DR. RICHARD STOCKWELL (NPI# 1063707792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063707792 |
| Entity Type | Individual |
| Full Name | DR. RICHARD STOCKWELL |
| Credential | M.D. |
| Practice Address |
1650 Cochrane Cir Evans Army Community Hospital Fort Carson CO 80913-4613 |
| Mailing Address |
2160 S 1st Ave Room 7609 Maywood IL 60153-3328 |
| Practice Telephone | 7195242273 |
| Mailing Telephone | 7082164943 |
| Mailing Fax Number | 7082166890 |
| Enumeration Date | 2011-06-10 |
| Last Update Date | 2015-12-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 125067913 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750437844 | Richard Standish Stockwell Jr. | Physical Therapist | 100 Jenkins Ranch Rd, Suite E5, Durango, CO 81301-9474 | 2007-01-25 |
| 1275570541 | Richard Sydney Stockwell | Colon & Rectal Surgery | 344 Cumberland St, Westbrook, ME 04092-2408 | 2006-06-02 |
| Street Address |
1650 COCHRANE CIR EVANS ARMY COMMUNITY HOSPITAL |
| City | FORT CARSON |
| State | CO |
| Zip Code | 80913-4613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740899780 | Jonathan Tyler Froshaug | Student in an Organized Health Care Education/Training Program | 1650 Cochrane Cir, Fort Carson, CO 80913-4613 | 2020-07-27 |
| 1841809837 | Andrew Finn | Student in an Organized Health Care Education/Training Program | 1650 Cochrane Cir, Fort Carson, CO 80913-4613 | 2020-07-27 |
| 1750999512 | Vimarys Leiwalo | Nurse Anesthetist, Certified Registered | 1650 Cochrane Cir, Fort Carson, CO 80913-4613 | 2020-07-17 |
| 1184263683 | John Rising | Pharmacist | 1650 Cochrane Cir, Fort Carson, CO 80913-4613 | 2019-12-31 |
| 1215595665 | Jonathan Maten | Physician Assistant | 1650 Cochrane Cir, Fort Carson, CO 80913-4613 | 2019-05-31 |
| 1053979401 | Daniel Matthes | Physician Assistant | 1650 Cochrane Cir, Fort Carson, CO 80913-4613 | 2019-05-31 |
| 1114585569 | Adam Clements | Physician Assistant | 1650 Cochrane Cir, Fort Carson, CO 80913-4613 | 2019-05-31 |
| 1619532520 | Savanna Ann Klippel | Nurse Practitioner | 1650 Cochrane Cir, Fort Carson, CO 80913-4613 | 2019-05-06 |
| 1689139057 | John Nunn | Family Medicine | 1650 Cochrane Cir, Fort Carson, CO 80913-4613 | 2019-02-09 |
| 1326512781 | Joshua Hickman | Physician Assistant | 1650 Cochrane Cir, Fort Carson, CO 80913-4613 | 2019-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326651498 | Christopher M Juneau | Physical Therapist | Us Air Force/ Fort Carson, 8420 Skyraider Rd, Colorado Springs, AA 80913 | 2020-08-28 |
| 1003433640 | Denise Marie Cacho | Dentist | Smith Dental Clinic, 2280 Hogan St. Blgd 1561, Fort Carson, CO 80913 | 2020-06-30 |
| 1497378053 | Ivan Sergeyevich Koutsopatriy | Dentist | Us Army Dental Health Activity 1667 Cochrane Circle, Bldg 7495, Fort Carson, CO 80913 | 2020-05-18 |
| 1396293478 | Kayla Howerton | Audiologist | 8901 Wetzel Ave, Bldg 1525, Fort Carson, CO 80913 | 2016-09-16 |
| 1922472125 | Danell Pugh | Social Worker | Bldg 1657, Fort Carson, CO 80913 | 2015-11-25 |
| 1750761136 | Colin Michael Kenny | Internal Medicine | Evans Army Community Hospital. 1650 Cochrane Cir B7500, Fort Carson, CO 80913 | 2015-06-01 |
| 1740689736 | Rachel Edwards | Speech-Language Pathologist | Evans Community Hospital, 1650 Cochrane Circle, Fort Carson, CO 80913 | 2014-08-15 |
| 1841617859 | Douglas Foote | Social Worker | 1657 Prussman, Ft. Carson, CO 80913 | 2014-03-27 |
| 1649619396 | Brigette Marie Grimes | Dietitian, Registered | Building 1435, 4th Infantry Division, Division Surgeon, Fort Carson, CO 80913 | 2013-06-17 |
| 1467895318 | Evans Army Community Hospital | Clinic/Center | Bldg 2361 Titus Blvd, Ft Carson, CO 80913 | 2013-04-10 |
| Find all providers in zip 80913 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750761136 | Colin Michael Kenny | Internal Medicine | Evans Army Community Hospital. 1650 Cochrane Cir B7500, Fort Carson, CO 80913 | 2015-06-01 |
| 1386611481 | Anne Buckley Rossignol | Internal Medicine | 7490 Sutherland Cir, Robinson Medical Clinic, Fort Carson, CO 80913 | 2006-03-07 |
| 1518949437 | Michael Hjelkrem | Internal Medicine | 1650 Cochrane Cir B7500, Fort Carson, CO 80913 | 2005-11-16 |
| 1750372710 | John Steven Birchfield | Internal Medicine | 1650 Cochrane Cir Bldg 7505, Fort Carson, CO 80913-4604 | 2005-10-31 |
| 1649791815 | Aaron Brockshus | Internal Medicine | 1650 Cochrane Cir Bldg 7505, Fort Carson, CO 80913-4613 | 2017-06-28 |
| 1427449776 | Trevor John Lutz | Internal Medicine | 1650 Cochrane Cir Unit Meddac, Fort Carson, CO 80913-4604 | 2015-02-09 |
| 1326480500 | Amanda Katherine Berg Anton | Internal Medicine | 1650 Cochrane Cir, Fort Carson, CO 80913-4613 | 2013-07-29 |
| 1992068894 | Jacob Mathew Jr. | Internal Medicine | 1650 Cochrane Cir, Evans Army Community Hospital, Fort Carson, CO 80913-4613 | 2012-06-17 |
| 1669731949 | Victoria M Prentice | Internal Medicine | 1650 Cochrane Cir, Fort Carson, CO 80913-4613 | 2012-05-08 |
| 1861750382 | Ryan Lee Prentice | Internal Medicine | 1650 Cochrane Cir Bldg 7505, Fort Carson, CO 80913-4604 | 2012-05-03 |
| Find all providers in FORT CARSON | ||||
| City | FORT CARSON |
| Zip Code | 80913 |
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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.