DR. PAUL D RASTRELLI (NPI# 1366492480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366492480 |
| Entity Type | Individual |
| Full Name | DR. PAUL D RASTRELLI |
| Credential | M.D. |
| Practice Address |
27 Montebello Rd Pueblo CO 81001-1236 |
| Practice Telephone | 7195451530 |
| Practice Fax Number | 7195452899 |
| Mailing Telephone | 7195451530 |
| Mailing Fax Number | 7195452899 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | 2003-0594 | NM | Allopathic & Osteopathic Physicians |
| Y | 207W00000X | Ophthalmology | 36999 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | NM MEDICARE | 343327601 | 01 |
| CO | BCBS NM | NM009J51 | 01 |
| CO | FEDERAL BCBS | K2189 | 01 |
| CO | 01369990 | 05 | |
| CO | MEDICARE DMERC | 0452890001 | 01 |
| CO | BCBS NORTH DAKOTA | RAK2189 | 01 |
| CT | EYE SPECIALISTS | 920717020820 | 01 |
| CO | EYE MED EYECARE | CO6999 | 01 |
| CO | ANTHEM | K2189 | 01 |
| CO | RAILROAD MEDICARE | 180043214 | 01 |
| NM | 343327601 | 05 |
| Street Address |
27 MONTEBELLO RD |
| City | PUEBLO |
| State | CO |
| Zip Code | 81001-1236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295784916 | Eric E Blom | Ophthalmology | 27 Montebello Rd, Pueblo, CO 81001-1236 | 2006-05-09 |
| 1427407287 | Nicholas Jordan Chariton | Optometrist | 27 Montebello Rd, Pueblo, CO 81001-1236 | 2016-06-12 |
| 1184067308 | Scott Adler Butikofer | Ophthalmology | 27 Montebello Rd, Pueblo, CO 81001-1236 | 2013-04-08 |
| 1982814729 | Anak K Shrestha | Ophthalmology | 27 Montebello Rd, Pueblo, CO 81001-1236 | 2007-05-23 |
| 1336213610 | Rocky Mountain Eye Center Inc A Colorado Provider Network | Optometrist | 27 Montebello Rd, Pueblo, CO 81001-1236 | 2006-11-20 |
| 1073567459 | Rocky Mountain Eye Center Inc A Colorado Provider Network | Optometrist | 27 Montebello Rd, Pueblo, CO 81001-1236 | 2006-05-20 |
| 1164473682 | Michael W Coatney | Ophthalmology | 27 Montebello Rd, Pueblo, CO 81001-1236 | 2006-05-12 |
| 1073563573 | Cory W Smith | Optometrist | 27 Montebello Rd, Pueblo, CO 81001-1236 | 2006-05-12 |
| 1700836210 | Donald A Schlomer | Ophthalmology | 27 Montebello Rd, Pueblo, CO 81001-1236 | 2006-05-12 |
| 1194775213 | Benton F Murphy | Ophthalmology | 27 Montebello Rd, Pueblo, CO 81001-1236 | 2006-05-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588222863 | 1111 Bonforte Opco LLC | Respite Care | 855 Hunter Dr., Pueblo, CO 81001 | 2019-06-03 |
| 1992276026 | Andrew Benjamin Basham | Counselor | 1003 Rupple St Pueblo Co 81001, 606, Pueblo, CO 81001 | 2018-12-16 |
| 1316456981 | Amy R Leibli | Nurse Practitioner | 1080 Chinook Lane, Pueblo, CO 81001 | 2017-09-26 |
| 1457781262 | Ron Concialdi | Dentist | 2037 Jerry Murphy Rd., Pueblo, CO 81001 | 2013-11-14 |
| 1609146950 | Natasha Liette Mondragon | Registered Nurse | 1302 E. 5th, Pueblo, CO 81001 | 2012-01-04 |
| 1023303575 | Malinda Lee Davis | Registered Nurse | 1302 E 5th, Pueblo, CO 81001 | 2011-06-13 |
| 1679876429 | Michael Edward Leyba | Substance Abuse Rehabilitation Facility | 4 Montebello Rd., Pueblo, CO 81001 | 2010-12-17 |
| 1609008796 | Laura Ann Mcmahon | Nurse Practitioner | 4020 Jerry Murphy Rd/, Pueblo, CO 81001 | 2009-08-21 |
| 1730380882 | Corrine Stella Tafoya | Counselor | 44 Calhoun Rd, Pueblo, CO 81001 | 2007-05-29 |
| 1518171008 | George Henry Beck | Dentist | 1700 N Salem Ave, Suite A, Pueblo, CO 81001 | 2007-05-10 |
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| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396389680 | Retina Consultants of Southern Colorado P C | Ophthalmology | 3691 Parker Blvd Ste 101, Pueblo, CO 81008-2278 | 2019-10-30 |
| 1730358698 | Candu Lab Services | Ophthalmology | 400 S Union Ave, Suite B, Pueblo, CO 81003-3431 | 2008-02-25 |
| 1295784916 | Eric E Blom | Ophthalmology | 27 Montebello Rd, Pueblo, CO 81001-1236 | 2006-05-09 |
| 1912991514 | James B Fowler | Ophthalmology | 1501 Court St, Pueblo, CO 81003-2720 | 2005-09-09 |
| 1184067308 | Scott Adler Butikofer | Ophthalmology | 27 Montebello Rd, Pueblo, CO 81001-1236 | 2013-04-08 |
| 1982814729 | Anak K Shrestha | Ophthalmology | 27 Montebello Rd, Pueblo, CO 81001-1236 | 2007-05-23 |
| 1316087117 | Center for Eye Care & Surgery PC | Ophthalmology | 1501 Court St, Pueblo, CO 81003-2720 | 2007-02-08 |
| 1164473682 | Michael W Coatney | Ophthalmology | 27 Montebello Rd, Pueblo, CO 81001-1236 | 2006-05-12 |
| 1700836210 | Donald A Schlomer | Ophthalmology | 27 Montebello Rd, Pueblo, CO 81001-1236 | 2006-05-12 |
| 1194775213 | Benton F Murphy | Ophthalmology | 27 Montebello Rd, Pueblo, CO 81001-1236 | 2006-05-11 |
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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.