PARKVIEW ANCILLARY SERVICES (NPI# 1104462597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104462597 |
| Entity Type | Organization |
| Organization Name | PARKVIEW ANCILLARY SERVICES |
| Practice Address |
311 West 14th Street Pueblo CO 81003-2710 |
| Mailing Address |
408 North Main Street Pueblo CO 81003-3123 |
| Practice Telephone | 7195957585 |
| Practice Fax Number | 7195957589 |
| Mailing Telephone | 7195957417 |
| Mailing Fax Number | 7195420809 |
| Enumeration Date | 2019-11-21 |
| Last Update Date | 2019-11-21 |
| Authorized Official Name | DARRIN R SMITH (SR. VP/COO) |
| Authorized Official Telephone | 7195844290 |
| Is Organization Subpart | Y |
| Parent Organization Name | PARKVIEW ANCILLARY SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 12701378 | 05 |
| Other Name | Type Code |
|---|---|
| Parkview Adult Medicine Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144869371 | Parkview Ancillary Services | Internal Medicine | 109 Latigo Ln Ste E, Canon City, CO 81212-8113 | 2020-01-06 |
| 1790329035 | Parkview Ancillary Services | Psychiatry & Neurology | 1619 N. Greenwood St., Ste. 402, Pueblo, CO 81003-2658 | 2019-10-30 |
| 1346883097 | Parkview Ancillary Services | Nurse Practitioner | 1600 N Grand Ave Ste 210, Pueblo, CO 81003-2749 | 2019-10-25 |
| 1609419738 | Parkview Ancillary Services | Anesthesiology | 330 West 14th Street, Pueblo, CO 81003-2705 | 2019-10-22 |
| 1548802747 | Parkview Ancillary Services | Obstetrics & Gynecology | 1501 Court, Pueblo, CO 81003-2720 | 2019-10-09 |
| 1346882602 | Parkview Ancillary Services | Psychiatry & Neurology | 56 Club Manor Dr Ste 100, Pueblo, CO 81008-1685 | 2019-10-08 |
| 1790335909 | Parkview Ancillary Services | Specialist | 4100 Jerry Murphy, Pueblo, CO 81001-1046 | 2019-09-19 |
| 1164048062 | Parkview Ancillary Services | Family Medicine | 1600 N. Grand Ave., Ste. 230, Pueblo, CO 81003-2731 | 2020-06-17 |
| 1902436256 | Parkview Ancillary Services | Urology | 4100 Jerry Murphy, Pueblo, CO 81001-1046 | 2020-01-24 |
| 1215567383 | Parkview Ancillary Services | Internal Medicine | 3670 Parker Blvd., Ste. 101, Pueblo, CO 81008-2285 | 2020-01-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Parkview Ancillary Services, LLC | 400 W 16th St, Pueblo, CO 81003 |
| Street Address |
311 WEST 14TH STREET |
| City | PUEBLO |
| State | CO |
| Zip Code | 81003-2710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851372320 | Douglas Floyd Duffee | Internal Medicine | 311 West 14th Street, Pueblo, CO 81003-2710 | 2005-11-10 |
| 1740790708 | Bobbi Michelle Hall | Nurse Practitioner | 311 West 14th Street, Pueblo, CO 81003 | 2017-10-04 |
| 1811438393 | Lena Bazhenova | Internal Medicine | 311 West 14th Street, Parkview Adult Medicine Clinic, Pueblo, CO 81003 | 2017-03-16 |
| 1558775049 | Stephanie Murphy | Family Medicine | 311 West 14th Street, Pueblo, CO 81003-2710 | 2014-06-12 |
| 1275954927 | Geepress Corpuz | Internal Medicine | 311 West 14th Street, Pueblo, CO 81003-2710 | 2013-12-25 |
| 1932547130 | Kayleigh Ann Zerr | Family Medicine | 311 West 14th Street, Pueblo, CO 81003-2710 | 2013-06-10 |
| 1710211578 | Bhavani Choudary Suryadevara | Internal Medicine | 311 West 14th Street, Pueblo, CO 81003-2710 | 2009-09-28 |
| 1346276342 | Jay A Richter | Family Medicine | 311 West 14th Street, Pueblo, CO 81003-2710 | 2006-06-23 |
| 1366406027 | Andrew W. Kamell | Family Medicine | 311 West 14th Street, Pueblo, CO 81003-2710 | 2006-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164042016 | Sunil Kumar | Student in an Organized Health Care Education/Training Program | Parkview Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2020-04-21 |
