JOHNATHON D. KUPFNER


Address: 1584 Jackson Creek Parkway, Ste 120, Colorado Springs, CO 80132
Phone: 7193649930

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
PA3508 CO Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
CO 48039047 05

Office Location

Street Address 1584 JACKSON CREEK PARKWAY
STE 120
City COLORADO SPRINGS
State CO
Zip Code 80132

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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
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City COLORADO SPRINGS
Zip Code 80132

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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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