TIMOTHY MICHAEL LUEBBERT (NPI# 1528300092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528300092 |
| Entity Type | Individual |
| Full Name | TIMOTHY MICHAEL LUEBBERT |
| Credential | M.D. |
| Practice Address |
4125 Briargate Pkwy Colorado Springs CO 80920-7804 |
| Mailing Address |
Po Box 110429 Aurora CO 80042-0429 |
| Practice Telephone | 7193059000 |
| Mailing Telephone | 3034937000 |
| Enumeration Date | 2013-03-22 |
| Last Update Date | 2018-09-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
DR.0060422 | CO | Allopathic & Osteopathic Physicians |
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
TL.0005877 | CO | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 13123 E 16th Ave, Aurora, CO 800457106 | 7207771234 |
| Street Address |
4125 BRIARGATE PKWY |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80920-7804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447256623 | Karol Hicks Kerr | Pediatrics | 4125 Briargate Pkwy, Suite 200, Colorado Springs, CO 80920-7804 | 2005-06-22 |
| 1386256444 | Children's Hospital Colorado | Clinic/Center | 4125 Briargate Pkwy, Colorado Springs, CO 80920-7804 | 2020-08-20 |
| 1396357497 | Children's Hospital Colorado | Clinic/Center | 4125 Briargate Pkwy, Colorado Springs, CO 80920-7804 | 2020-08-19 |
| 1194337493 | Children's Hospital Colorado | Clinic/Center | 4125 Briargate Pkwy, Colorado Springs, CO 80920-7804 | 2020-08-18 |
| 1194373670 | Caitlin Dierkes | Physician Assistant | 4125 Briargate Pkwy, Colorado Springs, CO 80920-7804 | 2019-08-28 |
| 1629636493 | Alecia Delorme | Social Worker | 4125 Briargate Pkwy, Colorado Springs, CO 80920-7804 | 2019-06-05 |
| 1194382481 | Melissa Janelle Peterson | Social Worker | 4125 Briargate Pkwy, Colorado Springs, CO 80920-7804 | 2019-05-22 |
| 1649757485 | Joelynn Marie Cartmell | Nurse Practitioner | 4125 Briargate Pkwy, Colorado Springs, CO 80920-7804 | 2018-07-24 |
| 1952887804 | Mari Cangelose | Audiologist | 4125 Briargate Pkwy, Colorado Springs, CO 80920-7804 | 2018-07-13 |
| 1558847517 | Alyssa A Kearney | Speech-Language Pathologist | 4125 Briargate Pkwy, Colorado Springs, CO 80920-7804 | 2018-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407463409 | Cynthia Cruz | Marriage & Family Therapist | 7710 N. Union, Ste 100b and 100c, Colorado Springs, CO 80920 | 2020-09-24 |
| 1851905178 | Emergency Medical Specialists, PC | Emergency Medicine | Woodmen Fsed - Md, 3790 E. Woodmen Road, