DR. MARK E. CHITTUM (NPI# 1518942572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518942572 |
| Entity Type | Individual |
| Full Name | DR. MARK E. CHITTUM |
| Credential | M.D. |
| Practice Address |
2770 N Union Blvd Suite 140 Colorado Springs CO 80909-1183 |
| Practice Telephone | 7194739595 |
| Practice Fax Number | 7192270669 |
| Mailing Telephone | 7194739595 |
| Mailing Fax Number | 7192270669 |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2017-03-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
DR.0028079 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 01280791 | 05 |
| Street Address |
2770 N UNION BLVD SUITE 140 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80909-1183 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669462164 | Sheron Buckland Marshall | Ophthalmology | 2770 N Union Blvd, Suite 240, Colorado Springs, CO 80909-1120 | 2005-10-26 |
| 1699218073 | Davita Medical Group Colorado Springs, LLC | General Practice | 2770 N Union Blvd, Ste 200, Colorado Springs, CO 80909-1120 | 2016-12-02 |
| 1619351954 | David Belshe | Technician/Technologist | 2770 N Union Blvd, Suite 200, Colorado Springs, CO 80909-1120 | 2015-07-16 |
| 1306271630 | Facial Associates of Colorado for Emergency Services, Pllc | Surgery | 2770 N Union Blvd, 100, Colorado Springs, CO 80909-1120 | 2013-09-05 |
| 1851584767 | Andrea K Pikkula | Optometrist | 2770 N Union Blvd, Suite 240, Colorado Springs, CO 80909-1120 | 2007-08-23 |
| 1164625018 | Clayton Lee Falknor | Ophthalmology | 2770 N Union Blvd, Suite #240, Colorado Springs, CO 80909-1120 | 2007-06-07 |
| 1720203862 | Retina Consultants of Southern Colorado P C | Ophthalmology | 2770 N Union Blvd, Suite 140, Colorado Springs, CO 80909-1183 | 2007-04-16 |
| 1639180813 | Carl K Wetzig | Ophthalmology | 2770 N Union Blvd, Ste 200, Colorado Springs, CO 80909-1193 | 2006-08-11 |
| 1992720064 | Ryan Mckay Rich | Ophthalmology | 2770 N Union Blvd, Suite 140, Colorado Springs, CO 80909-1120 | 2006-07-12 |
| 1306875455 | Ronald W Pelton Md Phd PC | Ophthalmology | 2770 N Union Blvd, Suite 100, Colorado Springs, CO 80909-1120 | 2006-07-01 |
| 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 | 207WX0107X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Retina Specialist |
| An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
| Notes: Source: American Society of Retina Specialists, www.asrs.org [1/1/2017: new] - Additional Resources: American Academy of Ophthalmology, www.aao.org. Macula Society, www.maculasociety.org. Retina Society, www.retinasociety.org. Association of University Professors of Ophthalmology, www.aupo.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700813391 | Ramin Sarrafizadeh | Ophthalmology | 2770 N Union Blvd, Ste 140, Colorado Springs, CO 80909-1183 | 2006-06-27 |
| 1174508071 | James K Luu | Ophthalmology | 2770 N Union Blvd, Suite 140, Colorado Springs, CO 80909-1183 | 2005-12-13 |
| 1508840059 | Jonathan Gerald Williams | Ophthalmology | 2770 N Union Blvd, Suite 140, Colorado Springs, CO 80909-1183 | 2005-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740675636 | Michael Huvard | Ophthalmology | 1675 Aurora Ct # Msf731, Aurora, CO 80045-2517 | 2015-03-30 |
| 1801158548 | Ross B Chod | Ophthalmology | 1444 S Potomac St Ste 175, Aurora, CO 80012 | 2012-06-08 |
| 1386257475 | Southwest Eye Consultants Pllc | Ophthalmology | 270 E 8th Ave Ste N-101, Durango, CO 81301-5708 | 2020-08-28 |
| 1316572803 | Colorado Retina Associates, PC | Ophthalmology | 360 Peak One Dr, Ste 300, Frisco, CO 80443-9900 | 2020-03-05 |
| 1154955896 | Colorado Retina Associates, PC | Ophthalmology | 400 Indiana St Ste 310, Golden, CO 80401-5033 | 2020-03-02 |
| 1821622564 | Colorado Retina Associates, PC | Ophthalmology | 11960 Lioness Way Ste 290, Parker, CO 80134-5640 | 2020-03-02 |
| 1497389399 | Colorado Retina Associates, PC | Ophthalmology | 850 Englewood Pkwy Ste 200, Englewood, CO 80110-7399 | 2020-02-28 |
| 1942834841 | Colorado Retina Associates, PC | Ophthalmology | 1050 W South Boulder Rd Ste 2100, Lafayette, CO 80026-2818 | 2020-02-28 |
| 1962995787 | Southwest Retina Research Center, LLC | Ophthalmology | 270 E 8th Ave Ste N-101, Durango, CO 81301-5708 | 2018-06-07 |
| 1154783447 | Talisa De Carlo | Ophthalmology | 1675 Aurora Ct Ste F731, Aurora, CO 80045-2592 | 2016-03-24 |
| Find all providers with the same taxonomy | ||||
| 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.