PARKVIEW ANCILLARY SERVICES (NPI# 1609419738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609419738 |
| Entity Type | Organization |
| Organization Name | PARKVIEW ANCILLARY SERVICES |
| Practice Address |
330 West 14th Street Pueblo CO 81003-2705 |
| Mailing Address |
408 N Main St Pueblo CO 81003-3123 |
| Practice Telephone | 7195957417 |
| Practice Fax Number | 7195420809 |
| Mailing Telephone | 7195957417 |
| Mailing Fax Number | 7195420809 |
| Enumeration Date | 2019-10-22 |
| Last Update Date | 2019-10-22 |
| Authorized Official Name | DARRIN R SMITH (SR. VP/COO) |
| Authorized Official Telephone | 7195844290 |
| Is Organization Subpart | Y |
| Parent Organization Name | PARKVIEW ANCILLARY SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LC0200X |
Anesthesiology Specialization: Critical Care Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 9000158182 | 05 |
| Other Name | Type Code |
|---|---|
| Anesthesia and Pain Management Service of Pueblo | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144869371 | Parkview Ancillary Services | Internal Medicine | 109 Latigo Ln Ste E, Canon City, CO 81212-8113 | 2020-01-06 |
| 1790329035 | Parkview Ancillary Services | Psychiatry & Neurology | 1619 N. Greenwood St., Ste. 402, Pueblo, CO 81003-2658 | 2019-10-30 |
| 1346883097 | Parkview Ancillary Services | Nurse Practitioner | 1600 N Grand Ave Ste 210, Pueblo, CO 81003-2749 | 2019-10-25 |
| 1548802747 | Parkview Ancillary Services | Obstetrics & Gynecology | 1501 Court, Pueblo, CO 81003-2720 | 2019-10-09 |
| 1346882602 | Parkview Ancillary Services | Psychiatry & Neurology | 56 Club Manor Dr Ste 100, Pueblo, CO 81008-1685 | 2019-10-08 |
| 1790335909 | Parkview Ancillary Services | Specialist | 4100 Jerry Murphy, Pueblo, CO 81001-1046 | 2019-09-19 |
| 1164048062 | Parkview Ancillary Services | Family Medicine | 1600 N. Grand Ave., Ste. 230, Pueblo, CO 81003-2731 | 2020-06-17 |
| 1902436256 | Parkview Ancillary Services | Urology | 4100 Jerry Murphy, Pueblo, CO 81001-1046 | 2020-01-24 |
| 1215567383 | Parkview Ancillary Services | Internal Medicine | 3670 Parker Blvd., Ste. 101, Pueblo, CO 81008-2285 | 2020-01-17 |
| 1609415181 | Parkview Ancillary Services | Orthopaedic Surgery | 3676 Parker Blvd., Ste. 310, Pueblo, CO 81008-2212 | 2019-12-31 |
| Street Address |
330 WEST 14TH STREET |
| City | PUEBLO |
| State | CO |
| Zip Code | 81003-2705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164042016 | Sunil Kumar | Student in an Organized Health Care Education/Training Program | Parkview Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2020-04-21 |
| 1497382303 | Pueblo Family Dentistry Pllc | Dentist | 701 N Grand Avenue, Suite B, Pueblo, CO 81003 | 2020-03-23 |
| 1023654241 | Elmer A. Villalon, Dmd, LLC | Clinic/Center | 1225 North Main Street, #207, Pueblo, CO 81003 | 2019-11-22 |
| 1518434349 | Mariam Rahim | Internal Medicine | Parkview Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2018-10-30 |
| 1003308222 | Julia Mcneice | Internal Medicine | Parkview Medial Center, Parkveiw Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2018-06-04 |
| 1689164857 | Jessica Sels | Internal Medicine | Parkview Medical Center Adult Medicine Clinic, 311 W 14th St, Pueblo, CO 81003 | 2018-05-14 |
| 1700313459 | Allison Vigil | Occupational Therapist | 1600 W. 24th St, Pueblo, CO 81003 | 2017-05-12 |
| 1245682020 | Paul S Bongat | Internal Medicine | 411 W. 14th St., Parkview Adult Medicine Clinic, Pueblo, CO 81003 | 2016-07-06 |
| 1013368596 | Daniel R Long | Internal Medicine | 411 West 14th Street, Pueblo, CO 81003 | 2016-06-27 |
| 1396195665 | Parkview Medical Center | General Acute Care Hospital | 411 W. 14th St, Pueblo, CO 81003 | 2016-06-17 |
| Find all providers in zip 81003 | ||||
| Taxonomy Code | 207LC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Critical Care Medicine |
| An anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538455423 | Jean Mcfall Wheeler Hoffman | Anesthesiology | 12505 E. 16th Avenue, Aurora, CO 80045 | 2011-06-20 |
| 1457359820 | Colorado Anesthesia Consultants, P.C. | Anesthesiology | 455 Sherman Street, Suite 510, Denver, CO 80203-4405 | 2005-07-11 |
| 1144674995 | Adeel Ahmad Faruki | Anesthesiology | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2016-04-18 |
| 1912392523 | Robert Whitford | Anesthesiology | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2015-03-31 |
| 1326467440 | Andrew Demars | Anesthesiology | 13001 E. 17th Place, University of Colorado School of Medicine Gme, Aurora, CO 80045-2581 | 2014-04-16 |
| 1598104622 | Sarah M Alber | Anesthesiology | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2013-06-21 |
| 1417243239 | Martin Krause | Anesthesiology | 12605 E 16th Ave, Aurora, CO 80045 | 2011-06-20 |
| 1760772206 | Samuel Dwight Gilliland | Anesthesiology | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2011-04-18 |
| 1598909160 | Joshua Jorge Vasquez | Anesthesiology | 13001 E 17th Pl, Aurora, CO 80045-2559 | 2009-04-28 |
| 1558454900 | Paul Wischmeyer | Anesthesiology | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2006-09-30 |
| Find all providers with the same taxonomy | ||||
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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.