PUEBLO RADIOLOGICAL GROUP, P.C.


Address: 4112 Outlook Blvd Ste 96, Pueblo, CO 81008-1667
Phone: 7195636254

PUEBLO RADIOLOGICAL GROUP, P.C. (NPI# 1346841129) 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) 1346841129
Entity Type Organization
Organization Name PUEBLO RADIOLOGICAL GROUP, P.C.
Practice Address 4112 Outlook Blvd Ste 96
Pueblo
CO 81008-1667
Mailing Address Po Box 7693
Loveland
CO 80537-0693
Practice Telephone 7195636254
Practice Fax Number 7195427019
Mailing Telephone 9706632742
Mailing Fax Number 9703422093
Enumeration Date 2020-11-06
Last Update Date 2020-11-06
Authorized Official Name ROBIN L BOYER (AUTH REP/ DIRECTOR OF OPERATIONS)
Authorized Official Telephone 9706632742
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1063013860 Pueblo Radiological Group, P.C. Radiology 245 Balmoral Way, Colorado Springs, CO 80906-7907 2020-11-06
1154922938 Pueblo Radiological Group, P.C. Radiology 3245 E Hwy 50 Unit E, Canon City, CO 81212-9343 2020-11-06
1548861529 Pueblo Radiological Group, P.C. Radiology 1804 Oakmoor Hts, Colorado Springs, CO 80906-1171 2020-11-05
1063013852 Pueblo Radiological Group, P.C. Radiology 933 Sell Ave, Canon City, CO 81212-4929 2020-11-06
1396346185 Pueblo Radiological Group, P.C. Radiology 4112 Outlook Blvd Ste 255, Pueblo, CO 81008-1667 2020-11-06
1114528908 Pueblo Radiological Group, P.C. Radiology 1020 Lakeview Ave, Pueblo, CO 81004-3508 2020-11-06
1699376764 Pueblo Radiological Group, P.C. Radiology 1338 Phay Ave, Canon City, CO 81212-2311 2020-11-05
1962003947 Pueblo Radiological Group, P.C. Radiology 4194 Royal Pine Dr, Colorado Springs, CO 80920-1507 2020-11-05
1013518000 Pueblo Radiological Group, P.C. Radiology 2035 S Pueblo Blvd, Pueblo, CO 81005-2577 2020-11-05
1164023131 Pueblo Radiological Group, P.C. Radiology 4112 Outlook Blvd Ste 37, Pueblo, CO 81008-1667 2020-11-05

Office Location

Street Address 4112 OUTLOOK BLVD STE 96
City PUEBLO
State CO
Zip Code 81008-1667

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083882898 Amy Joan Alsum Social Worker 4112 Outlook Blvd Ste 96, Pueblo, CO 81008-1667 2008-02-14
1730711862 Centura Ventures, LLC Clinic/Center 4112 Outlook Blvd Ste 96, Pueblo, CO 81008-1667 2020-02-06
1811557234 Eric Knight Physical Therapist 4112 Outlook Blvd Ste 96, Pueblo, CO 81008-1667 2019-06-18
1881188860 Alexa Wright Physical Therapist 4112 Outlook Blvd Ste 96, Pueblo, CO 81008-1667 2018-06-21
1962911156 Miranda Rose Citrone Physical Therapist 4112 Outlook Blvd Ste 96, Pueblo, CO 81008-1667 2017-09-20
1922555762 Joanna Nilssen Occupational Therapist 4112 Outlook Blvd Ste 96, Pueblo, CO 81008-1667 2016-09-09

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
Find all providers in zip 81008

Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790730810 Parkwest Imaging, L.l.c Radiology 3676 Parker Blvd Suite 165, Pueblo, CO 81008-2212 2006-05-24
1417929373 Gordon F Gibbs Radiology 115 E Riverwalk, Unit 200, Pueblo, CO 81003-3308 2006-02-06
1790767549 Michael E. Ball Radiology 124 W Pitkin Ave, Pueblo, CO 81004-2021 2005-11-17
1396346185 Pueblo Radiological Group, P.C. Radiology 4112 Outlook Blvd Ste 255, Pueblo, CO 81008-1667 2020-11-06
1114528908 Pueblo Radiological Group, P.C. Radiology 1020 Lakeview Ave, Pueblo, CO 81004-3508 2020-11-06
1013518000 Pueblo Radiological Group, P.C. Radiology 2035 S Pueblo Blvd, Pueblo, CO 81005-2577 2020-11-05
1164023131 Pueblo Radiological Group, P.C. Radiology 4112 Outlook Blvd Ste 37, Pueblo, CO 81008-1667 2020-11-05
1043811011 Pueblo Radiological Group, P.C. Radiology 729 E Spaulding Ave, Pueblo, CO 81007-3512 2020-11-05
1841421344 David Abbott Radiology 1619 N Greenwood St, Suite 103, Pueblo, CO 81003-2644 2009-07-31
1558523878 Gabriel Hayden Johnson Radiology 1008 Minnequa Ave, Pueblo, CO 81004-3733 2008-06-27
Find all providers in PUEBLO

Competitor

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City PUEBLO
Zip Code 81008

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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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