DEXTER D KOONS (NPI# 1528068228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528068228 |
| Entity Type | Individual |
| Full Name | DEXTER D KOONS |
| Credential | M.D. |
| Practice Address |
400 W 16th St Pueblo CO 81003-2745 |
| Mailing Address |
Po Box 8561 Pueblo CO 81008-8516 |
| Practice Telephone | 7193203515 |
| Practice Fax Number | 7195431309 |
| Mailing Telephone | 7193203515 |
| Mailing Fax Number | 7195431309 |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2016-11-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 28413 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 01284132 | 05 |
| Street Address |
400 W 16TH ST |
| City | PUEBLO |
| State | CO |
| Zip Code | 81003-2745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992700694 | James E Caldwell | Anesthesiology | 400 W 16th St, Pueblo, CO 81003-2745 | 2005-06-17 |
| 1174137806 | Pediatrix Medical Group of Colorado, P.C. | Pediatrics | 400 W 16th St, Pueblo, CO 81003-2745 | 2020-09-01 |
| 1992327217 | Kristina Reavis | Nurse Practitioner | 400 W 16th St, Pueblo, CO 81003-2781 | 2020-05-08 |
| 1881214567 | Nathan S Grigg | Student in an Organized Health Care Education/Training Program | 400 W 16th St, Pueblo, CO 81003-2745 | 2020-04-22 |
| 1467083881 | Erik Matthews Wickstrum | Nurse Anesthetist, Certified Registered | 400 W 16th St, Pueblo, CO 81003-2781 | 2020-02-04 |
| 1497385082 | Sean Jastillano | Nurse Anesthetist, Certified Registered | 400 W 16th St, Pueblo, CO 81003-2745 | 2020-01-22 |
| 1417597287 | Zainab Adeyemo | Nurse Anesthetist, Certified Registered | 400 W 16th St, Pueblo, CO 81003-2745 | 2020-01-09 |
| 1265071658 | Victoria Louise Farnsworth | Nurse Anesthetist, Certified Registered | 400 W 16th St, Pueblo, CO 81003-2781 | 2020-01-02 |
| 1205479557 | Brandis Courtney Montez | Nurse Practitioner | 400 W 16th St, Pueblo, CO 81003-2781 | 2019-10-18 |
| 1750923199 | Catholic Health Initiatives Colorado | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 400 W 16th St, Pueblo, CO 81003-2745 | 2019-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164042016 | Sunil Kumar | Student in an Organized Health Care Education/Training Program | Parkview Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2020-04-21 |
| 1497382303 | Pueblo Family Dentistry Pllc | Dentist | 701 N Grand Avenue, Suite B, Pueblo, CO 81003 | 2020-03-23 |
| 1023654241 | Elmer A. Villalon, Dmd, LLC | Clinic/Center | 1225 North Main Street, #207, Pueblo, CO 81003 | 2019-11-22 |
| 1518434349 | Mariam Rahim | Internal Medicine | Parkview Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2018-10-30 |
| 1003308222 | Julia Mcneice | Internal Medicine | Parkview Medial Center, Parkveiw Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2018-06-04 |
| 1689164857 | Jessica Sels | Internal Medicine | Parkview Medical Center Adult Medicine Clinic, 311 W 14th St, Pueblo, CO 81003 | 2018-05-14 |
| 1700313459 | Allison Vigil | Occupational Therapist | 1600 W. 24th St, Pueblo, CO 81003 | 2017-05-12 |
| 1245682020 | Paul S Bongat | Internal Medicine | 411 W. 14th St., Parkview Adult Medicine Clinic, Pueblo, CO 81003 | 2016-07-06 |
| 1013368596 | Daniel R Long | Internal Medicine | 411 West 14th Street, Pueblo, CO 81003 | 2016-06-27 |
| 1396195665 | Parkview Medical Center | General Acute Care Hospital | 411 W. 14th St, Pueblo, CO 81003 | 2016-06-17 |
| Find all providers in zip 81003 | ||||
| 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 |
|---|---|---|---|---|
| 1922235977 | Catholic Health Initiatives Colorado | Neurological Surgery | 1925 E Orman Ave., Suite 245a, Pueblo, CO 81004 | 2009-06-17 |
| 1811103831 | Ali K Murad | Neurological Surgery | 1600 North Grand Ave, Suite 508, Pueblo, CO 81003-2757 | 2007-05-15 |
| 1265527188 | Parkview Medical Center | Neurological Surgery | 1600 N. Grand Ave. Ste 245, Pueblo, CO 81003 | 2006-10-04 |
| 1255979274 | Parkview Ancillary Services | Neurological Surgery | 1600 N. Grand Ave., Ste. 508, Pueblo, CO 81003-2757 | 2019-12-20 |
| 1407249188 | Christopher Traut | Neurological Surgery | 1600 N Grand Ave, Suite 508, Pueblo, CO 81003-2700 | 2015-03-05 |
| 1457300840 | William Y Lu | Neurological Surgery | 1600 N. Grand Ave., Ste 508, Pueblo, CO 81003-2757 | 2006-05-10 |
| 1376541094 | Raymond Lilly Jr. | Neurological Surgery | 1600 N Grand Ave, Ste 508, Pueblo, CO 81003-2757 | 2005-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396358578 | Scl Health Medical Group - Grand Junction, LLC | Neurological Surgery | 350 Market St Unit 1, Basalt, CO 81621-7410 | 2020-08-26 |
| 1154933786 | Neurosurgery One PC | Neurological Surgery | 9695 S Yosemite St Ste 377, Lone Tree, CO 80124-2826 | 2020-08-17 |
| 1477180255 | Healthone Clinic Services - Surgery Neurological LLC | Neurological Surgery | 1721 E 19th Ave Ste 500, Denver, CO 80218-1242 | 2020-03-24 |
| 1497382246 | Neurosurgery One PC | Neurological Surgery | 9397 Crown Crest Blvd Ste 411, Parker, CO 80138-8789 | 2020-03-23 |
| 1013543891 | Scl Health Medical Group - Denver, LLC | Neurological Surgery | 3455 Lutheran Pkwy Ste 285, Wheat Ridge, CO 80033-6034 | 2020-03-12 |
| 1598300790 | Valley View Hospital Association | Neurological Surgery | 0377 Sylvan Lake Rd, Eagle, CO 81631-0129 | 2019-11-12 |
| 1194369926 | Valley View Hospital Association | Neurological Surgery | 350 Market St Unit 200, Basalt, CO 81621-7403 | 2019-11-05 |
| 1326565177 | Fredric M Sonstein Md Mba Pllc | Neurological Surgery | 333 W Hampden Ave Ste 800, Englewood, CO 80110 | 2017-08-23 |
| 1447773601 | Edin Nevzati | Neurological Surgery | 665 Clermont St, Denver, CO 80220-5023 | 2017-07-19 |
| 1306385752 | Resilience Surgical LLC | Neurological Surgery | 99 Inverness Dr E Ste 100, Englewood, CO 80112-5127 | 2017-02-17 |
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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.