DANIEL GRAHAM TEASDALE (NPI# 1508314659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508314659 |
| Entity Type | Individual |
| Full Name | DANIEL GRAHAM TEASDALE |
| Credential | PA-C |
| Practice Address |
1650 Cochrane Cir Colorado Springs CO 80913-4613 |
| Mailing Address |
1018 Griffith St Louisville CO 80027-8617 |
| Practice Telephone | 6302297185 |
| Mailing Telephone | 6302297185 |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2016-09-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1650 COCHRANE CIR |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80913-4613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649262601 | Mary M. Bourn | Social Worker | 1650 Cochrane Cir, Colorado Springs, CO 80913-4613 | 2005-08-16 |
| 1023628559 | Brett Terbeek | Student in an Organized Health Care Education/Training Program | 1650 Cochrane Cir, Colorado Springs, CO 80913-4613 | 2020-08-10 |
| 1609485663 | Megan Jernigan | Student in an Organized Health Care Education/Training Program | 1650 Cochrane Cir, Colorado Springs, CO 80913-4613 | 2020-07-27 |
| 1083223291 | Nissan Armas | Student in an Organized Health Care Education/Training Program | 1650 Cochrane Cir, Colorado Springs, CO 80913-4613 | 2020-07-24 |
| 1316556590 | Lauren Marie Bentley | Student in an Organized Health Care Education/Training Program | 1650 Cochrane Cir, Colorado Springs, CO 80913-4613 | 2020-07-23 |
| 1447869607 | Walter Arevalo | Student in an Organized Health Care Education/Training Program | 1650 Cochrane Cir, Colorado Springs, CO 80913-4613 | 2020-07-23 |
| 1851909634 | Maria Isabel Aponte Torres | Student in an Organized Health Care Education/Training Program | 1650 Cochrane Cir, Colorado Springs, CO 80913-4613 | 2020-07-17 |
| 1245889252 | Heather Frances Fischle | Audiologist | 1650 Cochrane Cir, Colorado Springs, CO 80913-4613 | 2019-09-11 |
| 1154897312 | Ileene Samaniego | Physician Assistant | 1650 Cochrane Cir, Colorado Springs, CO 80913-4613 | 2018-10-15 |
| 1003346305 | Ronald Doria | Family Medicine | 1650 Cochrane Cir, Colorado Springs, CO 80913-4613 | 2017-06-19 |
| Find all providers in the same location | ||||
| 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 | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265054431 | Kimberly Goyack | Physician Assistant | 10807 New Allegiance Dr Ste 450, Colorado Springs, CO 80921-3722 | 2020-05-11 |
| 1891316089 | Chase Devalk | Physician Assistant | 560 Thames Dr, Colorado Springs, CO 80906-4839 | 2020-04-29 |
| 1841846193 | Caroline Selting | Physician Assistant | 2255 Oak Hills Dr, Colorado Springs, CO 80919-3477 | 2019-08-13 |
| 1578121935 | Raymond Shaun Wolff | Physician Assistant | 6936 Shea Dr Apt A, Colorado Springs, CO 80902-7334 | 2019-05-31 |
| 1063996288 | Matthew Steven Chernikovich | Physician Assistant | 5134 N Nevada Ave Ste 100, Colorado Springs, CO 80918-8699 | 2018-09-24 |
| 1649798018 | Adam Robert Sahlberg | Physician Assistant | 10222 Desert Bloom Way, Colorado Springs, CO 80925-1345 | 2017-09-06 |
| 1851821334 | Jennifer Abbott | Physician Assistant | 6071 E Woodmen Rd Ste Unit300, Colorado Springs, CO 80923-2607 | 2017-06-15 |
| 1912431081 | Brandon Eliott Griffis | Physician Assistant | 3803 N Chestnut St, Colorado Springs, CO 80907-4107 | 2017-04-16 |
| 1508309709 | Aleksandr M Kaplun | Physician Assistant | 155 Printers Pkwy Ste 23, Colorado Springs, CO 80910-6100 | 2016-11-21 |
| 1972059038 | Shelby Lynne Ransdell | Physician Assistant | 116 Sherri Dr, Colorado Springs, CO 80911-1447 | 2016-08-29 |
| 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.