COLORADO SPRINGS DERMATOLOGY CLINIC, P.C. (NPI# 1801901517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801901517 |
| Entity Type | Organization |
| Organization Name | COLORADO SPRINGS DERMATOLOGY CLINIC, P.C. |
| Practice Address |
170 Parkside Dr Colorado Springs CO 80910-3129 |
| Practice Telephone | 7194711763 |
| Practice Fax Number | 7194712498 |
| Mailing Telephone | 7194711763 |
| Mailing Fax Number | 7194712498 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2009-05-20 |
| Authorized Official Name | DR. MICHAEL B TURNER (TREASURER) |
| Authorized Official Telephone | 7194711763 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 4020582 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720685894 | Colorado Springs Dermatology Clinic, P.C. | Dermatology | 1332 Bauer Ln, Canon City, CO 81212-4669 | 2020-10-02 |
| 1891392973 | Colorado Springs Dermatology Clinic, P.C. | Dermatology | 2060 Briargate Pkwy Ste 150, Colorado Springs, CO 80920-7660 | 2020-10-02 |
| 1386241453 | Colorado Springs Dermatology Clinic, P.C. | Dermatology | 406 N Main St, Pueblo, CO 81003-3123 | 2020-10-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | COLORADO SPRINGS DERMATOLOGY CLINIC, P.C. | 170 Parkside Drive, Colorado Springs, CO 80910 |
| Street Address |
170 PARKSIDE DR |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80910-3129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740376649 | Cheryl L Marcus | Dermatology | 170 Parkside Dr, Colorado Springs, CO 80910-3129 | 2006-10-05 |
| 1356437271 | Brian R Sperber | Dermatology | 170 Parkside Dr, Colorado Springs, CO 80910-3129 | 2006-10-05 |
| 1598851404 | Michael B Turner | Dermatology | 170 Parkside Dr, Colorado Springs, CO 80910-3129 | 2006-10-05 |
| 1679669568 | Nathan S Trookman | Dermatology | 170 Parkside Dr, Colorado Springs, CO 80910-3129 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952955403 | Marian Lin Mondy | Social Worker | 2909 Wellshire Blvd., Colorado Springs, CO 80910 | 2019-08-01 |
| 1538727474 | Lisa Morales | Audiologist | 3225 International Cir Ste 102, Colorado Springs, CO 80910 | 2019-06-05 |
| 1134617038 | Paul Gross | Counselor | 411 Lakewood Circle Dr, C-204-b, Colorado Springs, CO 80910 | 2018-04-25 |
| 1821502923 | Kathleen Lubos Ambros-dahilig | Dental Assistant | 2240 Gilpin Ave, Colorado Springs, CO 80910 | 2017-11-28 |
| 1508384793 | Shawn Maul | Registered Nurse | 115 S Parkside, Colorado Springs, CO 80910 | 2017-09-07 |
| 1376910521 | Kelley Elizabeth Smith Bouchard | Nurse Practitioner | 3225 International Circle Suite 220, Colorado Springs, CO 80910 | 2015-08-24 |
| 1619353430 | Dr. Steven Alan Gould Dds PC | Dentist | 2859 E. Fountain Blvd, Colorado Springs, CO 80910 | 2015-08-04 |
| 1881029155 | Francis Hammet | Chiropractor | 411 Lakewood Circle A1104, Colorado Springs, CO 80910 | 2013-09-05 |
| 1447697586 | Mcb Clinical Research Centers, LLC | Psychologist | 110 S. Parkside Drive, Colorado Springs, CO 80910 | 2013-05-30 |
| 1417206723 | Augustus Albert Edwards | Case Manager/Care Coordinator | 115 Parkside Drive, Colorado Springs, CO 80910 | 2012-08-31 |
| Find all providers in zip 80910 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891392973 | Colorado Springs Dermatology Clinic, P.C. | Dermatology | 2060 Briargate Pkwy Ste 150, Colorado Springs, CO 80920-7660 | 2020-10-02 |
| 1598171423 | Natalie R Edgar | Dermatology | 215 S Parkside Dr Ste 2015, Colorado Springs, CO 80910-3131 | 2014-07-11 |
| 1457766487 | Nickolas Evangelos Poulos | Dermatology | 6071 E Woodmen Rd Ste 230, Colorado Springs, CO 80923-2607 | 2014-06-28 |
| 1699021386 | Mountaintop Dermatology, Pllc | Dermatology | 2465 Research Pkwy, Suite 200, Colorado Springs, CO 80920-1089 | 2012-07-31 |
| 1487759254 | Ronald A Johnson | Dermatology | Ste 200 1665 Briargate Blvd, Colorado Springs, CO 80920-3400 | 2006-09-14 |
| 1700993409 | James A Mccoy | Dermatology | 625 N Cascade Ave Ste 105, Colorado Springs, CO 80903-3271 | 2006-08-25 |
| 1598708737 | Lee H Blatt | Dermatology | 3229 W Carefree Cir, Colorado Springs, CO 80917-3004 | 2006-06-14 |
| 1629037395 | Frank Mark Samarin | Dermatology | 2465 Research Parkway, Suite 200, Colorado Springs, CO 80920 | 2006-03-21 |
| 1255322319 | Paige L. Neifert | Dermatology | 2405 Research Pkwy, Colorado Springs, CO 80920-1044 | 2005-10-28 |
| 1982696639 | Charles Gene Hughes | Dermatology | 685 Mission Hill Way, Colorado Springs, CO 80921-2671 | 2005-08-18 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80910 |
Please comment or provide details below to improve the information on COLORADO SPRINGS DERMATOLOGY CLINIC, P.C..
| 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.