DR. MICHAEL CRISSEY (NPI# 1760480008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760480008 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL CRISSEY |
| Practice Address |
1644 Medical Center Pt Ste 200 Colorado Springs CO 80907 |
| Mailing Address |
1715 N Cascade Ave Colorado Springs CO 80907-7446 |
| Practice Telephone | 7196341994 |
| Practice Fax Number | 7196342906 |
| Mailing Telephone | 7196307999 |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2018-05-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 18103 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 01181031 | 05 |
| Street Address |
1644 MEDICAL CENTER PT STE 200 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447258785 | Craig K Carris | Urology | 1644 Medical Center Pt Ste 200, Colorado Springs, CO 80907 | 2005-07-11 |
| 1578020640 | Angela Mei | Physician Assistant | 1644 Medical Center Pt Ste 200, Colorado Springs, CO 80907-5765 | 2019-02-26 |
| 1629540141 | Dominique Shelle | Physician Assistant | 1644 Medical Center Pt Ste 200, Colorado Springs, CO 80907-5765 | 2018-12-21 |
| 1891057923 | James Abram Mcbride | Urology | 1644 Medical Center Pt Ste 200, Colorado Springs, CO 80907 | 2012-06-14 |
| 1932425998 | Catherine Jamison Harris | Urology | 1644 Medical Center Pt Ste 200, Colorado Springs, CO 80907-5765 | 2010-04-15 |
| 1720135692 | Benjamin Coons | Urology | 1644 Medical Center Pt Ste 200, Colorado Springs, CO 80907-5765 | 2007-01-04 |
| 1326195132 | James Thomasch | Urology | 1644 Medical Center Pt Ste 200, Colorado Springs, CO 80907 | 2007-01-04 |
| 1649254905 | Jon Eric Derksen | Urology | 1644 Medical Center Pt Ste 200, Colorado Springs, CO 80907-5765 | 2005-12-01 |
| 1417955675 | Jeffrey K Ferguson | Urology | 1644 Medical Center Pt Ste 200, Colorado Springs, CO 80907 | 2005-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871124057 | Margaret Elizabeth Macnabb | Occupational Therapist | 955 West Fillmore Street, Colorado Springs, CO 80907 | 2020-01-28 |
| 1598300394 | Eric L Peterson | Counselor | 4570 Hilton Pwky, Colorado Springs, CO 80907 | 2019-11-15 |
| 1669020160 | Vcphcs Xii, LLC | Clinic/Center | 4157-4159 Centennial Blvd, Colorado Springs, CO 80907 | 2019-08-28 |
| 1366907123 | Natural Healthcare, LLC | Chiropractor | 3030 N Hancock Ave Suite D, Colorado Springs, CO 80907 | 2019-02-06 |
| 1063981777 | Samuel Ray Porterfield | Social Worker | Pfc Floyd K. Lindstrom Outpatient Clinic, 3141 Centennial Blvd., Colorado Springs, CO 80907 | 2018-11-26 |
| 1982170114 | A Physicians Home Care | Home Health | 905 W Garden of The Gods Rd Suite F, Colorado Springs, CO 80907 | 2018-10-15 |
| 1689196180 | Reena Annetta Manka | Counselor | 888 Garden of The Gods, 150, Colorado Springs, CO 80907 | 2017-07-17 |
| 1356870356 | Solaris Hc Co Inc | Hospice Care, Community Based | 1045 Garden of Gods Rd, Colorado Springs, CO 80907 | 2017-06-05 |
| 1649704826 | Colorado Springs Urological Associates Pllc | Urology | 1644 Medical Center Point, Suite 200, Colorado Springs, CO 80907 | 2017-04-14 |
| 1194274704 | Sarah Lynn Hartman | Dietitian, Registered | 3207 North Academy Blvd, Colorado, CO 80907 | 2016-09-23 |
| Find all providers in zip 80907 | ||||
| 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 |
|---|---|---|---|---|
| 1619586187 | Poudre Valley Medical Group, LLC | Urology | 175 S Union Blvd Ste 315, Colorado Springs, CO 80910-3126 | 2020-07-30 |
| 1548787088 | Advanced Urological Care | Urology | 2222 N Nevada Ave Ste 5005, Colorado Springs, CO 80907-6865 | 2017-08-25 |
| 1649704826 | Colorado Springs Urological Associates Pllc | Urology | 1644 Medical Center Point, Suite 200, Colorado Springs, CO 80907 | 2017-04-14 |
| 1891781266 | Bruce L Reimers | Urology | 3220 N Academy Blvd, #4, Colorado Springs, CO 80917-5189 | 2005-09-21 |
| 1710985973 | Kent H Thayer Jr. | Urology | 75 Printers Pkwy, Colorado Springs, CO 80910-3151 | 2005-07-12 |
| 1447258785 | Craig K Carris | Urology | 1644 Medical Center Pt Ste 200, Colorado Springs, CO 80907 | 2005-07-11 |
| 1972505220 | Brett R Jepson | Urology | 1644 Medical Center Pt, Suite 200, Colorado Springs, CO 80907-5764 | 2005-06-01 |
| 1891057923 | James Abram Mcbride | Urology | 1644 Medical Center Pt Ste 200, Colorado Springs, CO 80907 | 2012-06-14 |
| 1932425998 | Catherine Jamison Harris | Urology | 1644 Medical Center Pt Ste 200, Colorado Springs, CO 80907-5765 | 2010-04-15 |
| 1467622761 | Nicholas John Toepfer | Urology | 1625 Medical Center Pt, Colorado Springs, CO 80907 | 2008-03-03 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80907 |
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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.