DR. LARRY MICHAEL DEWELL (NPI# 1912901943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912901943 |
| Entity Type | Individual |
| Full Name | DR. LARRY MICHAEL DEWELL |
| Credential | MD |
| Practice Address |
3207 N Academy Blvd Ste 103 Colorado Springs CO 80917-5117 |
| Practice Telephone | 7195748383 |
| Practice Fax Number | 7195748548 |
| Enumeration Date | 2005-06-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 22243 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 01222439 | 05 |
| Street Address |
3207 N ACADEMY BLVD STE 103 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80917-5117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316996770 | Connie Hudson Harrington | Nurse Practitioner | 3207 N Academy Blvd, Suite 3100, Colorado Springs, CO 80917-5100 | 2006-05-10 |
| 1073133344 | Alexander Mark Hoelscher | Student in an Organized Health Care Education/Training Program | 3207 N Academy Blvd, Colorado Springs, CO 80917-5100 | 2020-04-16 |
| 1043751860 | Laurie Smith | Nurse Practitioner | 3207 N Academy Blvd, Suite 3500, Colorado Springs, CO 80917-5100 | 2017-03-13 |
| 1467906594 | Barbara Bunn | Social Worker | 3207 N Academy Blvd, Suite 3300, Colorado Springs, CO 80917-5100 | 2016-08-05 |
| 1184076564 | Victoria Zachary | Social Worker | 3207 N Academy Blvd, Suite 3500, Colorado Springs, CO 80917-5100 | 2016-07-08 |
| 1972965663 | Cynthia Jean Franklin | Psychologist | 3207 N Academy Blvd, Suite 3300, Colorado Springs, CO 80917-5100 | 2016-03-22 |
| 1871929075 | Christopher Daugherty | Physician Assistant | 3207 N Academy Blvd, Suite 3500, Colorado Springs, CO 80917-5100 | 2013-09-19 |
| 1538594742 | Carrie Jo Claar | Nurse Practitioner | 3207 N Academy Blvd, Suite 3500, Colorado Springs, CO 80917-5100 | 2013-09-06 |
| 1467895789 | Anna H Dickey | Physician Assistant | 3207 N Academy Blvd, Suite 3500, Colorado Springs, CO 80917-5100 | 2013-04-17 |
| 1912240540 | Peak Vista Community Health Centers | Pharmacy | 3207 N Academy Blvd, Suite 1200, Colorado Springs, CO 80917 | 2013-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952910499 | Select Physical Therapy of Colorado Springs Lp | Durable Medical Equipment & Medical Supplies | 5660 Barnes Road, Suite 116, Colorado Springs, CO 80917 | 2020-07-30 |
| 1043796774 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 3475 North Academy Blvd, Colorado Springs, CO 80917 | 2018-07-16 |
| 1598273153 | Ariana Goemaere | Behavior Technician | 3535 Parkmoor Village Dr, Colorado Springs, CO 80917 | 2018-01-17 |
| 1366959769 | Behavioral Health Consultants, Inc. | Clinic/Center | 3210 North Academy Blvd, Suite 3, Colorado Springs, CO 80917 | 2018-01-08 |
| 1558870030 | Falisha Rief | Assistant Behavior Analyst | 2790 North Academy Blvd, Suite 180, Colorado Springs, CO 80917 | 2017-09-27 |
| 1407374655 | Christina Otto | Assistant Behavior Analyst | 2790 North Academy, Suite 180, Colorado Springs, CO 80917 | 2017-09-07 |
| 1992155956 | Georgina Segura | Nurse Practitioner | 5135 Iron Horse Trl, Colorado Springs, CO 80917 | 2016-06-20 |
| 1952685182 | Barbara Hazard Henning | Pharmacist | 3840 N Academy Blvd, Colorado Springs, CO 80917 | 2011-10-06 |
| 1659651412 | Nicole Blakesley | Psychologist | 3264 Vail Pass Drive, Colorado Springs, CO 80917 | 2011-08-25 |
| 1427360254 | Austinbluffs Dental Prof. LLC | Dentist | 3952 North Academy, Colorado Springs, CO 80917 | 2010-07-09 |
| Find all providers in zip 80917 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316569387 | Poudre Valley Medical Group, LLC | General Practice | 4050 Briargate Pkwy Fl 4, Colorado Springs, CO 80920-7815 | 2020-05-13 |
| 1215584321 | Belleview Spince and Wellnces Cos LLC | General Practice | 1257 Lake Plaza Dr Ste 105, Colorado Springs, CO 80906-7300 | 2019-08-22 |
| 1215499967 | Stanley Leon Rapaport | General Practice | 3920 E San Miguel St Apt 129, Colorado Springs, CO 80909-3416 | 2019-04-02 |
| 1972009637 | Optimal Therapy Billing | General Practice | 6547 N Academy Blvd Ste 1131, Colorado Springs, CO 80918-8342 | 2018-04-02 |
| 1710487939 | Imed Integration LLC | General Practice | 6190 Lehman Dr Ste 100b, Colorado Springs, CO 80918-3445 | 2018-02-14 |
| 1982102406 | Medevals of Colorado, Inc. | General Practice | 1233 Lake Plaza Dr Ste B, Colorado Springs, CO 80906-3567 | 2018-01-30 |
| 1699164152 | Peak Performance Pt/md,llc | General Practice | 540 Mesa Vista Ct, Colorado Springs, CO 80904-2541 | 2015-01-21 |
| 1548668429 | Paul Baker Md PC | General Practice | 9703 Pinedale Dr, Colorado Springs, CO 80920-2443 | 2014-12-09 |
| 1235575457 | Barbara Meduna | General Practice | 14530 Silverton Rd, Colorado Springs, CO 80921-2944 | 2013-05-14 |
| 1184972598 | Courtney Crance | General Practice | 1715 N Weber St Ste 330, Colorado Springs, CO 80907-7554 | 2012-08-16 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80917 |
Please comment or provide details below to improve the information on DR. LARRY MICHAEL DEWELL.
| 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.