DR. FADI TAHA ALATTAR (NPI# 1255585329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255585329 |
| Entity Type | Individual |
| Full Name | DR. FADI TAHA ALATTAR |
| Practice Address |
3670 Parker Blvd Ste 101 Pueblo CO 81008 |
| Mailing Address |
Po Box 560825 Denver CO 80256-0825 |
| Practice Telephone | 7195622900 |
| Practice Fax Number | 7199241592 |
| Mailing Telephone | 7195957580 |
| Mailing Fax Number | 7195450176 |
| Enumeration Date | 2008-11-15 |
| Last Update Date | 2018-09-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD 60507064 | WA | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
DR.0060507 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 9000162970 | 05 |
| Street Address |
3670 PARKER BLVD STE 101 |
| City | PUEBLO |
| State | CO |
| Zip Code | 81008 |
| 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 |
| 1134164593 | Pueblo Cardiology Assoc PC | Specialist | 3670 Parker Blvd Ste 101, Pueblo, CO 81008-2207 | 2006-06-19 |
| 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 | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811934474 | John Boerner | Internal Medicine | 3670 Parker Blvd Ste 101, Pueblo, CO 81008-2285 | 2006-06-01 |
| 1033163258 | Peter Lochow | Internal Medicine | 3670 Parker Blvd Ste 101, Pueblo, CO 81008-2285 | 2006-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545437 | Portercare Adventist Health System | Internal Medicine | 2535 S Downing St Ste 460, Denver, CO 80210-5831 | 2020-10-12 |
| 1669070793 | Portercare Adventist Health System | Internal Medicine | 499 E Hampden Ave Ste 280, Englewood, CO 80113-3876 | 2020-10-12 |
| 1891393922 | Portercare Adventist Health System | Internal Medicine | 9399 Crown Crest Blvd Ste 230, Parker, CO 80138-8571 | 2020-10-12 |
| 1235736810 | Advanced Heart and Vein Center Inc | Internal Medicine | 805 E 144th Avenue, Suite 100, Thornton, CO 80602 | 2020-10-06 |
| 1407354764 | Coordinated Health of Co, LLC | Internal Medicine | 255 Union Blvd Ste 150-238, Lakewood, CO 80228-1810 | 2018-01-31 |
| 1639464639 | Aken Desai | Internal Medicine | 12631 E 17th Ave Rm 7104, Aurora, CO 80045-2527 | 2011-06-17 |
| 1659670891 | Rory Scott Bricker | Internal Medicine | 12505 East 16th Avenue, Aip, 3rd Floor, Aurora, CO 80045 | 2011-03-25 |
| 1730235359 | Jason Hatch | Internal Medicine | 1900 Boise Ave Ste 200, Loveland, CO 80538-5004 | 2007-01-26 |
| 1265598387 | Colorado Heart Institute LLC | Internal Medicine | 1455 S Potomac St Ste 101, Aurora, CO 80012-4501 | 2007-01-01 |
| 1114946662 | Joseph Emory Barclay Burchenal | Internal Medicine | 1000 Southpark Drive, Littleton, CO 80120-5654 | 2006-07-18 |
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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.