UROLOGY OF PUEBLO, PC (NPI# 1659791994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659791994 |
| Entity Type | Organization |
| Organization Name | UROLOGY OF PUEBLO, PC |
| Practice Address |
1925 E Orman Ave Ste A340 Pueblo CO 81004-3571 |
| Practice Telephone | 7195697400 |
| Practice Fax Number | 7195697338 |
| Mailing Telephone | 7195697400 |
| Mailing Fax Number | 7195697338 |
| Enumeration Date | 2014-04-25 |
| Last Update Date | 2020-06-08 |
| Authorized Official Name | ANTONIO PADILLA FELIZ (PRESIDENT) |
| Authorized Official Telephone | 7195697400 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | DR.0037048 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 82981035 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Urology of Pueblo, PC | 1925 E. Orman Ave., Ste A340, Pueblo, CO 81004 |
| Street Address |
1925 E ORMAN AVE STE A340 |
| City | PUEBLO |
| State | CO |
| Zip Code | 81004-3571 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538165691 | Antonio Padilla Feliz | Specialist | 1925 E Orman Ave Ste A340, Pueblo, CO 81004-3571 | 2005-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780155929 | Renee C Lane | Nurse Practitioner | 1925 E. Orman Ave. Ste. A109, Pueblo, CO 81004 | 2018-12-16 |
| 1215406913 | Kaiser Foundation Healthplan of Colorado | Pharmacy | 2625 W. Pueblo Blvd, Pueblo, CO 81004 | 2018-11-26 |
| 1053895532 | Rebecka Ann Reatherford | Nurse Practitioner | St Mary-corwin Medical Center, 1008 Minnequa Ave, Pueblo, CO 81004 | 2018-09-20 |
| 1124510821 | Angela M Sillas-green | Counselor | 327 Colorado Ave., Pueblo, CO 81004 | 2018-05-30 |
| 1558898569 | Alexandra R B King | Family Medicine | Southern Colorado Family Medicine, 902 Lakeview Avenue, Pueblo, CO 81004 | 2017-05-22 |
| 1578098752 | James Williams | Counselor | 414 Broadway Ave, Pueblo, CO 81004 | 2017-04-26 |
| 1740732601 | Valerie A Senger | Counselor | 635 W Corona Ave Ste 214, Pueblo, CO 81004 | 2016-10-26 |
| 1194111500 | A New Leaf Therapy, Pllc | Community/Behavioral Health | 327 Colorado Ave, Pueblo, CO 81004 | 2015-04-13 |
| 1619371671 | Mariah Mcginnis | Registered Nurse | 1232 Van Buren St., Pueblo, CO 81004 | 2014-10-20 |
| 1730593112 | Maritza Martinez | Registered Nurse | 1026 Wabriendo Ave, Pueblo, CO 81004 | 2014-06-13 |
| Find all providers in zip 81004 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902436256 | Parkview Ancillary Services | Urology | 4100 Jerry Murphy, Pueblo, CO 81001-1046 | 2020-01-24 |
| 1265070353 | Parkview Ancillary Services | Urology | 3676 Parker Blvd., Ste. 280, Pueblo, CO 81008-2214 | 2019-12-19 |
| 1467749978 | Katy Konkle | Urology | 3676 Parker Blvd, Ste 280, Pueblo, CO 81008-2214 | 2011-07-05 |
| 1568645174 | Christopher Y C Louie Md PC | Urology | 1619 N Greenwood St, St #210, Pueblo, CO 81003-2656 | 2007-12-06 |
| 1467435149 | Christopher Y C Louie | Urology | 1619 N Greenwood St, Suit #210, Pueblo, CO 81003-2656 | 2005-11-27 |
| 1144225624 | Urology Consultants PC | Urology | 4100 Jerry Murphy Rd, Pueblo, CO 81001-1076 | 2005-06-20 |
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|---|---|---|---|---|
| 1396350476 | Poudre Valley Medical Group, LLC | Urology | 2315 E Harmony Rd Ste 140, Fort Collins, CO 80528-8620 | 2020-09-15 |
| 1619586187 | Poudre Valley Medical Group, LLC | Urology | 175 S Union Blvd Ste 315, Colorado Springs, CO 80910-3126 | 2020-07-30 |
| 1932718418 | Portercare Adventist Health System | Urology | 2352 Meadows Blvd Ste 300u, Castle Rock, CO 80109-8406 | 2020-07-30 |
| 1417566274 | Portercare Adventist Health System | Urology | 9949 S Oswego St Ste 300, Parker, CO 80134-3888 | 2020-07-28 |
| 1255981833 | Advanced Urology, Pllc | Urology | 500 W 144th Ave Ste 220, Westminster, CO 80023-9328 | 2019-09-16 |
| 1316597990 | Advanced Urology, Pllc | Urology | 1411 S Potomac St Ste 210, Aurora, CO 80012-4538 | 2019-09-16 |
| 1629628201 | Advanced Urology, Pllc | Urology | 2030 Mountain View Ave Ste 420, Longmont, CO 80501-3182 | 2019-09-16 |
| 1528618303 | Advanced Urology, Pllc | Urology | 4743 Arapahoe Ave Ste 104, Boulder, CO 80303-1123 | 2019-09-13 |
| 1902463508 | San Juan Regional Medical Center Inc | Urology | 1485 Florida Rd Ste 103a, Durango, CO 81301-6873 | 2019-05-20 |
| 1093207680 | University Physicians Incorporated | Urology | 9330 S University Blvd Ste 230, Highlands Ranch, CO 80126-5049 | 2018-05-31 |
| 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.