PARKVIEW ANCILLARY SERVICES (NPI# 1790329035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790329035 |
| Entity Type | Organization |
| Organization Name | PARKVIEW ANCILLARY SERVICES |
| Practice Address |
1619 N. Greenwood St. Ste. 402 Pueblo CO 81003-2658 |
| Mailing Address |
408 North Main Street Pueblo CO 81003-3123 |
| Practice Telephone | 7195957760 |
| Practice Fax Number | 7195957765 |
| Mailing Telephone | 7195957417 |
| Mailing Fax Number | 7195420809 |
| Enumeration Date | 2019-10-30 |
| Last Update Date | 2019-10-30 |
| Authorized Official Name | DARRIN R SMITH (SR. VP/COO) |
| Authorized Official Telephone | 7195844290 |
| Is Organization Subpart | Y |
| Parent Organization Name | PARKVIEW ANCILLARY SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 26973898 | 05 |
| Other Name | Type Code |
|---|---|
| Parkview Neurology Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144869371 | Parkview Ancillary Services | Internal Medicine | 109 Latigo Ln Ste E, Canon City, CO 81212-8113 | 2020-01-06 |
| 1346883097 | Parkview Ancillary Services | Nurse Practitioner | 1600 N Grand Ave Ste 210, Pueblo, CO 81003-2749 | 2019-10-25 |
| 1609419738 | Parkview Ancillary Services | Anesthesiology | 330 West 14th Street, Pueblo, CO 81003-2705 | 2019-10-22 |
| 1548802747 | Parkview Ancillary Services | Obstetrics & Gynecology | 1501 Court, Pueblo, CO 81003-2720 | 2019-10-09 |
| 1346882602 | Parkview Ancillary Services | Psychiatry & Neurology | 56 Club Manor Dr Ste 100, Pueblo, CO 81008-1685 | 2019-10-08 |
| 1790335909 | Parkview Ancillary Services | Specialist | 4100 Jerry Murphy, Pueblo, CO 81001-1046 | 2019-09-19 |
| 1164048062 | Parkview Ancillary Services | Family Medicine | 1600 N. Grand Ave., Ste. 230, Pueblo, CO 81003-2731 | 2020-06-17 |
| 1902436256 | Parkview Ancillary Services | Urology | 4100 Jerry Murphy, Pueblo, CO 81001-1046 | 2020-01-24 |
| 1215567383 | Parkview Ancillary Services | Internal Medicine | 3670 Parker Blvd., Ste. 101, Pueblo, CO 81008-2285 | 2020-01-17 |
| 1609415181 | Parkview Ancillary Services | Orthopaedic Surgery | 3676 Parker Blvd., Ste. 310, Pueblo, CO 81008-2212 | 2019-12-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Parkview Ancillary Services, LLC | 400 W 16th St, Pueblo, CO 81003 |
| Street Address |
1619 N. GREENWOOD ST. STE. 402 |
| City | PUEBLO |
| State | CO |
| Zip Code | 81003-2658 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164042016 | Sunil Kumar | Student in an Organized Health Care Education/Training Program | Parkview Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2020-04-21 |
| 1497382303 | Pueblo Family Dentistry Pllc | Dentist | 701 N Grand Avenue, Suite B, Pueblo, CO 81003 | 2020-03-23 |
| 1023654241 | Elmer A. Villalon, Dmd, LLC | Clinic/Center | 1225 North Main Street, #207, Pueblo, CO 81003 | 2019-11-22 |
| 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 |
| 1700313459 | Allison Vigil | Occupational Therapist | 1600 W. 24th St, Pueblo, CO 81003 | 2017-05-12 |
| 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 |
| 1396195665 | Parkview Medical Center | General Acute Care Hospital | 411 W. 14th St, Pueblo, CO 81003 | 2016-06-17 |
| Find all providers in zip 81003 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700189792 | Malik M Hasan | Psychiatry & Neurology | 1607 N Elizabeth St, Pueblo, CO 81003-2146 | 2010-12-13 |
| 1609216563 | Jung Yeon Park | Psychiatry & Neurology | 1619 N. Greenwood, Ste. 402, Pueblo, CO 81003-2658 | 2013-06-25 |
| 1689929523 | Hardik Rashmikant Doshi | Psychiatry & Neurology | 1619 N. Greenwood, Ste 402, Pueblo, CO 81003-2658 | 2012-07-17 |
| 1841418563 | Stephen A. Smith, Md, PC | Psychiatry & Neurology | 1600 N Grand Ave, Suite 120, Pueblo, CO 81003-2700 | 2007-04-20 |
| 1992744163 | Gary L Cohen | Psychiatry & Neurology | 1619 N Greenwood St, Suite 402, Pueblo, CO 81003-2644 | 2006-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669070306 | Lower Valley Hospital Association | Psychiatry & Neurology | 551 Kokopelli Blvd Unit G, -practice Location Npi Only-, Fruita, CO 81521 | 2020-10-14 |
| 1194340414 | Northstar Neurology of Colorado Springs PC | Psychiatry & Neurology | 3920 N Union Blvd Ste 150, Colorado Springs, CO 80907-1907 | 2020-06-11 |
| 1942824610 | Neurology of The Rockies, LLC | Psychiatry & Neurology | 125 Inverness Dr E Ste 330, Englewood, CO 80112-5138 | 2020-05-29 |
| 1346862372 | Poudre Valley Medical Group, LLC | Psychiatry & Neurology | 16222 W Us Highway 24 Ste 220, Woodland Park, CO 80863-8763 | 2020-05-13 |
| 1811534050 | Neurology of The Rockies, LLC | Psychiatry & Neurology | 4350 Limelight Ave Ste 250, Castle Rock, CO 80109-8034 | 2019-12-06 |
| 1629614557 | Kenpro, LLC | Psychiatry & Neurology | 5279 Shade Tree Ln, Parker, CO 80134-5029 | 2019-11-26 |
| 1902377179 | Para Health, LLC | Psychiatry & Neurology | 1091 E Bayaud Ave Apt W2604, Denver, CO 80209-2783 | 2018-12-16 |
| 1336622570 | Boulder Neurology and Concussion | Psychiatry & Neurology | 400 Mccaslin Blvd, Suite 200, Louisville, CO 80027 | 2018-09-13 |
| 1518478692 | Grabert Health, LLC | Psychiatry & Neurology | 7871 Dutchrock Rd, Colorado Springs, CO 80919-3893 | 2017-10-17 |
| 1316464076 | Boulder Valley Iom, LLC | Psychiatry & Neurology | 4375 W 118th Place, Westminster, CO 80031 | 2017-08-24 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on PARKVIEW ANCILLARY SERVICES.
| 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.