RIVER VALLEY PEDIATRICS, PC (NPI# 1063475788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063475788 |
| Entity Type | Organization |
| Organization Name | RIVER VALLEY PEDIATRICS, PC |
| Practice Address |
1335 Phay Ave Canon City CO 81212-2334 |
| Mailing Address |
1335 Phay Ave Canon City CO 81212-2349 |
| Practice Telephone | 7192762222 |
| Practice Fax Number | 7192769199 |
| Mailing Telephone | 7192762222 |
| Mailing Fax Number | 7192769199 |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2010-08-20 |
| Authorized Official Name | PAUL T DUBE' (M.D.) |
| Authorized Official Telephone | 7192762222 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 93233086 | 05 |
| Street Address |
1335 PHAY AVE |
| City | CANON CITY |
| State | CO |
| Zip Code | 81212-2334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104822162 | Raymond J Pelland | Physician Assistant | 1335 Phay Ave, Ste D, Canon City, CO 81212-2349 | 2005-06-24 |
| 1619442068 | Jessica Shiflett | Counselor | 1335 Phay Ave, Canon City, CO 81212-2334 | 2018-10-11 |
| 1992114334 | Catholic Health Initiatives Colorado | Pediatrics | 1335 Phay Ave, Suite A, Canon City, CO 81212-2334 | 2014-08-11 |
| 1942593538 | Wings of Hope Counseling Services, Pllc | Counselor | 1335 Phay Ave, Canon City, CO 81212-2334 | 2011-05-16 |
| 1245536168 | Accent On Life, LLC | Community/Behavioral Health | 1335 Phay Ave, Suite H, Canon City, CO 81212-2334 | 2011-02-10 |
| 1669791547 | Middle Ground | Counselor | 1335 Phay Ave, Suite E, Canon City, CO 81212-2334 | 2010-05-18 |
| 1114258670 | Terri L. Gorman | Counselor | 1335 Phay Ave, Suite H, Canon City, CO 81212-2334 | 2010-01-23 |
| 1427201979 | Dora Beth Parsons | Physician Assistant | 1335 Phay Ave, Suite B, Canon City, CO 81212-2334 | 2008-10-28 |
| 1447411129 | Evelyn Frances Wahl | Nurse Practitioner | 1335 Phay Ave, Suite A, Canon City, CO 81212-2334 | 2008-06-24 |
| 1003083841 | Cheyenne Foot & Ankle Inc | Podiatrist | 1335 Phay Ave, Suite D, Canon City, CO 81212-2334 | 2008-05-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083212393 | Buck Jack LLC | Physical Therapist | Mountain View Core Knowledge School 890 Field Ave, Cannon City, CO 81212 | 2020-10-09 |
| 1942841374 | Glorious Works Neurotherapy | Community/Behavioral Health | 115 N 7th Street, Canon City, CO 81212 | 2019-10-07 |
| 1376046292 | Lonnie Mccarron | Social Worker | 600 Evans Rd, Fremont Correctional Facility, Canon City, CO 81212 | 2018-03-16 |
| 1487156964 | Patrick Neil Cox | Case Manager/Care Coordinator | 3239 Independence Road, Canon City, CO 81212 | 2018-03-01 |
| 1831559806 | Justin Ensinger | Counselor | 700 Four Mile Parkway, Canon City, CO 81212 | 2016-03-03 |
| 1710365713 | Amber Conover | Health Educator | 105 N 10th Street, Canon City, CO 81212 | 2015-05-11 |
| 1902073448 | Richard R Williams | Counselor | 612 Field Ave, Canon City, CO 81212 | 2008-05-14 |
| 1861662249 | Huh Inc | Hearing Instrument Specialist | 121 Justice Center Rd Ste D, Canon City, CO 81212 | 2008-03-03 |
| 1013113828 | Deborah Eileen Shock | Nurse Practitioner | 275 W Hwy 50, Canon City, CO 81212 | 2007-06-27 |
| 1245433564 | Lindsey Elizabeth Fish | Internal Medicine | 275 West Hwy 50, Colorado Territorial Correctional Facility, Canon City, CO 81212 | 2007-06-06 |
| Find all providers in zip 81212 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003009242 | Sabatini Pediatrics PC | Pediatrics | 612 Yale Pl, Canon City, CO 81212-4611 | 2007-08-21 |
| 1942236468 | Rita M Estep | Pediatrics | 1335 Phay St. Medical, Canon City, CO 81212 | 2006-06-25 |
| 1982215505 | Catholic Health Initiatives Colorado | Pediatrics | 1338 Phay Ave Bldg D, Canon City, CO 81212-2326 | 2020-08-17 |
| 1992114334 | Catholic Health Initiatives Colorado | Pediatrics | 1335 Phay Ave, Suite A, Canon City, CO 81212-2334 | 2014-08-11 |
| 1679738132 | Elizabeth S Wilson | Pediatrics | 614 Yale Pl, Canon City, CO 81212-4611 | 2008-07-24 |
| 1699972992 | Ananya Guha Lusero | Pediatrics | 1335 Phay Ave, Suite A, Canon City, CO 81212-2334 | 2007-06-29 |
| 1710915525 | Ambrose Soler | Pediatrics | 1338 Phay Ave, Bldg D Peds, Canon City, CO 81212 | 2006-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557133 | Rocky Mountain Youth Medical and Nursing Consultants, Inc | Pediatrics | 1301 Central Ave, Dolores, CO 81323 | 2020-10-30 |
| 1932715323 | Healthone Clinic Services - Pediatric Specialties LLC | Pediatrics | 2055 N High St Ste 330, Denver, CO 80205-5545 | 2020-09-21 |
| 1184230591 | Healthone Clinic Services - Pediatric Specialties LLC | Pediatrics | 2055 N High St Ste 360, Denver, CO 80205-5666 | 2020-09-21 |
| 1891312336 | Castle Pines Pediatrics, Pllc | Pediatrics | 7501 Village Square Dr Ste 207, Castle Pines, CO 80108-3708 | 2020-07-01 |
| 1255957528 | Onpoint Medical Group, LLC | Pediatrics | 7720 S Broadway Ste 540, Littleton, CO 80122-2635 | 2020-06-22 |
| 1356966626 | Pediatrics of Steamboat Springs, PC | Pediatrics | 168 South Walnut Street, Hayden, CO 81639 | 2020-06-12 |
| 1821623463 | Brianne Carruthers | Pediatrics | 9282 E 108th Ave, Commerce City, CO 80640-8972 | 2020-03-04 |
| 1356974356 | Littleton Pediatric Medical Center | Pediatrics | 206 W County Line Rd Ste 110, Highlands Ranch, CO 80129-2319 | 2020-02-18 |
| 1548891815 | Optumcare Colorado Springs, LLC | Pediatrics | 8890 N Union Blvd Ste 220, Colorado Springs, CO 80920-2701 | 2020-01-27 |
| 1013548395 | Optumcare Colorado Springs, LLC | Pediatrics | 17230 Jackson Creek Pkwy Ste 260, Monument, CO 80132-7305 | 2020-01-27 |
| Find all providers with the same taxonomy | ||||
| City | CANON CITY |
| Zip Code | 81212 |
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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.