| 1497382303 | Pueblo Family Dentistry Pllc | Dentist | 701 N Grand Avenue, Suite B, Pueblo, CO 81003 | 2020-03-23 |
| 1023654241 | Elmer A. Villalon, Dmd, LLC | Clinic/Center | 1225 North Main Street, #207, Pueblo, CO 81003 | 2019-11-22 |
| 1518434349 | Mariam Rahim | Internal Medicine | Parkview Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2018-10-30 |
| 1003308222 | Julia Mcneice | Internal Medicine | Parkview Medial Center, Parkveiw Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2018-06-04 |
| 1689164857 | Jessica Sels | Internal Medicine | Parkview Medical Center Adult Medicine Clinic, 311 W 14th St, Pueblo, CO 81003 | 2018-05-14 |
| 1700313459 | Allison Vigil | Occupational Therapist | 1600 W. 24th St, Pueblo, CO 81003 | 2017-05-12 |
| 1245682020 | Paul S Bongat | Internal Medicine | 411 W. 14th St., Parkview Adult Medicine Clinic, Pueblo, CO 81003 | 2016-07-06 |
| 1013368596 | Daniel R Long | Internal Medicine | 411 West 14th Street, Pueblo, CO 81003 | 2016-06-27 |
| 1396195665 | Parkview Medical Center | General Acute Care Hospital | 411 W. 14th St, Pueblo, CO 81003 | 2016-06-17 |
| Find all providers in zip 81003 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871907089 | Kari Coffey | Family Medicine | 311 W. 14th Street, Pueblo, CO 81003-2710 | 2014-06-16 |
| 1679129118 | Brittney Paige Keys | Family Medicine | 1207 Pueblo Boulevard Way, Pueblo, CO 81005-2175 | 2019-08-12 |
| 1558775049 | Stephanie Murphy | Family Medicine | 311 West 14th Street, Pueblo, CO 81003-2710 | 2014-06-12 |
| 1700224664 | Jennifer E Forte | Family Medicine | 311 W 14th St, Pueblo, CO 81003-2710 | 2013-06-12 |
| 1932547130 | Kayleigh Ann Zerr | Family Medicine | 311 West 14th Street, Pueblo, CO 81003-2710 | 2013-06-10 |
| 1760720304 | Saurabh Baghi | Family Medicine | 311 W 14th St, Pueblo, CO 81003-2710 | 2013-01-16 |
| 1609018159 | Armine Avanesyan | Family Medicine | 311 W 14th St, Pueblo, CO 81003-2710 | 2009-03-30 |
| 1346276342 | Jay A Richter | Family Medicine | 311 West 14th Street, Pueblo, CO 81003-2710 | 2006-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144870163 | Scott Ross | Family Medicine | 4201 Pinion Dr, Usaf Academy, CO 80840-4000 | 2019-09-12 |
| 1467019364 | Keshea Desmornes Rouse | Family Medicine | 1380 E Fillmore St Ste 100, Colorado Springs, CO 80907-6464 | 2019-05-26 |
| 1881173953 | Erin Hameroff | Family Medicine | 3460 S Federal Blvd, Englewood, CO 80110-1967 | 2018-08-09 |
| 1952819450 | Colorado Senior Provider Network | Family Medicine | 2221 E Arapahoe Rd Unit 3728, Centennial, CO 80161-5079 | 2018-01-18 |
| 1518489087 | Colorado Pain Relief of Colorado Springs Inc | Family Medicine | 1304 N Academy Blvd Ste 209, Colorado Springs, CO 80909-3318 | 2017-07-17 |
| 1891131173 | Floyd J. Miller | Family Medicine | 5315 Topaz Dr, Colorado Springs, CO 80918-2435 | 2013-05-14 |
| 1376819433 | Julie Doris Jacobs | Family Medicine | 4800 Baseline Rd Ste D106, Boulder, CO 80303-2643 | 2012-03-22 |
| 1134367410 | David Kim Allred | Family Medicine | 5880 Hwy 67 South, Florence, CO 81226 | 2009-01-26 |
| 1952547127 | Occmed Colorado | Family Medicine | 3449 B Chambers Road, Aurora, CO 80011 | 2008-12-18 |
| 1730301920 | Louise Elizabeth Fullerton | Family Medicine | 2 Pin Oak Dr, Littleton, CO 80127-4325 | 2007-05-03 |
| Find all providers with the same taxonomy | ||||
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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.