STACY L GREENSPAN (NPI# 1336124825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336124825 |
| Entity Type | Individual |
| Full Name | STACY L GREENSPAN |
| Credential | DO |
| Practice Address |
2912 Cathedral Park Vw Colorado Springs CO 80904-4722 |
| Mailing Address |
11995 Singletree Ln Suite 500 Eden Prairie MN 55344-5347 |
| Practice Telephone | 9525951100 |
| Practice Fax Number | 6122944903 |
| Mailing Telephone | 9525951301 |
| Mailing Fax Number | 6122944903 |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2015-06-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
1592 | HI | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
05-37082 | KS | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
1164 | NE | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
37796 | CO | Allopathic & Osteopathic Physicians |
| Street Address |
2912 CATHEDRAL PARK VW |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80904-4722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669084133 | Tclllc | Behavioral Analyst | 2822 W Cucharras Street, Colorado Springs, CO 80904 | 2020-08-17 |
| 1770131971 | Jill Case Brown | Technician | 3002 W. Kiowa St., Colorado Springs, CO 80904 | 2019-08-30 |
| 1457888232 | Marcia W. Soule Dobson | Counselor | 3510 Temple Drive, Colorado Springs, CO 80904 | 2017-05-11 |
| 1184163610 | Home Healthcare Staffing Solutions Inc | Home Health | 3117 Chambers Way, Colorado Springs, CO 80904 | 2017-02-16 |
| 1104242700 | Optumcare Colorado Springs, LLC | Non-Pharmacy Dispensing Site | 600 S 21st Street, Ste 100, Colorado Springs, CO 80904 | 2014-03-07 |
| 1639595382 | Jessyca Sonia Sterner | Counselor | 2514 Colorado Ave, Suite 200, Colorado Springs, CO 80904 | 2014-03-05 |
| 1508291956 | Diane Chisesi | Anesthesiology | 2517 B. King Street, Colorado Springs, CO 80904 | 2013-09-04 |
| 1124363635 | Piotr Bieniek | Physical Therapy Assistant | 1133 Adams Dr, Colorado Springs, CO 80904 | 2012-12-10 |
| 1235480526 | Barry G. Zile | Physical Therapy Assistant | 1685 S. 21st Street, Colorado Springs, CO 80904 | 2012-09-26 |
| 1326397076 | Christie Sheffer | Midwife | 2524 W. Colorado Avenue, Suite 209, Colorado Springs, CO 80904 | 2012-09-09 |
| Find all providers in zip 80904 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013860 | Pueblo Radiological Group, P.C. | Radiology | 245 Balmoral Way, Colorado Springs, CO 80906-7907 | 2020-11-06 |
| 1548861529 | Pueblo Radiological Group, P.C. | Radiology | 1804 Oakmoor Hts, Colorado Springs, CO 80906-1171 | 2020-11-05 |
| 1376153965 | Colorado Springs Radiologists PC | Radiology | 5607 Barnes Rd # 140, Colorado Springs, CO 80917-1347 | 2020-08-07 |
| 1447662325 | Lee Holder | Radiology | 6095 Grand Mesa Dr, Colorado Springs, CO 80923-3484 | 2014-05-27 |
| 1215270004 | Craig Thomas Mcmullen | Radiology | 1924 N Tejon St, Colorado Springs, CO 80907-6919 | 2013-04-01 |
| 1871853416 | Jamie A. Aminsharifi | Radiology | 18 W Buena Ventura St, Colorado Springs, CO 80907 | 2012-05-16 |
| 1689944290 | Richard Bard Mcmullen | Radiology | 405 Southfield Rd, Colorado Springs, CO 80919-3217 | 2012-01-12 |
| 1154690840 | Robert Warr | Radiology | 1160 Dancing Horse Dr, Colorado Springs, CO 80919-3908 | 2011-12-26 |
| 1841463452 | Gavin W. Arnett | Radiology | 1885 Mud Hen Dr, Colorado Springs, CO 80921-2094 | 2008-04-04 |
| 1770620106 | Jason Thomas Scism | Radiology | 1545 Napoli Way, Colorado Springs, CO 80906-5793 | 2007-02-01 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80904 |
Please comment or provide details below to improve the information on STACY L GREENSPAN.
| 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.