DR. ROBERT L DRAKE (NPI# 1700066735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700066735 |
| Entity Type | Individual |
| Full Name | DR. ROBERT L DRAKE |
| Credential | MD |
| Practice Address |
1008 Minnequa Ave Centura Health St Mary Corwin Medic Pueblo CO 81004-3733 |
| Practice Telephone | 7195574766 |
| Mailing Telephone | 7195574766 |
| Enumeration Date | 2007-11-07 |
| Last Update Date | 2016-11-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 23912 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 01239128 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104364652 | Robert Drake | Technician, Other | 5000 France Ave, North Charleston, SC 29405-4208 | 2017-02-04 |
| 1154543619 | Robert Daryn Drake | Optometrist | 13777 S. State Hwy. 51, Coweta, OK 74429 | 2007-05-03 |
| 1205984234 | Robert Grant Drake Jr. | Psychiatry & Neurology | 623 West Huron St., Office 2c, Ann Arbor, MI 48103-6712 | 2007-01-08 |
| 1053727909 | Robert S Drake | Counselor | 7825 N Dale Mabry Hwy, # 100, Tampa, FL 33614-3286 | 2014-07-10 |
| 1689912123 | Robert E Drake | Psychiatry & Neurology | 85 Mechanic St, Suite B4-1, Lebanon, NH 03766-1537 | 2013-01-17 |
| 1831416239 | Robert Drake | Counselor | 5323 Harry Hines Blvd, Dallas, TX 75390-9088 | 2010-04-23 |
| 1528151685 | Robert G Drake Jr. | Family Medicine | 79 Imaging Dr, Somerset, KY 42503-2869 | 2006-10-02 |
| 1609836543 | Robert Paul Drake | Podiatrist | 255 N Gilbert St, Suite B, Hemet, CA 92543 | 2006-03-24 |
| 1730153818 | Robert A Drake | Family Medicine | 961 Spring Creek Rd, Chattanooga Family Practice Associates PC, Chattanooga, TN 37412-3909 | 2006-02-15 |
| 1194726224 | Robert L. Drake | Internal Medicine | 335 Glessner Ave, Mansfield, OH 44903-2269 | 2005-08-10 |
| Street Address |
1008 MINNEQUA AVE CENTURA HEALTH ST MARY CORWIN MEDIC |
| City | PUEBLO |
| State | CO |
| Zip Code | 81004-3733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366447922 | Gregory S Larsen | Anesthesiology | 1008 Minnequa Ave, Pueblo, CO 81004-3733 | 2005-06-20 |
| 1497360705 | Catholic Health Initiatives Colorado | Internal Medicine | 1008 Minnequa Ave, Pueblo, CO 81004-3733 | 2020-09-14 |
| 1649894833 | Obstetrix Medical Group of Colorado, P.C. | Pediatrics | 1008 Minnequa Ave, Pueblo, CO 81004-3733 | 2020-06-03 |
| 1932735321 | Usacs of Colorado Inc | Emergency Medicine | 1008 Minnequa Ave, Pueblo, CO 81004-3733 | 2020-03-17 |
| 1992264105 | Heather Crump Thoreson | Pharmacist | 1008 Minnequa Ave, Pueblo, CO 81004-3733 | 2019-03-18 |
| 1225543630 | Catholic Health Iniatives Colorado | General Acute Care Hospital | 1008 Minnequa Ave, Pueblo, CO 81004-3733 | 2017-12-07 |
| 1467985713 | Richard Wayne Tsambikos | General Practice | 1008 Minnequa Ave, Pueblo, CO 81004-3733 | 2017-04-04 |
| 1053859983 | Danielle Marie Sanders | Nurse Practitioner | 1008 Minnequa Ave, Pueblo, CO 81004 | 2017-02-12 |
| 1497207336 | April Irvine | Dietitian, Registered | 1008 Minnequa Ave, Pueblo, CO 81004-3733 | 2016-10-26 |
| 1750737862 | Trevor Wilson Halle | Emergency Medicine | 1008 Minnequa Ave, Pueblo, CO 81004-3733 | 2016-05-06 |
| Find all providers in the same location | ||||
| 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 | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1699200535 | Nida Firdous | Internal Medicine | 400 W 16th St # 105, Pueblo, CO 81003-2781 | 2017-04-28 |
| 1134653876 | Logan Reimer | Internal Medicine | 2511 N Greenwood St, Pueblo, CO 81003-3649 | 2017-04-19 |
| 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 |
| 1730507740 | Shannan Patterson | Internal Medicine | 1008 Minnequa Ave Ste 1124, Pueblo, CO 81004-3733 | 2014-04-07 |
| 1932544855 | Megan Christine Reichmuth | Internal Medicine | 1600 N Grand Ave Ste 140, Pueblo, CO 81003-2755 | 2013-05-06 |
| 1851650188 | Anh-thu Qui Nguyen | Internal Medicine | 4722 Eagleridge Circle, Pueblo, CO 81008-2120 | 2012-05-07 |
| Find all providers in PUEBLO | ||||
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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.