HEADACHE CENTER CO (NPI# 1588284012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588284012 |
| Entity Type | Organization |
| Organization Name | HEADACHE CENTER CO |
| Practice Address |
7621 Austin Bluffs Pkwy Unit 200 Colorado Springs CO 80920-2904 |
| Practice Telephone | 7195965000 |
| Practice Fax Number | 7195960890 |
| Mailing Telephone | 7195965000 |
| Mailing Fax Number | 7195960890 |
| Enumeration Date | 2020-04-24 |
| Last Update Date | 2020-09-24 |
| Authorized Official Name | JOEL RAUSER (OWNER) |
| Authorized Official Telephone | 7195965000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 207YX0901X |
Otolaryngology Specialization: Otology & Neurotology |
Allopathic & Osteopathic Physicians |
| Street Address |
7621 AUSTIN BLUFFS PKWY UNIT 200 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80920-2904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326563735 | Gina Marie Martorana Moran | Physical Therapist | 7621 Austin Bluffs Pkwy Unit 200, Colorado Springs, CO 80920-2904 | 2017-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407463409 | Cynthia Cruz | Marriage & Family Therapist | 7710 N. Union, Ste 100b and 100c, Colorado Springs, CO 80920 | 2020-09-24 |
| 1851905178 | Emergency Medical Specialists, PC | Emergency Medicine | Woodmen Fsed - Md, 3790 E. Woodmen Road, Colorado Springs, CO 80920 | 2020-09-03 |
| 1114531431 | Emergency Medical Specialists, PC | Emergency Medicine | Memorial Hospital North - Md, 4050 Briargate Pkway, Colorado Springs, CO 80920 | 2020-09-03 |
| 1205440583 | Emergency Medical Specialists, PC | Emergency Medicine | Memorial Hospital North - App, 4050 Briargate Pkway, Colorado Springs, CO 80920 | 2020-09-03 |
| 1700490455 | Poudre Valley Medical Group, LLC | Radiology | 4080 Briargate Parkway, Colorado Springs, CO 80920 | 2020-09-01 |
| 1962015792 | Emergency Medical Specialists, PC | Emergency Medicine | Woodmen Fsed - App, 3790 E. Woodmen Road, Colorado Springs, CO 80920 | 2020-08-31 |
| 1194296491 | Kramer Dentistry Inc | Clinic/Center | 9290 Highland Ridge Heights Suite # 120, Colorado Springs, CO 80920 | 2018-12-12 |
| 1134602279 | Juliana Plucinik | Assistant Behavior Analyst | 7011 Campus Drive Suite 205, Colorado Springs, CO 80920 | 2018-09-14 |
| 1811473861 | Vsb Colorado Providers Pllc | Dentist | 1750 Telstar Drive, Suite 200, Colorado Springs, CO 80920 | 2018-07-12 |
| 1336637438 | Children's Hospital Colorado | General Acute Care Hospital | 4090 Briargate Parkway, Colorado Springs, CO 80920 | 2018-04-25 |
| Find all providers in zip 80920 | ||||
| Taxonomy Code | 207YX0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otology & Neurotology |
| An otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiology, pathology, genetics, immunology, microbiology and the etiology of diseases of the ear and temporal bone. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568500189 | Joseph Lee Hegarty | Otolaryngology | 2950 Professional Pl Ste 100, Colorado Springs, CO 80904-8106 | 2007-02-03 |
| 1174746853 | Colorado Springs Ear Associates | Otolaryngology | 2950 Professional Pl Ste 100, Colorado Springs, CO 80904-8106 | 2007-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700058468 | James Eric Lupo | Otolaryngology | 601 E Hampden Ave Ste 430, Englewood, CO 80113-2770 | 2008-04-02 |
| 1538219969 | David C Kelsall | Otolaryngology | 601 E Hampden Avenue, Suite 430, Englewood, CO 80113 | 2007-01-10 |
| 1790854792 | Samuel Paul Gubbels | Otolaryngology | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2006-11-06 |
| 1306831730 | David C Kelsall Md PC | Otolaryngology | 601 E Hampden Ave, Suite 430, Englewood, CO 80113-3781 | 2005-09-12 |
| City | COLORADO SPRINGS |
| Zip Code | 80920 |
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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.