AVILA INTEGRATIVE MEDICINE, INC. (NPI# 1821363557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821363557 |
| Entity Type | Organization |
| Organization Name | AVILA INTEGRATIVE MEDICINE, INC. |
| Other Organization Name | AVILA INTEGRATIVE MEDICINE |
| Practice Address |
3960 Ivywood Ln Pueblo CO 81005-2567 |
| Practice Telephone | 7195651276 |
| Practice Fax Number | 7195652313 |
| Mailing Telephone | 7195651276 |
| Mailing Fax Number | 7195652313 |
| Enumeration Date | 2012-03-13 |
| Last Update Date | 2016-02-05 |
| Authorized Official Name | DR. ROBERT J AVILA (PRESIDENT) |
| Authorized Official Telephone | 7195651276 |
| Authorized Official Credential | D.C., CCST, CCCN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | 7987 | CO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 111N00000X | Chiropractor | 4867 | CO | Chiropractic Providers |
| Y | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
31499 | CO | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Avila Integrative Medicine | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Avila Integrative Medicine, Inc. | 3960 Ivywood Ln, Pueblo, CO 81005 |
| Street Address |
3960 IVYWOOD LN |
| City | PUEBLO |
| State | CO |
| Zip Code | 81005-2567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245248400 | Robert Joseph Avila | Chiropractor | 3960 Ivywood Ln, Pueblo, CO 81005-2567 | 2006-08-04 |
| 1801359203 | Carrie Raye Gravatt | Speech-Language Pathologist | 3960 Ivywood Ln, Pueblo, CO 81005-2567 | 2019-04-11 |
| 1013381698 | Kamala Ries | Speech-Language Pathologist | 3960 Ivywood Ln, Pueblo, CO 81005-2567 | 2015-11-19 |
| 1144620063 | Andrea Pineda | Speech-Language Pathologist | 3960 Ivywood Ln, Pueblo, CO 81005-2567 | 2014-08-27 |
| 1891125217 | Aim Diagnostics LLC | Clinic/Center | 3960 Ivywood Ln, Pueblo, CO 81005-2567 | 2013-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225595630 | Kimberly Warfield | Specialist | 5825 W Hwy 78, Pueblo, CA 81005 | 2019-02-22 |
| 1417461823 | Yah Vision | Optometrist | 2568 Taylor Ln, Pueblo, CO 81005 | 2017-11-21 |
| 1245758168 | Jenny C Alas | Dentist | 2603 Vinewood Lane, Pueblo, CO 81005 | 2017-08-30 |
| 1801342472 | Cynthia Watson | Counselor | 2429 S. Prairie Avenue, Pueblo, CO 81005 | 2016-09-01 |
| 1598033664 | Kyle Andrew Bonds | Pharmacist | 2900 W. Northern Ave., Pueblo, CO 81005 | 2011-12-05 |
| 1346406196 | Samantha Coleman | Counselor | 2429 S Prairie Ave, Pueblo, CO 81005 | 2008-07-31 |
| 1184890915 | Hg Stringert Dds, Ms, PC | Dentist | 3955 Sandlewood Lane, Pueblo, CO 81005 | 2008-05-01 |
| 1992902423 | David Russell Baer | Dentist | 2041 Pepper Lane, Ste A, Pueblo, CO 81005 | 2007-06-28 |
| 1659443695 | Thomas Wesley Ready | Dentist | 643 So Pueblo Blvd, Pueblo, CO 81005 | 2006-11-14 |
| 1700969029 | Bradley Michael Almond | Dentist | 1221 S Pueblo Blvd, Pueblo, CO 81005 | 2006-10-23 |
| Find all providers in zip 81005 | ||||
| Taxonomy Code | 208VP0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Pain Medicine |
| Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient’s pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies. |
| Notes: Source: American Academy of Pain Medicine, www.painmed.org - Additional Resources:The American Board of Pain Medicine provides Board Certification. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952739427 | Matthew J Furman, D.o. LLC | Pain Medicine | 112 W D St, Suite 210 A, Pueblo, CO 81003-3461 | 2013-10-21 |
| 1770733743 | Mallikarjuna Nallegowda | Pain Medicine | 1925 E Orman Ave, Suite A-235, Pueblo, CO 81004-3537 | 2008-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578941324 | Mountain Anesthesia Consultants LLC | Pain Medicine | 26 W Dry Creek Cir Ste 390, Littleton, CO 80120-8064 | 2015-05-13 |
| 1487952735 | Colorado Integrated Clinics LLC | Pain Medicine | 380 Empire Rd Ste 101, Lafayette, CO 80026-2677 | 2011-03-10 |
| 1255631776 | Innovative Pain Medicine Center of Colorado - A Professional Company | Pain Medicine | 4348 Woodlands Blvd, Suite 230, Castle Rock, CO 80104-2800 | 2010-11-01 |
| 1356416093 | Rocky Mountain Pain Solutions LLC | Pain Medicine | 255 Union Blvd Ste 350, Lakewood, CO 80228-1877 | 2006-11-21 |
| 1053411421 | John Alan Littleford | Pain Medicine | 10450 S Progress Way, A105, Parker, CO 80134-4036 | 2006-09-25 |
| 1609885326 | Scott A. Brandt, M.d., P.C. | Pain Medicine | 7447 E Berry Ave Ste 150, Greenwood Village, CO 80111-2142 | 2006-08-05 |
| 1902821531 | John H. Bissell | Pain Medicine | 3910 S Carefree Cir Ste F, Colorado Springs, CO 80917-3053 | 2006-07-13 |
| 1790741635 | Ortho Rehab Energywave Treatment | Pain Medicine | 8246 W Bowles Ave, Ste.t, Littleton, CO 80123-3097 | 2006-04-20 |
| 1316924558 | Rasheed Singleton | Pain Medicine | 799 E Hampden Ave Ste 315, Englewood, CO 80113-2762 | 2005-12-29 |
| 1710596218 | Portercare Adventist Health System | Pain Medicine | 7233 Church Ranch Blvd, Westminster, CO 80021-4094 | 2020-07-30 |
| 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.