PUEBLO CARDIOLOGY ASSOC PC (NPI# 1134164593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134164593 |
| Entity Type | Organization |
| Organization Name | PUEBLO CARDIOLOGY ASSOC PC |
| Practice Address |
3670 Parker Blvd Ste 101 Pueblo CO 81008-2207 |
| Practice Telephone | 7195641544 |
| Practice Fax Number | 7199241593 |
| Mailing Telephone | 7195641544 |
| Mailing Fax Number | 7199241593 |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2010-07-22 |
| Authorized Official Name | DR. CHRISTIAN THOMAS STJERNHOLM (PRESIDENT) |
| Authorized Official Telephone | 7195641544 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 04006532 | 05 |
| Street Address |
3670 PARKER BLVD STE 101 |
| City | PUEBLO |
| State | CO |
| Zip Code | 81008-2207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205880960 | George Gibson | Internal Medicine | 3670 Parker Blvd Ste 101, Pueblo, CO 81008-2207 | 2006-05-19 |
| 1447727367 | Lindsey Rae Bollinger | Nurse Practitioner | 3670 Parker Blvd Ste 101, Pueblo, CO 81008-2285 | 2018-10-29 |
| 1811400849 | Daniel Mirshamsi | Nurse Practitioner | 3670 Parker Blvd Ste 101, Pueblo, CO 81008-2285 | 2017-11-13 |
| 1083902431 | Derar Zakaryya Shanwan Albashaireh | Internal Medicine | 3670 Parker Blvd Ste 101, Pueblo, CO 81008-2285 | 2011-07-19 |
| 1841587938 | Bhavith Aruni Babu | Internal Medicine | 3670 Parker Blvd Ste 101, Pueblo, CO 81008 | 2011-07-08 |
| 1255585329 | Fadi Taha Alattar | Internal Medicine | 3670 Parker Blvd Ste 101, Pueblo, CO 81008 | 2008-11-15 |
| 1346287646 | John Stachler | Internal Medicine | 3670 Parker Blvd Ste 101, Pueblo, CO 81008-2207 | 2006-06-02 |
| 1811934474 | John Boerner | Internal Medicine | 3670 Parker Blvd Ste 101, Pueblo, CO 81008-2285 | 2006-06-01 |
| 1083651244 | Thomas Christian Stjernholm | Internal Medicine | 3670 Parker Blvd Ste 101, Pueblo, CO 81008-2285 | 2006-05-31 |
| 1033163258 | Peter Lochow | Internal Medicine | 3670 Parker Blvd Ste 101, Pueblo, CO 81008-2285 | 2006-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164058913 | Healthone Clinic Services - Oncology Hematology LLC | Internal Medicine | 3678 Parker Blvd, Pueblo, CO 81008 | 2020-03-12 |
| 1073026423 | Carmel Community Living Corporation | Respite Care | 2003 Northmoor Terrace, Suite 100, Pueblo, CO 81008 | 2017-11-08 |
| 1568987121 | Hannah Vivian Roadruck | Pharmacist | 4200 Dillon Dr., Pueblo, CO 81008 | 2017-08-04 |
| 1184170425 | Brett Burana | Dentist | 729 Us-50, Pueblo, CO 81008 | 2016-08-28 |
| 1760832885 | Irby Dental Cottage | Dental Hygienist | 2099 West St # 50, Suite 180, Pueblo, CO 81008 | 2016-06-20 |
| 1649624362 | Curley Peak Dentistry Pllc | Dentist | 1640 W Fortino Blvd, Pueblo, CO 81008 | 2016-04-19 |
| 1336507847 | Kyle Tipton | Nurse Anesthetist, Certified Registered | 4741 Eagleridge Circle, 206, Pueblo, CO 81008 | 2016-01-29 |
| 1407211931 | Center At Park West, LLC | Skilled Nursing Facility | 3727 Parker Blvd., Pueblo, CO 81008 | 2015-12-29 |
| 1417327461 | Nicole Betts | Registered Nurse | 1310 Fortino Blvd Ste D, Pueblo, CO 81008 | 2015-10-02 |
| 1437578028 | Pueblo Modern Dentistry and Orthodontics, LLP | Dentist | 727 Us Hwy 50 West, Pueblo, CO 81008 | 2014-04-10 |
| Find all providers in zip 81008 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790335909 | Parkview Ancillary Services | Specialist | 4100 Jerry Murphy, Pueblo, CO 81001-1046 | 2019-09-19 |
| 1225595630 | Kimberly Warfield | Specialist | 5825 W Hwy 78, Pueblo, CA 81005 | 2019-02-22 |
| 1245636810 | Meredith Peterson | Specialist | 3902 Sandalwood Ln, Suite 140, Pueblo, CO 81005-7501 | 2014-11-10 |
| 1073836029 | Karl Hapcic, Md, LLC | Specialist | 1315 S Pueblo Blvd Ste 110, Pueblo, CO 81005-2192 | 2010-03-04 |
| 1831309129 | J. Valentine Cichon, Md PC | Specialist | 312 N Prairie Ave, Pueblo, CO 81005-1371 | 2007-05-23 |
| 1124237730 | Larry Edward Terrell | Specialist | 1711 E Evans Ave, Pueblo, CO 81004-3349 | 2007-05-21 |
| 1851412134 | Southern Colorado Ent & Allergy LLC | Specialist | 3676 Parker Blvd Ste 320, Pueblo, CO 81008-2213 | 2007-04-03 |
| 1356492219 | Corwin Clinic Surgical Professional Corp | Specialist | 1925 E Orman Ave Ste A109, Pueblo, CO 81004-3555 | 2007-01-16 |
| 1841391596 | William V Watson | Specialist | 3530 Spaulding Ave, Pueblo, CO 81008-2209 | 2006-09-26 |
| 1265477046 | Camille George Azar | Specialist | 1020 Lakeview Ave, Pueblo, CO 81004-3508 | 2006-06-17 |
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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.