JAVEDAN SIDDIQUI (NPI# 1417342205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417342205 |
| Entity Type | Individual |
| Full Name | JAVEDAN SIDDIQUI |
| Credential | M.D. |
| Practice Address |
1650 Cochrane Cir Unit Meddac Colorado Springs CO 80913 |
| Mailing Address |
1650 Cochrane Cir Unit Meddac Colorado Springs CO 80913-4604 |
| Practice Telephone | 7195267653 |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2019-11-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | DR.0062530 | CO | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3800 Reservoir Rd Nw, Dept of Pediatrics, Washington, DC 200072113 | 2022433434 | 2022433234 |
| Street Address |
1650 COCHRANE CIR UNIT MEDDAC |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730798950 | Tara Walker | Student in an Organized Health Care Education/Training Program | 1650 Cochrane Cir Unit Meddac, Colorado Springs, CO 80913-4604 | 2020-07-23 |
| 1588129456 | Haley Pierce-wheeler Leiner | Dietitian, Registered | 1650 Cochrane Cir Unit Meddac, Colorado Springs, CO 80913-4604 | 2019-02-05 |
| 1285077511 | Andrew Parker Chamberlin | Pediatrics | 1650 Cochrane Cir Unit Meddac, Colorado Springs, CO 80913-4604 | 2013-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326651498 | Christopher M Juneau | Physical Therapist | Us Air Force/ Fort Carson, 8420 Skyraider Rd, Colorado Springs, AA 80913 | 2020-08-28 |
| 1003433640 | Denise Marie Cacho | Dentist | Smith Dental Clinic, 2280 Hogan St. Blgd 1561, Fort Carson, CO 80913 | 2020-06-30 |
| 1497378053 | Ivan Sergeyevich Koutsopatriy | Dentist | Us Army Dental Health Activity 1667 Cochrane Circle, Bldg 7495, Fort Carson, CO 80913 | 2020-05-18 |
| 1396293478 | Kayla Howerton | Audiologist | 8901 Wetzel Ave, Bldg 1525, Fort Carson, CO 80913 | 2016-09-16 |
| 1922472125 | Danell Pugh | Social Worker | Bldg 1657, Fort Carson, CO 80913 | 2015-11-25 |
| 1750761136 | Colin Michael Kenny | Internal Medicine | Evans Army Community Hospital. 1650 Cochrane Cir B7500, Fort Carson, CO 80913 | 2015-06-01 |
| 1740689736 | Rachel Edwards | Speech-Language Pathologist | Evans Community Hospital, 1650 Cochrane Circle, Fort Carson, CO 80913 | 2014-08-15 |
| 1841617859 | Douglas Foote | Social Worker | 1657 Prussman, Ft. Carson, CO 80913 | 2014-03-27 |
| 1649619396 | Brigette Marie Grimes | Dietitian, Registered | Building 1435, 4th Infantry Division, Division Surgeon, Fort Carson, CO 80913 | 2013-06-17 |
| 1467895318 | Evans Army Community Hospital | Clinic/Center | Bldg 2361 Titus Blvd, Ft Carson, CO 80913 | 2013-04-10 |
| Find all providers in zip 80913 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548891815 | Optumcare Colorado Springs, LLC | Pediatrics | 8890 N Union Blvd Ste 220, Colorado Springs, CO 80920-2701 | 2020-01-27 |
| 1467985390 | Jennifer Lynne Anderson | Pediatrics | 782 Mcchord St, Colorado Springs, CO 80916-5299 | 2017-04-07 |
| 1316309891 | Dr. Harry J.anderson,jr.,m.d. | Pediatrics | 190 E Cheyenne Mountain Blvd, Colorado Springs, CO 80906-3718 | 2016-03-24 |
| 1245623693 | Jamie Hug | Pediatrics | 4190 E. Woodmen Rd, Suite 100, Colorado Springs, CO 80920 | 2015-03-10 |
| 1629414016 | Sean Michael Bradley | Pediatrics | 402 N Tejon St # 200, Colorado Springs, CO 80903-1142 | 2013-05-13 |
| 1912340738 | Erin Janel Meyer | Pediatrics | 4090 Briargate Pkwy # 106, Colorado Springs, CO 80920-7815 | 2013-04-10 |
| 1023303880 | Natalie Connolly | Pediatrics | 4150 E Woodmen Rd Ste 100, Colorado Springs, CO 80920-8042 | 2011-06-09 |
| 1194956292 | Margot A. Williams, D.o., P.C. | Pediatrics | 1465 Kelly Johnson Boulevard, Suite 300, Colorado Springs, CO 80920-3947 | 2009-08-06 |
| 1831326495 | Viral Kothari | Pediatrics | 6071 E Woodmen Rd Ste 225, Colorado Springs, CO 80923 | 2009-06-22 |
| 1609071877 | Anna E Lawrence | Pediatrics | 5575 Tech Center Dr Ste 106, Colorado Springs, CO 80919-2349 | 2007-06-18 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80913 |
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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.