ANDREW SEDILLO (NPI# 1144263179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144263179 |
| Entity Type | Individual |
| Full Name | ANDREW SEDILLO |
| Credential | MD |
| Practice Address |
179 Parkside Drive Colorado Springs CO 80910 |
| Mailing Address |
220 Ruskin Dr Colorado Springs CO 80910 |
| Practice Telephone | 7195726300 |
| Practice Fax Number | 7195726399 |
| Mailing Telephone | 7195726100 |
| Mailing Fax Number | 7195726080 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2013-05-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
47548 | CO | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
K7211B | TX | Allopathic & Osteopathic Physicians |
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
47648 | CO | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
35559 | KY | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
01060017A | IN | Allopathic & Osteopathic Physicians |
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
47648 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200337740 | 05 | |
| KY | KY MEDICAID PIN | 64010150 | 01 |
| IN | ANTHEM PIN | 000000351047 | 01 |
| CO | 25406361 | 05 |
| Street Address |
179 PARKSIDE DRIVE |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023437068 | Leona Martinez | Case Manager/Care Coordinator | 179 Parkside Drive, Colorado Springs, CO 80910 | 2014-04-07 |
| 1407272248 | Amber Romero | Case Manager/Care Coordinator | 179 Parkside Drive, Colorado Springs, CO 80910 | 2014-03-17 |
| 1881971984 | Crystal Bliss Lardy-bliss | Counselor | 179 Parkside Drive, Colorado Springs, CO 80910 | 2011-11-03 |
| 1568772291 | Megan Brianne Mccrath | Counselor | 179 Parkside Drive, Colorado Springs, CO 80910 | 2010-10-15 |
| 1083934863 | Joanne M Entjer | Counselor | 179 Parkside Drive, Colorado Springs, CO 80910 | 2010-06-03 |
| 1932433653 | Glenda S Ruder | Counselor | 179 Parkside Drive, Colorado Springs, CO 80910 | 2009-09-28 |
| 1659525087 | Crystal L Hawkes | Counselor | 179 Parkside Drive, Colorado Springs, CO 80910 | 2008-11-12 |
| 1992826069 | Rebecca Smoot Gardner | Social Worker | 179 Parkside Drive, Colorado Springs, CO 80910 | 2007-04-03 |
| 1821126426 | Doreen Ann Deross | Counselor | 179 Parkside Drive, Colorado Springs, CO 80910 | 2007-03-02 |
| 1548316946 | Dana J Williams | Counselor | 179 Parkside Drive, Colorado Springs, CO 80910 | 2007-01-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952955403 | Marian Lin Mondy | Social Worker | 2909 Wellshire Blvd., Colorado Springs, CO 80910 | 2019-08-01 |
| 1538727474 | Lisa Morales | Audiologist | 3225 International Cir Ste 102, Colorado Springs, CO 80910 | 2019-06-05 |
| 1134617038 | Paul Gross | Counselor | 411 Lakewood Circle Dr, C-204-b, Colorado Springs, CO 80910 | 2018-04-25 |
| 1821502923 | Kathleen Lubos Ambros-dahilig | Dental Assistant | 2240 Gilpin Ave, Colorado Springs, CO 80910 | 2017-11-28 |
| 1508384793 | Shawn Maul | Registered Nurse | 115 S Parkside, Colorado Springs, CO 80910 | 2017-09-07 |
| 1376910521 | Kelley Elizabeth Smith Bouchard | Nurse Practitioner | 3225 International Circle Suite 220, Colorado Springs, CO 80910 | 2015-08-24 |
| 1619353430 | Dr. Steven Alan Gould Dds PC | Dentist | 2859 E. Fountain Blvd, Colorado Springs, CO 80910 | 2015-08-04 |
| 1881029155 | Francis Hammet | Chiropractor | 411 Lakewood Circle A1104, Colorado Springs, CO 80910 | 2013-09-05 |
| 1447697586 | Mcb Clinical Research Centers, LLC | Psychologist | 110 S. Parkside Drive, Colorado Springs, CO 80910 | 2013-05-30 |
| 1417206723 | Augustus Albert Edwards | Case Manager/Care Coordinator | 115 Parkside Drive, Colorado Springs, CO 80910 | 2012-08-31 |
| Find all providers in zip 80910 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417181751 | Kevin N Batterbee D.o. LLC | Psychiatry & Neurology | 13255 Honey Run Way, Colorado Springs, CO 80921-2087 | 2009-05-14 |
| 1215196696 | Deane Shore Berson | Psychiatry & Neurology | 1424 North Hancock Avenue 3 West, Deane Shore Berson Md, Colorado Springs, CO 80903 | 2008-06-02 |
| 1043477649 | Rhonda Nicole Sims | Psychiatry & Neurology | 6915 Tutt Boulevard, Suite 110b, Colorado Springs, CO 80923-3591 | 2008-05-21 |
| 1699963280 | Kurt Peters | Psychiatry & Neurology | 90 S Cascade Ave Ste 810, Colorado Springs, CO 80903-1675 | 2007-10-09 |
| 1184750408 | Thomas P Kittelsen | Psychiatry & Neurology | 7680 Goddard St Ste 120, Colorado Springs, CO 80920-8233 | 2007-02-23 |
| 1831237098 | Ardis Capprice Martin | Psychiatry & Neurology | 4740 Flintridge Dr, Suite 214, Colorado Springs, CO 80918-4253 | 2007-02-01 |
| 1700938289 | Scott Helm Mcclure | Psychiatry & Neurology | 90 S Cascade Ave, Suite 810, Colorado Springs, CO 80903 | 2007-01-17 |
| 1497805188 | David Udell Caster | Psychiatry & Neurology | 219 E Saint Vrain St, Colorado Springs, CO 80903-1121 | 2007-01-12 |
| 1962566695 | Cynthia Pearl Rose | Psychiatry & Neurology | 90 South Cascade Ave, Colorado Springs, CO 80903-1675 | 2006-12-20 |
| 1144396847 | Roger D Pumphrey | Psychiatry & Neurology | 100 E Saint Vrain St, Ste 200, Colorado Springs, CO 80903-4940 | 2006-11-27 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80910 |
Please comment or provide details below to improve the information on ANDREW SEDILLO.
| 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.