JOHNATHON D. KUPFNER (NPI# 1356591762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356591762 |
Entity Type | Individual |
Full Name | JOHNATHON D. KUPFNER |
Credential | PA-C |
Practice Address |
1584 Jackson Creek Parkway Ste 120 Colorado Springs CO 80132 |
Practice Telephone | 7193649930 |
Practice Fax Number | 7193649939 |
Mailing Telephone | 7193649930 |
Mailing Fax Number | 7193649939 |
Enumeration Date | 2008-09-22 |
Last Update Date | 2016-03-30 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA3508 | CO | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CO | 48039047 | 05 |
Street Address |
1584 JACKSON CREEK PARKWAY STE 120 |
City | COLORADO SPRINGS |
State | CO |
Zip Code | 80132 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407314131 | 100 Percent Chiropractic Rodgers LLC | Chiropractor | 1495 Cipriani Loop, Monument, CO 80132 | 2019-03-12 |
1417421025 | Jackson Creek Assisted Living, LLC | Assisted Living Facility | 16601 Jackson Creek Parkway, Monument, CO 80132 | 2019-01-16 |
1609357144 | Baptist Road Dental | Dentist | 1036 Baptist Road, Monument, CO 80132 | 2018-08-23 |
1609352186 | Mountain Springs Recovery LLC | Substance Abuse Rehabilitation Facility | 1865 Woodmoor Dr, Monument, CO 80132 | 2018-07-17 |
1528553070 | Comfort Dental Oral Surgery Colorado Springs LLC | Dentist | 556 W. Hwy 105, Monument, CO 80132 | 2018-06-27 |
1265926844 | Lauren Elizabeth Nasuti | Massage Therapist | 17232 Jackson Creek Pkwy, #300, Monument, CO 80132 | 2018-06-18 |
1578079224 | Courtney Hopkins | Behavior Technician | 590 Hwy 105 Suite 105, Monument, CO 80132 | 2017-12-18 |
1033623475 | Deborah Tebault | Counselor | 220 N. Washington St., Suite F, Monument, CO 80132 | 2017-11-21 |
1902347578 | Monument Dentists and Orthodontics, LLP | Dentist | 950 W Baptist Road, Suite 100, Monument, CO 80132 | 2017-03-16 |
1972909463 | Timothy P O'connor | Counselor | 3065 Mt. Herman Rd., Monument, CO 80132 | 2014-11-10 |
Find all providers in zip 80132 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851726681 | Lisa Kay Adams | Physician Assistant | 525 N Foote Ave Ste 202, Colorado Springs, CO 80909-4501 | 2013-09-11 |
1992945208 | Susan Gardiner Cump | Physician Assistant | 2940n Circle Dr, Colorado Springs, CO 80909-1160 | 2009-02-26 |
1427218916 | Gary Patrick Tocci | Physician Assistant | 9310 Sky King Dr, Colorado Springs, CO 80924-2020 | 2008-06-10 |
1619144888 | Laurie K Redding | Physician Assistant | 2130 Hollow Brook Dr, Suite 100, Colorado Springs, CO 80918-8400 | 2008-05-15 |
1760520746 | Donald Ray Lawson | Physician Assistant | 7667 Steward Ln, Colorado Springs, CO 80922-6327 | 2007-02-02 |
1245321140 | Kim Redinger | Physician Assistant | 1740 Pepperwood Dr, Colorado Springs, CO 80910-1525 | 2006-09-27 |
1366452401 | Kenneth L Phillips Jr. | Physician Assistant | 15026 La Jolla Pl, Colorado Springs, CO 80921-2564 | 2006-08-09 |
1770538159 | Jane D Brockhausen | Physician Assistant | 5799 Stetson Hills Blvd Ste 100, Colorado Springs, CO 80917-4223 | 2006-05-23 |
1033173851 | Michael E Young | Physician Assistant | 2222 N Nevada Ave Ste 5011, Colorado Springs, CO 80907-6819 | 2006-04-17 |
1295706075 | Cathy A. Hall | Physician Assistant | 1106 N Cascade Avenue, Colorado Springs, CO 80903 | 2006-01-30 |
Find all providers in COLORADO SPRINGS |
City | COLORADO SPRINGS |
Zip Code | 80132 |
Please comment or provide details below to improve the information on JOHNATHON D. KUPFNER.
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.