DR. TIM CARLSEN (NPI# 1033199070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033199070 |
| Entity Type | Individual |
| Full Name | DR. TIM CARLSEN |
| Credential | D.P.M. |
| Practice Address |
2620 Tenderfoot Hill St Suite 10 Colorado Springs CO 80906-3981 |
| Practice Telephone | 7195762080 |
| Practice Fax Number | 7195762248 |
| Mailing Telephone | 7195762080 |
| Mailing Fax Number | 7195762248 |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
642 | CO | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 12451576 | 05 | |
| CO | RRW MEDICARE | P00147284 | 01 |
| CO | PACIFICARE | 84146929104 | 01 |
| CO | RMHMO | 841469291005 | 01 |
| Street Address |
2620 TENDERFOOT HILL ST SUITE 10 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80906-3981 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710382817 | Daniel P Bagwell | Specialist | 2620 Tenderfoot Hill St, Suite 200, Colorado Springs, CO 80906-8353 | 2014-10-31 |
| 1326476466 | Bear Creek Family Medicine, Prof. LLC | Clinic/Center | 2620 Tenderfoot Hill St, Colorado Springs, CO 80906-8353 | 2013-10-29 |
| 1912153230 | Larry John Rush | Dentist | 2620 Tenderfoot Hill St, Suite 210, Colorado Springs, CO 80906-8353 | 2008-08-18 |
| 1093938250 | Katrina Elizabeth Grablin | Physician Assistant | 2620 Tenderfoot Hill St, Ste 200, Colorado Springs, CO 80906-8356 | 2007-04-10 |
| 1245379262 | Luanne Sperando | Pediatrics | 2620 Tenderfoot Hill St, Suite 101, Colorado Springs, CO 80906-8353 | 2007-02-06 |
| 1013962612 | Lisa Cunningham | Pediatrics | 2620 Tenderfoot Hill St, Suite 100, Colorado Springs, CO 80906-3981 | 2006-05-23 |
| 1467451492 | Ryan S Knoche | Chiropractor | 2620 Tenderfoot Hill St, Ste 10, Colorado Springs, CO 80906-8354 | 2005-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437797339 | Michael Crise | Behavior Technician | 1330 Qual Lake Loop Ste 120, Colorado Springs, CO 80906 | 2019-12-11 |
| 1730720541 | Amanda Salinas | Massage Therapist | 1235 Lake Plaza Drive Suite 230, Colorado Springs, CO 80906 | 2019-10-02 |
| 1225511488 | Sheila Meggison | Massage Therapist | 1235 Lake Plaza Drive, Suite 230, Colorado Springs, CA 80906 | 2018-09-12 |
| 1316429756 | Vivus Counseling Services LLC | Counselor | 108 East Cheyenne Rd Suite 201, Colorado Springs, CO 80906 | 2018-09-01 |
| 1043796949 | Erin Lee Recinos | Nurse Practitioner | 225 E Cheyenne Mountain Blvd Ste 220, Colorado Springs, CO 80906 | 2018-07-13 |
| 1982103875 | Savannah Adeline Rentrop | Behavior Technician | 2989 Broadmoor Valley Rd D, Colorado Springs, CO 80906 | 2018-02-06 |
| 1205335288 | Ross Knowlton | Behavior Technician | 1330 Quail Lake Loop Suite 200, Colorado Springs, CO 80906 | 2018-02-06 |
| 1942709845 | Adrienne Bohlen | Behavior Technician | 1330 Quail Lake Loop, Ste. 200, Colorado Springs, CO 80906 | 2018-02-06 |
| 1881110088 | Christine Gonzales | Nurse Practitioner | 2739 E Las Vegas St, Colorado Springs, CO 80906 | 2017-08-18 |
| 1225568470 | Larry Alwine | Counselor | 2860 South Circle Drive, Unit 250k, Colorado Springs, CO 80906 | 2017-06-19 |
| Find all providers in zip 80906 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548240609 | Jennifer V Yull | Podiatrist | 2975 Broadmoor Valley Rd, Suite 104, Colorado Springs, CO 80906-4466 | 2006-01-17 |
| 1841479037 | Carlsen Foot & Ankle Center, P.C. | Podiatrist | 1802 Chapel Hills Dr, Suite A, Colorado Springs, CO 80920-3765 | 2007-10-24 |
| 1790998938 | David M. Morford, Dpm, LLC | Podiatrist | 1910 Vindicator Dr, Suite 102, Colorado Springs, CO 80919-3623 | 2007-05-07 |
| 1790909802 | David Michael Morford | Podiatrist | 1910 Vindicator Dr, Suite 102, Colorado Springs, CO 80919-3623 | 2007-04-12 |
| 1851371942 | Cheyenne Foot & Ankle Inc | Podiatrist | 2975 Broadmoor Valley Rd, Ste 104, Colorado Springs, CO 80906-3981 | 2006-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316404874 | Colorado Footcare, LLC | Podiatrist | 2270 S Vaughn Way Apt 201, Aurora, CO 80014-1340 | 2019-02-20 |
| 1912052564 | David J Giffin | Podiatrist | 6342 S Poplar Ct, Centennial, CO 80111-4656 | 2007-01-24 |
| 1043227390 | John S Jachimiak | Podiatrist | 2575 Pearl St, Suite 240, Boulder, CO 80302-3851 | 2006-08-01 |
| 1164458006 | Michael I Thomas | Podiatrist | 1355 Riverside Ave Ste C, Fort Collins, CO 80524-4366 | 2006-06-23 |
| 1952714313 | Zeno Pfau | Podiatrist | 1619 N Greenwood St Ste 300, Pueblo, CO 81003-2657 | 2014-06-03 |
| 1336550565 | Garrett D Moore | Podiatrist | 3055 Roslyn St Unit 200, Denver, CO 80238-3324 | 2014-05-09 |
| 1073931275 | Edward Chesnutis IIi | Podiatrist | 1721 E 19th Ave Ste 520, Denver, CO 80218-1243 | 2014-04-03 |
| 1720428626 | Elite Foot & Ankle Clinic | Podiatrist | 3655 E 104th Ave, Suite B, Thornton, CO 80233-4469 | 2013-06-25 |
| 1003083841 | Cheyenne Foot & Ankle Inc | Podiatrist | 1335 Phay Ave, Suite D, Canon City, CO 81212-2334 | 2008-05-12 |
| 1013929660 | Thomas E Shonka | Podiatrist | 1400 28th St, Suite 2, Boulder, CO 80303-1096 | 2006-08-12 |
| Find all providers with the same taxonomy | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80906 |
Please comment or provide details below to improve the information on DR. TIM CARLSEN.
| 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.