DR. NICKOLAS EVANGELOS POULOS (NPI# 1457766487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457766487 |
| Entity Type | Individual |
| Full Name | DR. NICKOLAS EVANGELOS POULOS |
| Credential | D.O. |
| Practice Address |
6071 E Woodmen Rd Ste 230 Colorado Springs CO 80923-2607 |
| Practice Telephone | 7195050105 |
| Practice Fax Number | 7192844626 |
| Mailing Telephone | 7195050105 |
| Mailing Fax Number | 7192844626 |
| Enumeration Date | 2014-06-28 |
| Last Update Date | 2019-04-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | OS13474 | FL | Allopathic & Osteopathic Physicians |
| Y | 207N00000X | Dermatology | DR.0059273 | CO | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6140 Sw 70th St Fl 2, South Miami, FL 331433419 | 3052847524 | 7199603111 |
| 1650 Cochrane Cir Bldg 75001, Fort Carson, CO 809134613 | 7195267185 |
| Street Address |
6071 E WOODMEN RD STE 230 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80923-2607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134698103 | Global Dermatology, Inc. | Dermatology | 6071 E Woodmen Rd Ste 230, Colorado Springs, CO 80923-2607 | 2018-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942171 | Colorado Otolaryngology Associates, LLC | Specialist | 6031 E. Woodmen Rd., Ste. 300, Colorado Springs, CO 80923 | 2020-11-06 |
| 1750993861 | Kara Pitou | Dietitian, Registered | 7064 Renegade Ridge Dr, Colorado Springs, CO 80923 | 2020-08-19 |
| 1366933632 | The Traveling Therapist, LLC | Social Worker | 6319 Sundance Kid Dr, Colorado Springs, CO 80923 | 2018-05-22 |
| 1669972246 | Stacy H Furukawa | Behavior Technician | 5719 Hawk Springs Dr, Colorado Springs, CO 80923 | 2018-02-20 |
| 1528573854 | Wal-mart Sores, Inc. | Durable Medical Equipment & Medical Supplies | 7825 Dublin Blvd, Colorado Springs, CO 80923 | 2017-12-08 |
| 1699148544 | Kristin Sekelsky | Nurse Practitioner | 6160 Tutt Blvd Ste 150, Colorado Springs, CO 80923 | 2015-11-01 |
| 1164826640 | Nancy Bakhtiar | Massage Therapist | 6160 Tutt Blve #102, Colorado Springs, CO 80923 | 2014-10-13 |
| 1558664326 | Helen Sobeck | Nurse Practitioner | 6001 E. Woodmen Road, Nicu St. Frances Medical Center, Colorado Springs, CO 80923 | 2010-12-16 |
| 1679891832 | Tristan Poe Lindberg | Pediatrics | 6001 E Woodmen Road, Colorado Springs, CO 80923 | 2010-05-12 |
| 1194058933 | Tiffany Ann Nelson | Physician Assistant | 6001 E. Woodmen Rd., St. Francis Medical Center - Nicu, Colorado Springs, CO 80923 | 2009-09-11 |
| Find all providers in zip 80923 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891392973 | Colorado Springs Dermatology Clinic, P.C. | Dermatology | 2060 Briargate Pkwy Ste 150, Colorado Springs, CO 80920-7660 | 2020-10-02 |
| 1598171423 | Natalie R Edgar | Dermatology | 215 S Parkside Dr Ste 2015, Colorado Springs, CO 80910-3131 | 2014-07-11 |
| 1699021386 | Mountaintop Dermatology, Pllc | Dermatology | 2465 Research Pkwy, Suite 200, Colorado Springs, CO 80920-1089 | 2012-07-31 |
| 1487759254 | Ronald A Johnson | Dermatology | Ste 200 1665 Briargate Blvd, Colorado Springs, CO 80920-3400 | 2006-09-14 |
| 1700993409 | James A Mccoy | Dermatology | 625 N Cascade Ave Ste 105, Colorado Springs, CO 80903-3271 | 2006-08-25 |
| 1801901517 | Colorado Springs Dermatology Clinic, P.C. | Dermatology | 170 Parkside Dr, Colorado Springs, CO 80910-3129 | 2006-08-20 |
| 1598708737 | Lee H Blatt | Dermatology | 3229 W Carefree Cir, Colorado Springs, CO 80917-3004 | 2006-06-14 |
| 1629037395 | Frank Mark Samarin | Dermatology | 2465 Research Parkway, Suite 200, Colorado Springs, CO 80920 | 2006-03-21 |
| 1255322319 | Paige L. Neifert | Dermatology | 2405 Research Pkwy, Colorado Springs, CO 80920-1044 | 2005-10-28 |
| 1982696639 | Charles Gene Hughes | Dermatology | 685 Mission Hill Way, Colorado Springs, CO 80921-2671 | 2005-08-18 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80923 |
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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.