PENRAD IMAGING LLC (NPI# 1730780172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730780172 |
Entity Type | Organization |
Organization Name | PENRAD IMAGING LLC |
Practice Address |
17230 Jackson Creek Pkwy Ste 100 Monument CO 80132-7302 |
Mailing Address |
Po Box 2989 Colorado Springs CO 80901-2989 |
Practice Telephone | 7195931799 |
Practice Fax Number | 7192653794 |
Mailing Telephone | 7195931799 |
Mailing Fax Number | 7192653794 |
Enumeration Date | 2020-11-03 |
Last Update Date | 2020-11-03 |
Authorized Official Name | DEREK SCOTT BERGESON (RADIOLOGIST) |
Authorized Official Telephone | 7195931799 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699376038 | Penrad Imaging LLC | Clinic/Center | 2202 N Nevada Ave, Colorado Springs, CO 80907-6819 | 2020-11-03 |
1538760962 | Penrad Imaging LLC | Clinic/Center | 6011 E Woodmen Rd Ste 10, Colorado Springs, CO 80923-2603 | 2020-11-03 |
1275134611 | Penrad Imaging LLC | Clinic/Center | 1263 Lake Plaza Dr Ste 100, Colorado Springs, CO 80906-3510 | 2020-11-03 |
1851992291 | Penrad Imaging LLC | Clinic/Center | 4105 Briargate Pkwy Ste 115, Colorado Springs, CO 80920-3482 | 2020-11-03 |
1770105900 | Penrad Imaging LLC | Clinic/Center | 4925 N Nevada Ave, Colorado Springs, CO 80918-8600 | 2020-05-11 |
1003906868 | Penrad Imaging LLC | Clinic/Center | 3050 N Circle Dr, Colorado Springs, CO 80909-1175 | 2006-10-13 |
Street Address |
17230 JACKSON CREEK PKWY STE 100 |
City | MONUMENT |
State | CO |
Zip Code | 80132-7302 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407314131 | 100 Percent Chiropractic Rodgers LLC | Chiropractor | 1495 Cipriani Loop, Monument, CO 80132 | 2019-03-12 |
1417421025 | Jackson Creek Assisted Living, LLC | Assisted Living Facility | 16601 Jackson Creek Parkway, Monument, CO 80132 | 2019-01-16 |
1609357144 | Baptist Road Dental | Dentist | 1036 Baptist Road, Monument, CO 80132 | 2018-08-23 |
1609352186 | Mountain Springs Recovery LLC | Substance Abuse Rehabilitation Facility | 1865 Woodmoor Dr, Monument, CO 80132 | 2018-07-17 |
1528553070 | Comfort Dental Oral Surgery Colorado Springs LLC | Dentist | 556 W. Hwy 105, Monument, CO 80132 | 2018-06-27 |
1265926844 | Lauren Elizabeth Nasuti | Massage Therapist | 17232 Jackson Creek Pkwy, #300, Monument, CO 80132 | 2018-06-18 |
1578079224 | Courtney Hopkins | Behavior Technician | 590 Hwy 105 Suite 105, Monument, CO 80132 | 2017-12-18 |
1033623475 | Deborah Tebault | Counselor | 220 N. Washington St., Suite F, Monument, CO 80132 | 2017-11-21 |
1902347578 | Monument Dentists and Orthodontics, LLP | Dentist | 950 W Baptist Road, Suite 100, Monument, CO 80132 | 2017-03-16 |
1972909463 | Timothy P O'connor | Counselor | 3065 Mt. Herman Rd., Monument, CO 80132 | 2014-11-10 |
Find all providers in zip 80132 |
Taxonomy Code | 261QR0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Radiology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699376038 | Penrad Imaging LLC | Clinic/Center | 2202 N Nevada Ave, Colorado Springs, CO 80907-6819 | 2020-11-03 |
1538760962 | Penrad Imaging LLC | Clinic/Center | 6011 E Woodmen Rd Ste 10, Colorado Springs, CO 80923-2603 | 2020-11-03 |
1275134611 | Penrad Imaging LLC | Clinic/Center | 1263 Lake Plaza Dr Ste 100, Colorado Springs, CO 80906-3510 | 2020-11-03 |
1851992291 | Penrad Imaging LLC | Clinic/Center | 4105 Briargate Pkwy Ste 115, Colorado Springs, CO 80920-3482 | 2020-11-03 |
1376159681 | Uchealth Imaging Services LLC | Clinic/Center | 5818 N. Nevada, Suite 100, Colorado Springs, CO 80918 | 2020-09-22 |
1457967838 | Yampa Valley Medical Center | Clinic/Center | 1100 Central Park Dr Ste 1100, Steamboat Springs, CO 80487-8818 | 2020-09-21 |
1629614904 | Hca-healthone, LLC | Clinic/Center | 400 Indiana St Ste 210, Golden, CO 80401-5044 | 2019-11-21 |
1609412980 | Hca-healthone, LLC | Clinic/Center | 14100 E Arapahoe Rd Ste 120, Centennial, CO 80112-4028 | 2019-11-21 |
1558918599 | Aspen Valley Hospital Clinics, Pllc | Clinic/Center | 1450 E Valley Rd Unit 201, Basalt, CO 81621-8352 | 2019-08-23 |
1902466840 | University of Colorado Hospital Authority | Clinic/Center | 2000 S Colorado Blvd Ste 1200, Denver, CO 80222-7900 | 2019-06-13 |
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.