TEAGUE GEARHART (NPI# 1851769152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851769152 |
| Entity Type | Individual |
| Full Name | TEAGUE GEARHART |
| Credential | D.P.M. |
| Practice Address |
1155 Kelly Johnson Blvd Colorado Springs CO 80920-3932 |
| Mailing Address |
11201 Benton St Loma Linda CA 92357-1000 |
| Practice Telephone | 7195749800 |
| Practice Fax Number | 7195749749 |
| Mailing Telephone | 9098015656 |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2020-03-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
EL6742 | CA | Podiatric Medicine & Surgery Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1512 N Union Blvd, Colorado Springs, CO 809092884 | 7195749800 | 7195749749 |
| Street Address |
1155 KELLY JOHNSON BLVD |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80920-3932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366427825 | Bruce John Zimmerman | Dentist | 1155 Kelly Johnson Blvd, Suite 210, Colorado Springs, CO 80920-3932 | 2005-12-07 |
| 1922565480 | Alicia Vashti Jacobson | Behavior Technician | 1155 Kelly Johnson Blvd, Colorado Springs, CO 80920-3932 | 2019-02-20 |
| 1538659784 | Janessa Ybarra | Behavior Technician | 1155 Kelly Johnson Blvd, Colorado Springs, CO 80920-3932 | 2018-05-14 |
| 1215443619 | Lynn M Gilbert | Behavior Technician | 1155 Kelly Johnson Blvd, Colorado Springs, CO 80920-3932 | 2017-12-20 |
| 1790219947 | Shirlane Diane Winburn | Behavioral Analyst | 1155 Kelly Johnson Blvd, Ste 150, Colorado Springs, CO 80920-3932 | 2017-04-14 |
| 1346787181 | Shadow Mountain Recovery | Clinic/Center | 1155 Kelly Johnson Blvd, Colorado Springs, CO 80920-3932 | 2017-01-31 |
| 1881131852 | Mustard Seed Healthcare Consulting, LLC | Ambulance | 1155 Kelly Johnson Blvd, Suite 111, Colorado Springs, CO 80920-3932 | 2017-01-27 |
| 1245682053 | Joy Warrington | Behavioral Analyst | 1155 Kelly Johnson Blvd, 150, Colorado Springs, CO 80920-3932 | 2016-07-05 |
| 1275997256 | Caitlyn Canfield | Behavioral Analyst | 1155 Kelly Johnson Blvd, 150, Colorado Springs, CO 80920-3932 | 2016-04-06 |
| 1184081663 | Paula Adams Adams | Behavioral Analyst | 1155 Kelly Johnson Blvd, Colorado Springs, CO 80920-3932 | 2016-01-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407463409 | Cynthia Cruz | Marriage & Family Therapist | 7710 N. Union, Ste 100b and 100c, Colorado Springs, CO 80920 | 2020-09-24 |
| 1851905178 | Emergency Medical Specialists, PC | Emergency Medicine | Woodmen Fsed - Md, 3790 E. Woodmen Road, Colorado Springs, CO 80920 | 2020-09-03 |
| 1114531431 | Emergency Medical Specialists, PC | Emergency Medicine | Memorial Hospital North - Md, 4050 Briargate Pkway, Colorado Springs, CO 80920 | 2020-09-03 |
| 1205440583 | Emergency Medical Specialists, PC | Emergency Medicine | Memorial Hospital North - App, 4050 Briargate Pkway, Colorado Springs, CO 80920 | 2020-09-03 |
| 1700490455 | Poudre Valley Medical Group, LLC | Radiology | 4080 Briargate Parkway, Colorado Springs, CO 80920 | 2020-09-01 |
| 1962015792 | Emergency Medical Specialists, PC | Emergency Medicine | Woodmen Fsed - App, 3790 E. Woodmen Road, Colorado Springs, CO 80920 | 2020-08-31 |
| 1194296491 | Kramer Dentistry Inc | Clinic/Center | 9290 Highland Ridge Heights Suite # 120, Colorado Springs, CO 80920 | 2018-12-12 |
| 1134602279 | Juliana Plucinik | Assistant Behavior Analyst | 7011 Campus Drive Suite 205, Colorado Springs, CO 80920 | 2018-09-14 |
| 1811473861 | Vsb Colorado Providers Pllc | Dentist | 1750 Telstar Drive, Suite 200, Colorado Springs, CO 80920 | 2018-07-12 |
| 1336637438 | Children's Hospital Colorado | General Acute Care Hospital | 4090 Briargate Parkway, Colorado Springs, CO 80920 | 2018-04-25 |
| Find all providers in zip 80920 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710042841 | Hainge Foot & Ankle Clinic PC | Podiatrist | 3920 N Union Blvd Ste 320, Colorado Springs, CO 80907-4916 | 2006-12-27 |
| 1235176546 | Bryan Alan Groth | Podiatrist | 455 E Pikes Peak Ave Ste 220, Colorado Springs, CO 80903-3673 | 2006-06-02 |
| 1275517872 | Fred James Gremillion | Podiatrist | 3100 N Academy Blvd, Suite #115, Colorado Springs, CO 80917-5321 | 2005-12-06 |
| 1114921731 | Nicholas Sol | Podiatrist | 5014 El Camino Dr, The Walking Clinic, PC, Colorado Springs, CO 80918-2106 | 2005-06-10 |
| 1598396889 | Optumcare Colorado Springs, LLC | Podiatrist | 5014 El Camino Dr, Colorado Springs, CO 80918-2104 | 2020-01-27 |
| 1003362450 | Mcvay Foot & Ankle, PC | Podiatrist | 6160 Tutt Blvd, Ste 150, Colorado Springs, CO 80923-3500 | 2016-08-26 |
| 1134583172 | Darrick Richard Dominick | Podiatrist | 1465 Kelly Johnson Blvd Ste 100, Colorado Springs, CO 80920-3945 | 2016-04-06 |
| 1003294083 | Foot and Ankle Institute of Colorado, PC | Podiatrist | 1465 Kelly Johnson Blvd Ste 100, Colorado Springs, CO 80920-3945 | 2015-05-11 |
| 1457746844 | Travis Kotter | Podiatrist | 4190 E Woodmen Rd Ste 100, Colorado Springs, CO 80920 | 2015-04-01 |
| 1356743447 | Tiffany Liu | Podiatrist | 8580 Scarborough Dr Ste 120, Colorado Springs, CO 80920-7583 | 2014-09-19 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80920 |
Please comment or provide details below to improve the information on TEAGUE GEARHART.
| 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.