MICHAEL SEAN MCKISIC (NPI# 1497950273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497950273 |
Entity Type | Individual |
Full Name | MICHAEL SEAN MCKISIC |
Credential | MD |
Practice Address |
1725 E Boulder St Suite 101 Colorado Springs CO 80909-5768 |
Mailing Address |
2695 Rocky Mountain Ave Suite 150 Loveland CO 80538-8702 |
Practice Telephone | 7193656300 |
Mailing Telephone | 9706244443 |
Mailing Fax Number | 9704904175 |
Enumeration Date | 2007-06-20 |
Last Update Date | 2015-01-29 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207T00000X | Neurological Surgery | DR-53582 | CO | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | 0116019544 | VA | Student, Health Care |
Street Address |
1725 E BOULDER ST SUITE 101 |
City | COLORADO SPRINGS |
State | CO |
Zip Code | 80909-5768 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023013745 | Ronald Rains | Internal Medicine | 1725 E Boulder St, Ste 204, Colorado Springs, CO 80909-5740 | 2005-06-17 |
1003218264 | Kirsten Felice Harlow | Physician Assistant | 1725 E Boulder St, Suite 101, Colorado Springs, CO 80909-5768 | 2014-09-19 |
1912344482 | Linda Kaye Anderson | Nurse Practitioner | 1725 E Boulder St, Colorado Springs, CO 80909-5768 | 2013-05-24 |
1487993754 | Alexandra L Coffey | Physical Medicine & Rehabilitation | 1725 E Boulder St, Suite 101, Colorado Springs, CO 80909-5768 | 2013-02-06 |
1427376060 | Memorial Health System | Specialist | 1725 E Boulder St, Suite 104, Colorado Springs, CO 80909-5768 | 2010-05-06 |
1376879254 | Colorado Springs Nephrology | Internal Medicine | 1725 E Boulder St, Suite 105, Colorado Springs, CO 80909-5768 | 2009-10-27 |
1508043258 | Samia Sied Ahmed Salih | Internal Medicine | 1725 E Boulder St, Suite 105, Colorado Springs, CO 80909-5768 | 2008-01-24 |
1487851838 | Thomas S. Ridder | Neurological Surgery | 1725 E Boulder St, Suite 101, Colorado Springs, CO 80909-5768 | 2007-06-29 |
1417163205 | Jonathan Patrick O'neil | Psychiatry & Neurology | 1725 E Boulder St, Suite 101, Colorado Springs, CO 80909-5768 | 2007-05-16 |
1205058526 | Amita Singh | Psychiatry & Neurology | 1725 E Boulder St, Ste 101, Colorado Springs, CO 80909-5768 | 2007-05-03 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376173765 | Ascent Health LLC | Community/Behavioral Health | 2608 Palmer Park Blvd., Colorado Springs, CO- COLORADO 80909 | 2020-01-24 |
1639714041 | Peak Vista Community Health Centers | Clinic/Center | 4041 E San Miguel St, Colorado Springs, CO 80909 | 2019-11-08 |
1437706231 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 445 N Circle Drive, Colorado Springs, CO 80909 | 2019-08-26 |
1760952964 | James Garofalo | Counselor | 2210 E La Salle St Ste 221, Colorado Spgs, CO 80909 | 2018-11-29 |
1144719055 | Autumn Leaves Counseling, LLC | Counselor | 2130 Academy Circle, Suite B, Co Springs, CO 80909 | 2018-05-07 |
1407353642 | Ambulnz Co, LLC | Ambulance | 2420 E Pikes Peak Ave Ste 1001, Colorado Springs, CO 80909 | 2018-04-12 |
1083117998 | Peak Wellness Counseling Service, LLC | Counselor | 2210 E. La Salle Street, Suite 208, Colorado Springs, CO 80909 | 2018-03-16 |
1043740822 | Ande Carol West | Dental Hygienist | 701 Citadel Drive East, Colorado Springs, CO 80909 | 2017-06-14 |
1043748791 | Colorado Springs Pharmacy LLC | Pharmacy | 2224 E. Pikes Peak Ave, Colorado Springs, CO 80909 | 2017-05-25 |
1215484365 | Brittney Nicole Roberts | Physical Therapist | 2201 Lelaray St., Colorado Springs, CO 80909 | 2016-09-07 |
Find all providers in zip 80909 |
Taxonomy Code | 207T00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Neurological Surgery |
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104976166 | Steven E Murk, Md PC | Neurological Surgery | 175 S Union Blvd Ste 345, Colorado Springs, CO 80910-3146 | 2007-01-11 |
1760578660 | Masferrer Neurosurgical, LLC | Neurological Surgery | 306 E Del Norte St, Colorado Springs, CO 80907-7512 | 2006-10-05 |
1871534644 | Peter Michael Klara | Neurological Surgery | 2222 N Nevada Ave Ste 5001, Colorado Springs, CO 80907-6865 | 2006-06-10 |
1639171549 | Joseph J Illig | Neurological Surgery | 2312 N Nevada Ave, Suite 100, Colorado Springs, CO 80907-5302 | 2005-08-10 |
1467067165 | Poudre Valley Medical Group, LLC | Neurological Surgery | 4110 Briargate Pkwy Ste 100b, Colorado Springs, CO 80920-7836 | 2020-09-10 |
1063956381 | Nicholas Maurio | Neurological Surgery | 8540 Scarborough Dr Ste 100, Colorado Springs, CO 80920-7518 | 2016-12-05 |
1407255565 | Catholic Health Initiatives Colorado | Neurological Surgery | 2222 N Nevada Ave Ste 5001, Colorado Springs, CO 80907-6865 | 2014-08-14 |
1538402797 | Makai Monitoring | Neurological Surgery | 2312 N Nevada Ave, Ste 100, Colorado Springs, CO 80907-5302 | 2013-04-05 |
1497987432 | Jordan Amadio | Neurological Surgery | 2222 N Nevada Ave Ste 5001, Colorado Springs, CO 80907-6865 | 2009-08-09 |
1801026992 | Krista N Greenan | Neurological Surgery | 1725 E Boulder St Ste 101, Colorado Springs, CO 80909-5740 | 2009-07-23 |
Find all providers in COLORADO SPRINGS |
City | COLORADO SPRINGS |
Zip Code | 80909 |
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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.