DR. LAURA C KISSELL


Address: 1400 E Boulder St Ste 600, Colorado Springs, CO 80909-5533
Phone: 7193646487

DR. LAURA C KISSELL (NPI# 1730130337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730130337
Entity Type Individual
Full Name DR. LAURA C KISSELL
Credential M.D.
Practice Address 1400 E Boulder St Ste 600
Colorado Springs
CO 80909-5533
Mailing Address 2695 Rocky Mountain Ave Ste 150
Loveland
CO 80538-9071
Practice Telephone 7193646487
Practice Fax Number 7193648347
Enumeration Date 2006-05-16
Last Update Date 2020-02-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2086S0129X Surgery
Specialization: Vascular Surgery
200400694 NC Allopathic & Osteopathic Physicians
Y 2086S0129X Surgery
Specialization: Vascular Surgery
44538 CO Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CO MEDICARE INDIVIDUAL PTAN COA109844 01
CO PHYSICIAN LICENSE 44538 01
NC PHYSICIAN LICENSE 200400694 01
MEDICARE ID 805636 01

Office Location

Street Address 1400 E BOULDER ST STE 600
City COLORADO SPRINGS
State CO
Zip Code 80909-5533

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245217108 David C Corry Surgery 1400 E Boulder St Ste 600, Colorado Springs, CO 80909-5533 2005-12-30
1477168557 Poudre Valley Medical Group, LLC Surgery 1400 E Boulder St Ste 600, Colorado Springs, CO 80909-5533 2020-09-15
1659984003 Poudre Valley Medical Group, LLC Podiatrist 1400 E Boulder St Ste 600, Colorado Springs, CO 80909-5533 2020-08-26
1447769351 Bartlomiej Lipko Physician Assistant 1400 E Boulder St Ste 600, Colorado Springs, CO 80909-5533 2017-09-22
1982052510 Renaie Leblond Physician Assistant 1400 E Boulder St Ste 600, Colorado Springs, CO 80909-5533 2016-05-24
1093188773 Michelle S. Janowsky Physician Assistant 1400 E Boulder St Ste 600, Colorado Springs, CO 80909-5533 2015-11-03
1902298771 Molly Beth Peterlin Physician Assistant 1400 E Boulder St Ste 600, Colorado Springs, CO 80909-5533 2015-03-03
1477983369 Christopher Dorozynski Physician Assistant 1400 E Boulder St Ste 600, Colorado Springs, CO 80909-5533 2013-11-14
1154671295 Julie Ann Caballero Physician Assistant 1400 E Boulder St Ste 600, Colorado Springs, CO 80909-5533 2012-09-17
1043570161 Brett Allen Fair Surgery 1400 E Boulder St Ste 600, Colorado Springs, CO 80909 2012-05-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376173765 Ascent Health LLC Community/Behavioral Health 2608 Palmer Park Blvd., Colorado Springs, CO- COLORADO 80909 2020-01-24
1639714041 Peak Vista Community Health Centers Clinic/Center 4041 E San Miguel St, Colorado Springs, CO 80909 2019-11-08
1437706231 Cvs Pharmacy Inc Durable Medical Equipment & Medical Supplies 445 N Circle Drive, Colorado Springs, CO 80909 2019-08-26
1760952964 James Garofalo Counselor 2210 E La Salle St Ste 221, Colorado Spgs, CO 80909 2018-11-29
1144719055 Autumn Leaves Counseling, LLC Counselor 2130 Academy Circle, Suite B, Co Springs, CO 80909 2018-05-07
1407353642 Ambulnz Co, LLC Ambulance 2420 E Pikes Peak Ave Ste 1001, Colorado Springs, CO 80909 2018-04-12
1083117998 Peak Wellness Counseling Service, LLC Counselor 2210 E. La Salle Street, Suite 208, Colorado Springs, CO 80909 2018-03-16
1043740822 Ande Carol West Dental Hygienist 701 Citadel Drive East, Colorado Springs, CO 80909 2017-06-14
1043748791 Colorado Springs Pharmacy LLC Pharmacy 2224 E. Pikes Peak Ave, Colorado Springs, CO 80909 2017-05-25
1215484365 Brittney Nicole Roberts Physical Therapist 2201 Lelaray St., Colorado Springs, CO 80909 2016-09-07
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Taxonomy Information

Taxonomy Code 2086S0129X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Vascular Surgery

Taxonomy Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275896508 Dmitriy Rybitskiy Surgery 2222 N Nevada Ave Ste 5010, Colorado Springs, CO 80907-6865 2012-06-21
1124008032 Joseph Thomas Crepps Jr. Surgery 3220 Orion Dr, Colorado Springs, CO 80906-0920 2006-01-18
1730794819 Poudre Valley Medical Group, LLC Surgery 4110 Briargate Pkwy Ste 140, Colorado Springs, CO 80920-7836 2020-09-15
1477168557 Poudre Valley Medical Group, LLC Surgery 1400 E Boulder St Ste 600, Colorado Springs, CO 80909-5533 2020-09-15
1316986060 John Miller Conn Sr. Surgery 2222 N Nevada Ave, Suite 5017, Colorado Springs, CO 80907-6819 2006-06-06
1700839248 Parkside Ct Group LLC Surgery 215 Parkside Dr, Colorado Springs, CO 80910-3135 2006-05-18
1073593901 Colorado Springs Vascular, P.C. Surgery 175 S Union Blvd, Suite 320, Colorado Springs, CO 80910-3113 2006-01-18
1427038330 Scott Newton Hurlbert Surgery 1400 E Boulder St, Ste 600, Colorado Springs, CO 80909-5533 2006-01-18
1295715225 Karl Paul Dittrich Surgery 175 S Union Blvd, Suite 320, Colorado Springs, CO 80910-3113 2006-01-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1831706506 University Physicians, Incorporated Surgery 13100 E Colfax Ave Ste 70, Aurora, CO 80011-5517 2020-09-28
1376015297 Molly Goldstein Surgery 1401 Court St, Pueblo, CO 81003-2715 2018-12-18
1437412723 Junior Univers Surgery 2643 Patterson Rd Ste 401, Grand Junction, CO 81506-1937 2012-06-21
1518230333 James Gilbert Chandler Surgery 3721 Mountain Laurel Pl, Boulder, CO 80304-0798 2012-02-10
1982982567 Benson M Powell II Surgery 2572 Silver Oak Ct, Grand Junction, CO 81505-1091 2011-07-29
1205078912 Rafael Demarchi Malgor Surgery 12631 E 17th Ave # Msc312, Aurora, CO 80045-2527 2009-03-26
1770610735 Thomas F Rehring Surgery 2045 N Franklin St Fl 3, Denver, CO 80205-5437 2007-02-27
1770624298 Charles O Brantigan Md Surgery 2253 Downing St, Denver, CO 80205-5234 2007-02-09
1588717656 Cass William Conaway Surgery 721 19th St, Denver, CO 80202-2500 2007-01-19
1053464669 Cardiovascular and Thoracic Surgical Associates Surgery 1600 N Grand Ave Ste 500, Pueblo, CO 81003-2757 2007-01-18
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Competitor

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City COLORADO SPRINGS
Zip Code 80909

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Dataset Information

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.

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