MICHAEL SEAN MCKISIC


Address: 1725 E Boulder St, Suite 101, Colorado Springs, CO 80909-5768
Phone: 7193656300

MICHAEL SEAN MCKISIC (NPI# 1497950273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497950273
Entity Type Individual
Full Name MICHAEL SEAN MCKISIC
Credential MD
Practice Address 1725 E Boulder St
Suite 101
Colorado Springs
CO 80909-5768
Mailing Address 2695 Rocky Mountain Ave
Suite 150
Loveland
CO 80538-8702
Practice Telephone 7193656300
Mailing Telephone 9706244443
Mailing Fax Number 9704904175
Enumeration Date 2007-06-20
Last Update Date 2015-01-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207T00000X Neurological Surgery DR-53582 CO Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program 0116019544 VA Student, Health Care

Office Location

Street Address 1725 E BOULDER ST
SUITE 101
City COLORADO SPRINGS
State CO
Zip Code 80909-5768

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023013745 Ronald Rains Internal Medicine 1725 E Boulder St, Ste 204, Colorado Springs, CO 80909-5740 2005-06-17
1003218264 Kirsten Felice Harlow Physician Assistant 1725 E Boulder St, Suite 101, Colorado Springs, CO 80909-5768 2014-09-19
1912344482 Linda Kaye Anderson Nurse Practitioner 1725 E Boulder St, Colorado Springs, CO 80909-5768 2013-05-24
1487993754 Alexandra L Coffey Physical Medicine & Rehabilitation 1725 E Boulder St, Suite 101, Colorado Springs, CO 80909-5768 2013-02-06
1427376060 Memorial Health System Specialist 1725 E Boulder St, Suite 104, Colorado Springs, CO 80909-5768 2010-05-06
1376879254 Colorado Springs Nephrology Internal Medicine 1725 E Boulder St, Suite 105, Colorado Springs, CO 80909-5768 2009-10-27
1508043258 Samia Sied Ahmed Salih Internal Medicine 1725 E Boulder St, Suite 105, Colorado Springs, CO 80909-5768 2008-01-24
1487851838 Thomas S. Ridder Neurological Surgery 1725 E Boulder St, Suite 101, Colorado Springs, CO 80909-5768 2007-06-29
1417163205 Jonathan Patrick O'neil Psychiatry & Neurology 1725 E Boulder St, Suite 101, Colorado Springs, CO 80909-5768 2007-05-16
1205058526 Amita Singh Psychiatry & Neurology 1725 E Boulder St, Ste 101, Colorado Springs, CO 80909-5768 2007-05-03
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207T00000X
Grouping Allopathic & Osteopathic Physicians
Classification Neurological Surgery

Taxonomy Definition

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104976166 Steven E Murk, Md PC Neurological Surgery 175 S Union Blvd Ste 345, Colorado Springs, CO 80910-3146 2007-01-11
1760578660 Masferrer Neurosurgical, LLC Neurological Surgery 306 E Del Norte St, Colorado Springs, CO 80907-7512 2006-10-05
1871534644 Peter Michael Klara Neurological Surgery 2222 N Nevada Ave Ste 5001, Colorado Springs, CO 80907-6865 2006-06-10
1639171549 Joseph J Illig Neurological Surgery 2312 N Nevada Ave, Suite 100, Colorado Springs, CO 80907-5302 2005-08-10
1467067165 Poudre Valley Medical Group, LLC Neurological Surgery 4110 Briargate Pkwy Ste 100b, Colorado Springs, CO 80920-7836 2020-09-10
1063956381 Nicholas Maurio Neurological Surgery 8540 Scarborough Dr Ste 100, Colorado Springs, CO 80920-7518 2016-12-05
1407255565 Catholic Health Initiatives Colorado Neurological Surgery 2222 N Nevada Ave Ste 5001, Colorado Springs, CO 80907-6865 2014-08-14
1538402797 Makai Monitoring Neurological Surgery 2312 N Nevada Ave, Ste 100, Colorado Springs, CO 80907-5302 2013-04-05
1497987432 Jordan Amadio Neurological Surgery 2222 N Nevada Ave Ste 5001, Colorado Springs, CO 80907-6865 2009-08-09
1801026992 Krista N Greenan Neurological Surgery 1725 E Boulder St Ste 101, Colorado Springs, CO 80909-5740 2009-07-23
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Competitor

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City COLORADO SPRINGS
Zip Code 80909

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Dataset Information

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.

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