COLORADO PERMANENTE MEDICAL GROUP, P.C.


Address: 3670 Parker Blvd, Ste 200, Pueblo, CO 81008-2285
Phone: 3033384545

COLORADO PERMANENTE MEDICAL GROUP, P.C. (NPI# 1235685652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235685652
Entity Type Organization
Organization Name COLORADO PERMANENTE MEDICAL GROUP, P.C.
Other Organization Name KAISER PERMANENTE PUEBLO NORTH MEDICAL OFFICES
Practice Address 3670 Parker Blvd
Ste 200
Pueblo
CO 81008-2285
Mailing Address 10350 E Dakota Ave
Denver
CO 80247-1314
Practice Telephone 3033384545
Mailing Telephone 3033384545
Enumeration Date 2016-08-26
Last Update Date 2019-09-24
Authorized Official Name MATTHEW J SPLINTER (CPMG CFO)
Authorized Official Telephone 3033447345
Is Organization Subpart Y
Parent Organization Name COLORADO PERMANENTE MEDICAL GROUP, P.C.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center CO Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
CO 04710083 05

Other Provider/Organization Names

Other Name Type Code
Kaiser Permanente Pueblo North Medical Offices Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1336775469 Colorado Permanente Medical Group, P.C. Clinic/Center 3920 N Union Blvd, Colorado Springs, CO 80907-4900 2020-03-20
1952937039 Colorado Permanente Medical Group, P.C. Clinic/Center 14701 E Exposition Ave, Aurora, CO 80012-2623 2020-03-20
1851927933 Colorado Permanente Medical Group, P.C. Clinic/Center 10240 Park Meadows Dr, Lone Tree, CO 80124-5425 2020-03-20
1669008744 Colorado Permanente Medical Group, P.C. Clinic/Center 8383 W Alameda Ave, Lakewood, CO 80226-3007 2020-03-20
1639641152 Colorado Permanente Medical Group, P.C. Clinic/Center 2625 W Pueblo Blvd, Pueblo, CO 80014-5833 2018-12-21
1083161152 Colorado Permanente Medical Group, P.C. Clinic/Center 226 Lusher Court, Ste 104, Frisco, CO 80443-7600 2016-09-07
1932655099 Colorado Permanente Medical Group, P.C. Clinic/Center 56 Edwards Village Blvd, Ste 208, Edwards, CO 81632-7802 2016-08-29
1487100541 Colorado Permanente Medical Group, P.C. Clinic/Center 215 S Parkside Dr, Ste 215, Colorado Springs, CO 80910-3131 2016-08-29
1205382363 Colorado Permanente Medical Group, P.C. Clinic/Center 1136 E Stuart St, Bldg 3, 2nd Floor, Fort Collins, CO 80525-1195 2016-08-29
1174079594 Colorado Permanente Medical Group, P.C. Clinic/Center 4318 Trail Boss Dr, Ste 100, Castle Rock, CO 80104-7512 2016-08-26

Office Location

Street Address 3670 PARKER BLVD
STE 200
City PUEBLO
State CO
Zip Code 81008-2285

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669478541 Laurence A Berarducci Internal Medicine 3670 Parker Blvd, Suite 101, Pueblo, CO 81008-2285 2005-06-24
1134751712 Parkview Medical Center, Inc. Clinic/Center 3670 Parker Blvd, Pueblo, CO 81008-2285 2020-02-11
1790253128 Amber Doss Nurse Practitioner 3670 Parker Blvd, Pueblo, CO 81008-2285 2018-11-03
1275077323 Deborah Wells Registered Nurse 3670 Parker Blvd, Pueblo, CO 81008-2285 2016-12-08
1275085086 Kelsey Lynn Markenson Nurse Practitioner 3670 Parker Blvd, Suite 101, Pueblo, CO 81008-2285 2016-10-27
1225423981 Monica Lyn Valdez Registered Nurse 3670 Parker Blvd, Suite 200, Pueblo, CO 81003 2015-03-31
1639576929 Lana Brumfield Nurse Practitioner 3670 Parker Blvd, Suite 101, Pueblo, CO 81008-2285 2014-12-02
1215201454 Kaiser Foundation Health Plan of Colorado Clinical Medical Laboratory 3670 Parker Blvd, Ste 200, Pueblo, CO 81008-2285 2012-03-06
1760766430 Karen Sue Springfield-verna Nurse Practitioner 3670 Parker Blvd, Suite 101, Pueblo, CO 81008-2285 2011-09-29
1144512278 Barbara A Bergstrom Registered Nurse 3670 Parker Blvd, Suite 200, Pueblo, CO 81008-2285 2011-05-08
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427689652 Parkview Medical Center, Inc Clinic/Center 54 Club Manor Dr Ste 101, Pueblo, CO 81008-2605 2020-01-27
1528608304 Parkview Medical Center, Inc. Clinic/Center 405 W 15th St Ste 210, Pueblo, CO 81003-2743 2020-01-09
1437647864 White Crane Acupuncture Clinic/Center 2701 N Elizabeth St, Pueblo, CO 81003-3643 2018-05-01
1265853311 Vicky J. Lowrance, D.c. Clinic/Center 2025 N Norwood Ave, Pueblo, CO 81001-5667 2013-12-16
1306184056 Affordable Health Clinic, LLC Clinic/Center 900 Indiana Ave St D, Pueblo, CO 81004-8100 2013-01-30
1598371056 Southern Colorado Clinic PC Clinic/Center 3937 Ivywood Ln, Pueblo, CO 81005-2551 2020-09-21
1134751712 Parkview Medical Center, Inc. Clinic/Center 3670 Parker Blvd, Pueblo, CO 81008-2285 2020-02-11
1053954867 American Currenct Care P.a. Clinic/Center 4117 N Elizabeth St, Pueblo, CO 81008-2009 2019-10-24
1639641152 Colorado Permanente Medical Group, P.C. Clinic/Center 2625 W Pueblo Blvd, Pueblo, CO 80014-5833 2018-12-21
1912487810 Kaiser Foundation Health Plan of Colorado Clinic/Center 2625 W Pueblo Blvd, Pueblo, CO 81004 2018-08-20
Find all providers in PUEBLO

Competitor

Search similar providers

City PUEBLO
Zip Code 81008

Improve Information

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Dataset Information

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.

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