PARKVIEW ANCILLARY SERVICES (NPI# 1285276683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285276683 |
| Entity Type | Organization |
| Organization Name | PARKVIEW ANCILLARY SERVICES |
| Practice Address |
1600 N. Grand Ave. Ste 345 Pueblo CO 81003-2762 |
| Mailing Address |
408 North Main Street Pueblo CO 81003-3123 |
| Practice Telephone | 7195450552 |
| Practice Fax Number | 7195957687 |
| Mailing Telephone | 7195957417 |
| Mailing Fax Number | 7195420809 |
| Enumeration Date | 2019-10-17 |
| Last Update Date | 2019-10-17 |
| 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 | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 89236751 | 05 |
| Other Name | Type Code |
|---|---|
| Parkview Gastroenterology | 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 |
| Street Address |
1600 N. GRAND AVE. STE 345 |
| City | PUEBLO |
| State | CO |
| Zip Code | 81003-2762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447251897 | David S Feuer | Internal Medicine | 1600 N. Grand Ave., Suite 500, Pueblo, CO 81003-2757 | 2005-08-09 |
| 1164048062 | Parkview Ancillary Services | Family Medicine | 1600 N. Grand Ave., Ste. 230, Pueblo, CO 81003-2731 | 2020-06-17 |
| 1255979274 | Parkview Ancillary Services | Neurological Surgery | 1600 N. Grand Ave., Ste. 508, Pueblo, CO 81003-2757 | 2019-12-20 |
| 1841835659 | Parkview Ancillary Services | Internal Medicine | 1600 N. Grand Ave., Ste. 500, Pueblo, CO 81003-2757 | 2019-11-15 |
| 1871137158 | Parkview Ancillary Services | Family Medicine | 1600 N. Grand Ave., Ste. 260, Pueblo, CO 81003-2729 | 2019-10-30 |
| 1790327112 | Parkview Ancillary Services | Internal Medicine | 1600 N. Grand Ave., Ste. 300, Pueblo, CO 81003-2742 | 2019-10-17 |
| 1851933543 | Parkview Ancillary Services | Family Medicine | 1600 N. Grand Ave., Ste. 510, Pueblo, CO 81003-2700 | 2019-10-14 |
| 1144862327 | Parkview Ancillary Services | Internal Medicine | 1600 N. Grand Ave., Ste. 500b, Pueblo, CO 81003-2757 | 2019-10-09 |
| 1780226035 | Parkview Ancillary Services | Internal Medicine | 1600 N. Grand Ave., Ste. 150, Pueblo, CO 81003-2749 | 2019-10-08 |
| 1881244861 | Parkview Ancillary Services | Internal Medicine | 1600 N. Grand Ave., Ste. 245, Pueblo, CO 81003-2731 | 2019-09-12 |
| Find all providers in the same location | ||||
| 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 | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205220530 | Priscilla Nobecourt | Surgery | 1600 N Grand Ave Ste 430, Pueblo, CO 81003-2760 | 2015-03-25 |
| 1881959005 | Srikant Sivaraman | Surgery | 1401 Court Street, Pueblo, CO 81003-2715 | 2012-07-13 |
| 1730220278 | Sandeep Suresh Vijan | Surgery | 1600 North Grand Ave. Suite 430, Pueblo, CO 81003-2760 | 2007-02-09 |
| 1851482665 | John Charles Dugal Jr. | Surgery | 1600 North Grand Ave., Suite 500, Pueblo, CO 81003-2757 | 2006-09-27 |
| 1023056173 | Paul Raymond Radway | Surgery | 3506 San Jose Ct, Pueblo, CO 81005-3916 | 2006-06-02 |
| 1164499976 | Lonnie L Imlay | Surgery | 1925 E. Orman Ave., Suite A109, Pueblo, CO 81004 | 2006-03-01 |
| 1164412862 | Kenneth Madsen | Surgery | 3530 E Spaulding Ave, Pueblo, CO 81008-2209 | 2005-10-24 |
| 1841282498 | Gary E Lane | Surgery | 1925 E Orman Ave, Suite A109, Pueblo, CO 81004-3537 | 2005-08-19 |
| 1457354763 | Hisman H Percival | Surgery | 1600 N Grand Ave, Suite 430, Pueblo, CO 81003-2700 | 2005-05-31 |
| 1679937353 | James Mccullough | Surgery | 902 Lakeview Ave, Pueblo, CO 81004-3597 | 2016-04-08 |
| Find all providers in PUEBLO | ||||
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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.