SOUTHERN COLORADO WOMEN'S CARE, P.C. (NPI# 1871556597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871556597 |
| Entity Type | Organization |
| Organization Name | SOUTHERN COLORADO WOMEN'S CARE, P.C. |
| Practice Address |
1619 N Greenwood St Pueblo CO 81003-2644 |
| Practice Telephone | 7195429010 |
| Practice Fax Number | 7195429012 |
| Mailing Telephone | 7195429010 |
| Mailing Fax Number | 7195429012 |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MAUREEN LYNN KEY (PHYSICIAN) |
| Authorized Official Telephone | 7195429010 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 94971340 | 05 |
| Street Address |
1619 N GREENWOOD ST |
| City | PUEBLO |
| State | CO |
| Zip Code | 81003-2644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043206311 | Radiology Associates | Specialist | 1619 N Greenwood St, Suite 100, Pueblo, CO 81003-2644 | 2005-09-22 |
| 1437600608 | Diana Karnilaw | Nurse Practitioner | 1619 N Greenwood St, Suite 400, Pueblo, CO 81003-2644 | 2016-10-21 |
| 1629451091 | Rachel R Buck | Nurse Practitioner | 1619 N Greenwood St, Suite 208, Pueblo, CO 81003-2644 | 2015-07-03 |
| 1861808750 | Jamie Kathryn Rendler | Nurse Practitioner | 1619 N Greenwood St, Suite 208, Pueblo, CO 81003-2644 | 2014-07-11 |
| 1104181148 | Eric Andrew Lewis | Podiatrist | 1619 N Greenwood St, Suite 300, Pueblo, CO 81003-2644 | 2012-07-05 |
| 1144510660 | Sarah Elizabeth Bryant | Pediatrics | 1619 N Greenwood St, Suite 400, Pueblo, CO 81003-2644 | 2011-04-18 |
| 1043442791 | Steven Nafziger | Family Medicine | 1619 N Greenwood St, Suite 204, Pueblo, CO 81003-2644 | 2009-08-13 |
| 1841421344 | David Abbott | Radiology | 1619 N Greenwood St, Suite 103, Pueblo, CO 81003-2644 | 2009-07-31 |
| 1891923033 | Mark Edward Maurer | Podiatrist | 1619 N Greenwood St, Ste 300, Pueblo, CO 81003-2644 | 2009-06-25 |
| 1346400413 | Elizabeth Ehrhardt Md Prof LLC | Pediatrics | 1619 N Greenwood St, Ste 400, Pueblo, CO 81003-2644 | 2008-06-12 |
| Find all providers in the same location | ||||
| 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 | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548802747 | Parkview Ancillary Services | Obstetrics & Gynecology | 1501 Court, Pueblo, CO 81003-2720 | 2019-10-09 |
| 1891714713 | James E Roukema | Obstetrics & Gynecology | 4010 Jerry Murphy Rd, Pueblo, CO 81001-1045 | 2006-07-19 |
| 1720015324 | Leslie Ginger Frederiksen | Obstetrics & Gynecology | 4010 Jerry Murphy Road, Pueblo, CO 81001-1045 | 2006-06-27 |
| 1033163415 | Jeffrey V Fowler Do Prof LLC | Obstetrics & Gynecology | 4728 Eagleridge Cir, Pueblo, CO 81008-2195 | 2006-05-20 |
| 1447245139 | Brett L Hulet | Obstetrics & Gynecology | 300 Colorado Ave, Pueblo, CO 81004 | 2005-09-19 |
| 1083609796 | Pueblo Assoc In Ob & Gyn PC | Obstetrics & Gynecology | 1120 Minnequa Ave, Pueblo, CO 81004-3734 | 2005-09-19 |
| 1992347256 | Parkview Ancillary Services | Obstetrics & Gynecology | 4010 Jerry Murphy Road, Pueblo, CO 81001-1045 | 2019-10-08 |
| 1295385987 | Catholic Health Initiatives Colorado | Obstetrics & Gynecology | 729 E Spaulding Ave, Pueblo, CO 81007-3512 | 2019-09-16 |
| 1366092389 | Parkview Ancillary Services | Obstetrics & Gynecology | 1600 N Grand Ave Ste 400, Pueblo, CO 81003-2760 | 2019-09-12 |
| 1376926725 | Kruti Shivlal Patel | Obstetrics & Gynecology | 1600 N Grand Ave Ste 400, Pueblo, CO 81003-2760 | 2015-07-02 |
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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.