christina Otto | Assistant Behavior Analyst | 2790 North Academy, Suite 180, Colorado Springs, CO 80917 | 2017-09-07 |
1992155956 | Georgina Segura | Nurse Practitioner | 5135 Iron Horse Trl, Colorado Springs, CO 80917 | 2016-06-20 |
1952685182 | Barbara Hazard Henning | Pharmacist | 3840 N Academy Blvd, Colorado Springs, CO 80917 | 2011-10-06 |
1659651412 | Nicole Blakesley | Psychologist | 3264 Vail Pass Drive, Colorado Springs, CO 80917 | 2011-08-25 |
1427360254 | Austinbluffs Dental Prof. LLC | Dentist | 3952 North Academy, Colorado Springs, CO 80917 | 2010-07-09 |
Find all providers in zip 80917 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992330500 | Quality Medical Clinic LLC | Clinic/Center | 3604 Galley Rd Ste 201, Colorado Springs, CO 80909-4301 | 2020-03-04 |
1629550868 | Cynthia R. Behrens | Clinic/Center | 1900 E Pikes Peak Ave Ste 1, Colorado Springs, CO 80909-5862 | 2018-09-04 |
1134614936 | Liberty Pain Institute | Clinic/Center | 2020 N Academy Blvd Ste 155, Colorado Springs, CO 80909-1569 | 2018-06-25 |
1396235511 | E Dawn Martin Caciii LLC | Clinic/Center | 1702 E Pikes Peak Ave, Colorado Springs, CO 80909-5717 | 2018-05-14 |
1891152203 | Atlas Integration LLC | Clinic/Center | 5490 Powers Center Pt, Colorado Springs, CO 80920-7166 | 2016-01-15 |
1659504454 | Wzupdoc, Inc. | Clinic/Center | 4711 Opus Rd, Suite 201, Colorado Springs, CO 80906-8694 | 2009-08-26 |
1629295225 | Becky Lynn Tanner | Clinic/Center | 1721 W Colorado Ave, Colorado Springs, CO 80904-3809 | 2007-04-18 |
1275142390 | Allinfamilymed | Clinic/Center | 2139 N Academy Blvd, Colorado Springs, CO 80909-1507 | 2020-07-24 |
1164061099 | Mmd Services, PC | Clinic/Center | 1485 Garden of The Gods Rd Ste 172, Colorado Springs, CO 80907-3304 | 2019-12-23 |
1013465327 | Kids Are Great Pediatrics | Clinic/Center | 320 E Fontanero St, Suite 308, Colorado Springs, CO 80907-7529 | 2016-09-15 |
Find all providers in COLORADO SPRINGS |
City | COLORADO SPRINGS |
Zip Code | 80917 |
Please comment or provide details below to improve the information on OAK SPRINGS FAMILY MEDICINE 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.