DERRICK ROTH FANSLER (NPI# 1760626519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760626519 |
| Entity Type | Individual |
| Full Name | DERRICK ROTH FANSLER |
| Credential | M.D. |
| Practice Address |
2222 N Nevada Ave Suite 4007 Colorado Springs CO 80907 |
| Mailing Address |
2222 N Nevada Ave Suite 4007 Colorado Springs CO 80907-6819 |
| Practice Telephone | 7197768500 |
| Practice Fax Number | 7196341448 |
| Mailing Telephone | 7197768500 |
| Mailing Fax Number | 7196341448 |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2018-09-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
53906 | CO | Allopathic & Osteopathic Physicians |
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
DR.0053906 | CO | Allopathic & Osteopathic Physicians |
| Street Address |
2222 N NEVADA AVE SUITE 4007 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639174352 | Alain Eid | Internal Medicine | 2222 N Nevada Ave, Suite 4004, Colorado Springs, CO 80907-6832 | 2005-06-17 |
| 1396345047 | Pikes Peak Nephrology Associates PC | Internal Medicine | 2222 N Nevada Ave, Colorado Springs, CO 80907-6819 | 2020-10-30 |
| 1811503444 | Healthone Clinic Services - Pediatric Specialties LLC | Pediatrics | 2222 N Nevada Ave, Colorado Springs, CO 80907-6819 | 2020-09-18 |
| 1760095301 | Laura Marie Dunn | Nurse Practitioner | 2222 N Nevada Ave, Colorado Springs, CO 80907-6819 | 2020-08-24 |
| 1043829526 | Alison Schlang | Pharmacist | 2222 N Nevada Ave, Inpatient Pharmacy, Colorado Springs, CO 80907 | 2020-07-30 |
| 1467061374 | Catholic Health Initiatives Colorado | Hospitalist | 2222 N Nevada Ave, Colorado Springs, CO 80907-6819 | 2020-07-27 |
| 1962026179 | Obstetrix Medical Group of Colorado, P.C. | Pediatrics | 2222 N Nevada Ave, Colorado Springs, CO 80907-6819 | 2020-06-03 |
| 1619590890 | Healogics Specialty Physicians of Colorado-professional, LLC | Preventive Medicine | 2222 N Nevada Ave, Colorado Springs, CO 80907-6819 | 2020-05-22 |
| 1326669342 | Caitlin Paige Porter-smith | Student in an Organized Health Care Education/Training Program | 2222 N Nevada Ave, Colorado Springs, CO 80907-6819 | 2020-04-30 |
| 1326674359 | Selene Capparelli | Registered Nurse | 2222 N Nevada Ave, Colorado Springs, CO 80907-6819 | 2020-03-21 |
| Find all providers in the same location | ||||
| 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 | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| 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 |
|---|---|---|---|---|
| 1366406936 | Electrophysiology Associates, P.C. | Internal Medicine | 215 Parkside Dr, Suite 100, Colorado Springs, CO 80910-3131 | 2006-04-12 |
| 1881849941 | T Duncan Sellers, Electrophysiologist | Internal Medicine | 525 N Foote Ave, Colorado Springs, CO 80909-4554 | 2008-11-17 |
| 1891737300 | Mary R Olsovsky | Internal Medicine | 1400 E Boulder St, Suite 700, Colorado Springs, CO 80909-5533 | 2006-06-11 |
| 1831188804 | Colorado Cardiac Alliance, LLC | Internal Medicine | 2222 N Nevada Ave, Suite 4007, Colorado Springs, CO 80907-6831 | 2005-10-20 |
| 1811984776 | Sunil Nath | Internal Medicine | 2222 N Nevada Ave, Suite 4007, Colorado Springs, CO 80907-6819 | 2005-10-05 |
| 1487641510 | Colorado Springs Cardiologists, P.C. | Internal Medicine | 2222 N Nevada Ave, Suite 4007, Colorado Springs, CO 80907-6831 | 2005-10-04 |
| 1871580910 | Michael J. Barber | Internal Medicine | 2222 N Nevada Ave, Suite 4007, Colorado Springs, CO 80907-6831 | 2005-10-04 |
| 1194717710 | Thomas Duncan Sellers | Internal Medicine | 2222 N Nevada Ave, Suite 4007, Colorado Springs, CO 80907-6819 | 2005-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669936936 | Vladimir N Kolomyza | Internal Medicine | 12685 Bellaire St, Thornton, CO 80241-2903 | 2019-01-30 |
| 1013227651 | Colorado Heart and Vascular PC | Internal Medicine | 11700 W 2nd Place, Suite 350, Lakewood, CO 80228-1710 | 2010-10-18 |
| 1790914661 | Amneet Sandhu | Internal Medicine | 1700 Wheeling St # F2-171, Aurora, CO 80045-7211 | 2009-07-13 |
| 1144862327 | Parkview Ancillary Services | Internal Medicine | 1600 N. Grand Ave., Ste. 500b, Pueblo, CO 81003-2757 | 2019-10-09 |
| 1528477262 | Syed Rafay Ali Sabzwari | Internal Medicine | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2014-08-06 |
| 1306163621 | Poudre Valley Medical Group, LLC | Internal Medicine | 2121 E Harmony Rd Unit 100, Fort Collins, CO 80528-3401 | 2010-04-26 |
| 1023332517 | Jason Huang | Internal Medicine | 4545 E 9th Ave Ste 670, Denver, CO 80220-3918 | 2010-03-26 |
| 1588806483 | Ryan T Borne | Internal Medicine | 12605 E. 16th Avenue, University of Colorado Hospital, Aurora, CO 80045 | 2009-03-24 |
| 1427201938 | Layth Saleh | Internal Medicine | 11700 W 2nd Pl Ste 350, Lakewood, CO 80228-1710 | 2008-10-28 |
| 1861652794 | Matthew M Zipse | Internal Medicine | 12605 E 16th Ave, Aurora, CO 80045 | 2008-06-13 |
| Find all providers with the same taxonomy | ||||
| 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.