SUMMIT DERMATOLOGY, P.C. (NPI# 1629291893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629291893 |
| Entity Type | Organization |
| Organization Name | SUMMIT DERMATOLOGY, P.C. |
| Practice Address |
8890 N Union Blvd Suite 207 Colorado Springs CO 80920-7799 |
| Practice Telephone | 7196670888 |
| Practice Fax Number | 7196670808 |
| Mailing Telephone | 7196670888 |
| Mailing Fax Number | 7196670808 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2013-11-27 |
| Authorized Official Name | KEVIN L WHALEY I (PHYSICIAN AND OWNER) |
| Authorized Official Telephone | 7196670888 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 33020 | CO | Other Service Providers |
| Street Address |
8890 N UNION BLVD SUITE 207 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80920-7799 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508862152 | James Paul Duffey | Orthopaedic Surgery | 8890 N Union Blvd, Suite 171, Colorado Springs, CO 80920-7799 | 2005-06-28 |
| 1598324428 | Uch-mhs | Clinic/Center | 8890 N Union Blvd, Colorado Springs, CO 80920-7799 | 2019-06-13 |
| 1144610908 | Brittany Loeser | Physician Assistant | 8890 N Union Blvd, Colorado Springs, CO 80920 | 2015-02-02 |
| 1992057947 | Southern Colorado Medicine Inc | Nurse Practitioner | 8890 N Union Blvd, Suite 185, Colorado Springs, CO 80920-7799 | 2012-10-15 |
| 1316265697 | Memorial Health System | Specialist | 8890 N Union Blvd, Suite 160, Colorado Springs, CO 80920-7799 | 2010-05-11 |
| 1861721359 | Kathryn Ciamaichelo | Dietitian, Registered | 8890 N Union Blvd, Colorado Springs, CO 80920-7799 | 2009-12-14 |
| 1235466673 | Deedra K. Meyers | Physician Assistant | 8890 N Union Blvd, Suite 207, Colorado Springs, CO 80920-7799 | 2009-11-05 |
| 1902139637 | Doranna Christenson Md PC | Obstetrics & Gynecology | 8890 N Union Blvd, Suite 175-180, Colorado Springs, CO 80920-7799 | 2009-09-14 |
| 1962659755 | University Physicians Incorporated | Obstetrics & Gynecology | 8890 N Union Blvd, Colorado Springs, CO 80920 | 2008-08-22 |
| 1013172162 | Northside Associates, PC | Surgery | 8890 N Union Blvd, Suite 200, Colorado Springs, CO 80920-7799 | 2008-07-28 |
| Find all providers in the same location | ||||
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942171 | Colorado Otolaryngology Associates, LLC | Specialist | 6031 E. Woodmen Rd., Ste. 300, Colorado Springs, CO 80923 | 2020-11-06 |
| 1669079075 | Colorado Otolaryngology Associates, LLC | Specialist | 6071 E Woodmen Rd Ste 325, Colorado Springs, CO 80923-2612 | 2020-10-08 |
| 1205459633 | Associates In Gastroenterology, P.C. | Specialist | 6011 E Woodmen Rd Ste 345, Colorado Springs, CO 80923-2606 | 2020-05-20 |
| 1154973451 | Jimson Franck | Specialist | 4330 Hunting Meadows Cir, Colorado Springs, CO 80916-2460 | 2019-07-16 |
| 1477083954 | Elizabeth Mary Edling | Specialist | 8321 Steadman Dr, Colorado Springs, CO 80920-7058 | 2017-06-15 |
| 1306385026 | Kirsten Arbogast | Specialist | 2017 E Van Buren St, Colorado Springs, CO 80909-7828 | 2017-02-14 |
| 1538602750 | Shelby Thomas | Specialist | 6225 Emma Ln, Colorado Springs, CO 80922-1825 | 2016-11-19 |
| 1174073431 | Danella Ann Lynn | Specialist | 6140 Tutt Blvd Ste 120, Colorado Springs, CO 80923-3574 | 2016-10-11 |
| 1821449851 | Deana Schlepp | Specialist | 6219 Gemfield Dr, Colorado Springs, CO 80918-6107 | 2016-06-30 |
| 1639539612 | Andrew Bonner | Specialist | 102 S Tejon St Ste 1100, Colorado Springs, CO 80903 | 2016-03-03 |
| Find all providers in COLORADO SPRINGS | ||||
| 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.