PUEBLO RADIOLOGICAL GROUP, P.C. (NPI# 1033710108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033710108 |
| Entity Type | Organization |
| Organization Name | PUEBLO RADIOLOGICAL GROUP, P.C. |
| Practice Address |
23500 Us Highway 160 Walsenburg CO 81089-9524 |
| Mailing Address |
Po Box 7693 Loveland CO 80537-0693 |
| Practice Telephone | 7197385100 |
| Practice Fax Number | 7195427019 |
| Mailing Telephone | 9706632742 |
| Mailing Fax Number | 9703422093 |
| Enumeration Date | 2020-11-05 |
| Last Update Date | 2020-11-05 |
| Authorized Official Name | ROBIN L BOYER (AUTH REP / DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 9706632742 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013860 | Pueblo Radiological Group, P.C. | Radiology | 245 Balmoral Way, Colorado Springs, CO 80906-7907 | 2020-11-06 |
| 1154922938 | Pueblo Radiological Group, P.C. | Radiology | 3245 E Hwy 50 Unit E, Canon City, CO 81212-9343 | 2020-11-06 |
| 1548861529 | Pueblo Radiological Group, P.C. | Radiology | 1804 Oakmoor Hts, Colorado Springs, CO 80906-1171 | 2020-11-05 |
| 1063013852 | Pueblo Radiological Group, P.C. | Radiology | 933 Sell Ave, Canon City, CO 81212-4929 | 2020-11-06 |
| 1396346185 | Pueblo Radiological Group, P.C. | Radiology | 4112 Outlook Blvd Ste 255, Pueblo, CO 81008-1667 | 2020-11-06 |
| 1114528908 | Pueblo Radiological Group, P.C. | Radiology | 1020 Lakeview Ave, Pueblo, CO 81004-3508 | 2020-11-06 |
| 1346841129 | Pueblo Radiological Group, P.C. | Radiology | 4112 Outlook Blvd Ste 96, Pueblo, CO 81008-1667 | 2020-11-06 |
| 1699376764 | Pueblo Radiological Group, P.C. | Radiology | 1338 Phay Ave, Canon City, CO 81212-2311 | 2020-11-05 |
| 1962003947 | Pueblo Radiological Group, P.C. | Radiology | 4194 Royal Pine Dr, Colorado Springs, CO 80920-1507 | 2020-11-05 |
| 1013518000 | Pueblo Radiological Group, P.C. | Radiology | 2035 S Pueblo Blvd, Pueblo, CO 81005-2577 | 2020-11-05 |
| Street Address |
23500 US HIGHWAY 160 |
| City | WALSENBURG |
| State | CO |
| Zip Code | 81089-9524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013987973 | Fred O. Williams | Emergency Medicine | 23500 Us Highway 160, Walsenburg, CO 81089-9524 | 2006-01-24 |
| 1366988446 | Huerfano County Hospital District | Non-emergency Medical Transport (VAN) | 23500 Us Highway 160, Walsenburg, CO 81089-9524 | 2017-01-12 |
| 1831632637 | Huerfano County Hospital District | Respite Care | 23500 Us Highway 160, Walsenburg, CO 81089-9524 | 2016-11-28 |
| 1740655877 | Rhonda Thibault-lloyd | Physical Therapist | 23500 Us Highway 160, Walsenburg, CO 81089-9524 | 2015-12-01 |
| 1902279540 | Hannah Larson | Physical Therapist | 23500 Us Highway 160, Walsenburg, CO 81089-9524 | 2015-11-04 |
| 1316329469 | Marianne Johnson-knecht | Dietitian, Registered | 23500 Us Highway 160, Walsenburg, CO 81089-9524 | 2015-06-25 |
| 1285030965 | Anna K Fisher | Dietitian, Registered | 23500 Us Highway 160, Walsenburg, CO 81089-9524 | 2014-11-07 |
| 1902244734 | Jonathan R Moran | Emergency Medicine | 23500 Us Highway 160, Walsenburg, CO 81089-9524 | 2013-06-14 |
| 1336434349 | Andrea L Crosson | Occupational Therapist | 23500 Us Highway 160, Walsenburg, CO 81089-9524 | 2011-06-17 |
| 1396971230 | Denise Annette Searles | Nurse Practitioner | 23500 Us Highway 160, Walsenburg, CO 81089-9524 | 2009-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336684471 | John Edward Hill | Counselor | 615 Russell St., Walsenburg, CO 81089 | 2016-12-28 |
| 1891997672 | Sandra Dee Majors | Counselor | 926 Russell Street, Walsenburg, CO 81089 | 2007-06-04 |
| 1306006143 | Olixn Lee Adams | Family Medicine | 23400 Us Highway 160, Walsenburg, CO 81089 | 2008-06-16 |
| 1265611354 | Diane M Ernewein | Physical Therapist | 125 E 5th St, Walsenburg, CO 81089 | 2007-10-25 |
| 1306905203 | Deej Health Corp | Pharmacy | 520 Main St, Walsenburg, CO 81089 | 2006-12-06 |
| 1053859611 | Southern Colorado Developmental Disabilities Services, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 309 E Elder St, Walsenburg, CO 81089-1601 | 2017-02-03 |
| 1407862386 | Kathy Ann Loeffler | Nurse Practitioner | 129 Kansas Ave, Walsenburg, CO 81089-1818 | 2006-07-31 |
| 1528665593 | Achieve Whole Recovery, PC | Specialist | 129 Kansas Ave, Walsenburg, CO 81089-1818 | 2020-10-02 |
| 1710274394 | Regina Jo Griego | Nurse Practitioner | 129 Kansas Ave, Walsenburg, CO 81089-1818 | 2011-07-05 |
| 1346403375 | Huerfano County Hospital District | Clinic/Center | 129 Kansas Ave, Walsenburg, CO 81089-1818 | 2008-07-09 |
| Find all providers in zip 81089 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013860 | Pueblo Radiological Group, P.C. | Radiology | 245 Balmoral Way, Colorado Springs, CO 80906-7907 | 2020-11-06 |
| 1154922938 | Pueblo Radiological Group, P.C. | Radiology | 3245 E Hwy 50 Unit E, Canon City, CO 81212-9343 | 2020-11-06 |
| 1548861529 | Pueblo Radiological Group, P.C. | Radiology | 1804 Oakmoor Hts, Colorado Springs, CO 80906-1171 | 2020-11-05 |
| 1346855905 | Cher LLC | Radiology | 2236 E Harmony Rd, Fort Collins, CO 80528-3412 | 2020-09-10 |
| 1376153965 | Colorado Springs Radiologists PC | Radiology | 5607 Barnes Rd # 140, Colorado Springs, CO 80917-1347 | 2020-08-07 |
| 1255949608 | Rocky Mountain Cancer Centers LLP | Radiology | 1800 N Williams St Ste 100, Denver, CO 80218-1237 | 2020-07-21 |
| 1376189258 | Smi Imaging LLC | Radiology | 7903 S Broadway Ste A, Littleton, CO 80122-2712 | 2019-11-26 |
| 1548806425 | Smi Imaging LLC | Radiology | 3840 Wadsworth Blvd Ste 5, Wheat Ridge, CO 80033-4613 | 2019-11-26 |
| 1881230829 | Smi Imaging LLC | Radiology | 939 N Broadway, Denver, CO 80203-2705 | 2019-11-25 |
| 1598301533 | Smi Imaging LLC | Radiology | 12520 Grant Dr Ste 200, Thornton, CO 80241-2512 | 2019-11-25 |
| Find all providers with the same taxonomy | ||||
| City | WALSENBURG |
| Zip Code | 81089 |
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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.