JULIAN G FIORINA (NPI# 1912475740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912475740 |
| Entity Type | Individual |
| Full Name | JULIAN G FIORINA |
| Credential | PA-C |
| Practice Address |
559 Vincent St Peterson Afb CO 80914-1541 |
| Mailing Address |
5142 Eros Way Colorado Springs CO 80917-1075 |
| Practice Telephone | 7195561294 |
| Mailing Telephone | 7245169408 |
| Enumeration Date | 2018-11-09 |
| Last Update Date | 2018-11-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 1158106 | CO | Allopathic & Osteopathic Physicians |
| Street Address |
559 VINCENT ST |
| City | PETERSON AFB |
| State | CO |
| Zip Code | 80914-1541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891797080 | Keith Andrew Baker | Family Medicine | 559 Vincent St, 21 Mdos/sgof -fam Hlth, Peterson Afb, CO 80914-1540 | 2005-06-01 |
| 1740776970 | Chelsea M. Cruz | Nurse Practitioner | 559 Vincent St, Peterson Afb, CO 80914-1541 | 2018-07-11 |
| 1376036665 | Emillie Claire Brandt | Dentist | 559 Vincent St, Peterson Afb, CO 80914-1541 | 2018-06-11 |
| 1164911053 | Renee Antoinette Smith | Dentist | 559 Vincent St, Peterson Afb, CO 80914-1540 | 2018-05-07 |
| 1720582448 | Cristina Cosner | Military Health Care Provider | 559 Vincent St, Attn: 21 Mdos/sgof - Flight Med, Peterson Afb, CO 80914-1540 | 2018-03-19 |
| 1619476504 | Clarissa Reno | Registered Nurse | 559 Vincent St, Peterson Afb, CO 80914-1541 | 2018-02-06 |
| 1891159463 | Tialicka Burgos Johnson | Registered Nurse | 559 Vincent St, Attn: 21 Mdos/sgog - Women's Health, Peterson Afb, CO 80914-1540 | 2016-04-11 |
| 1114385747 | Jeffrey A Turner | Physical Therapist | 559 Vincent St, Attn: 21 Mdos/sgoy - Physical Therapy, Peterson Afb, CO 80914-1540 | 2016-02-10 |
| 1689046500 | Christine Chanmyaethu Tun | Physician Assistant | 559 Vincent St, Attn: 21 Mods/sgof - Family Health, Peterson Afb, CO 80914-1540 | 2015-10-30 |
| 1023489556 | Elizabeth Bator | Nurse Practitioner | 559 Vincent St, Attn: 21 Mdos/sgof - Family Practice, Peterson Afb, CO 80914-1540 | 2015-10-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356897250 | Kym Littlefield Whitaker | Nurse Practitioner | 110 Ent Avenue, Peterson Afb, CA 80914 | 2016-08-30 |
| 1114322583 | Jessica Charmaine Johnson | Social Worker | 559 Vincent St, Bldg 959, Attn: 21 Omrs/sgow, Peterson Afb, CO 80914 | 2014-10-28 |
| 1306916267 | John Frank Drozd | Psychologist | 21st Medical Group, 559 Vincent Street, Peterson Afb, CO 80914 | 2006-11-08 |
| 1801858865 | Moshe Mark Douglas Wexler | Clinical Neuropsychologist | 110 W. Ent Ave. Bldg 725, 21 Mdos/sgoh, Pafb, CO 80914 | 2006-04-05 |
| 1215902002 | William J Dickson | Dentist | Peterson Afb, Bld 950, Colorado Springs, CO 80914 | 2006-02-23 |
| 1740889773 | Brandon Dean Estes | Dental Hygienist | 1055 Stewart Ave, Bldg 2018, Apo, AA 80914 | 2020-10-21 |
| 1225458789 | Brianna Mcmurray | Family Medicine | 559 Vincent St Bldg 959, Colorado Springs, CO 80914 | 2014-04-23 |
| 1720406796 | Beth D Achterhoff | Physical Therapist | 559 Vincent St Bldg 959, Peterson Afb, CO 80914 | 2014-04-07 |
| 1275712895 | Monica Ibarra | Counselor | 559 Vincent St., Attn: 21 Mdos/sgow - Family Advocacy, Peterson Afb, CO 80914 | 2007-10-31 |
| 1912258591 | Ruth Angela Monsanto-williams | Nurse Practitioner | 110 West Ent Ave, Peterson Afb, 21st Medical Group, Colorado Springs, CO 80914-1540 | 2012-09-24 |
| Find all providers in zip 80914 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205850880 | Joseph Anthony Huseman II | Family Medicine | 559 Vincent St Bldg 559, Peterson Afb, CO 80914-1541 | 2006-07-27 |
| 1891797080 | Keith Andrew Baker | Family Medicine | 559 Vincent St, 21 Mdos/sgof -fam Hlth, Peterson Afb, CO 80914-1540 | 2005-06-01 |
| 1770922510 | Mark Ryan Rowe | Family Medicine | 559 Vincent St, Attn: 21mdos/sgof- Family Health, Peterson Afb, CO 80914-1541 | 2013-06-14 |
| 1538471727 | Heather D Mundy | Family Medicine | 559 Vincent St, 21 Mdos/sgof- Attn: Family Health, Peterson Afb, CO 80914-1540 | 2010-07-05 |
| 1659603256 | Thomas Wescott Mahoney | Family Medicine | 559 Vincent St, 21 Mdos/sgof Attn: Family Health, Peterson Afb, CO 80914 | 2010-02-05 |
| 1598969909 | Eric R Pittman | Family Medicine | 559 Vincent St Bldg 959, Peterson Afb, CO 80914-1541 | 2007-06-12 |
| 1609954031 | Robin E Carter | Family Medicine | 559 Vincent St, Attn: 21mdos/sgof - Family Practice, Peterson Afb, CO 80914-1541 | 2006-11-02 |
| 1508896374 | Lawrence R. Whitehurst | Family Medicine | 559 Vincent St Bldg 959, Peterson Afb, CO 80914-1541 | 2006-07-04 |
| 1215991476 | George Allen Waddell Jr. | Family Medicine | 559 Vincent St, Attn: 21 Amds/sgpf - Aerosp Med, Peterson Afb, CO 80914-1540 | 2006-04-14 |
| 1356300370 | Jeanine Marie Czech | Family Medicine | 559 Vincent St, Attn: 21 Amds/sgpf - Flight Medicine, Peterson Afb, CO 80914-1541 | 2006-03-20 |
| Find all providers in PETERSON AFB | ||||
| City | PETERSON AFB |
| Zip Code | 80914 |
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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.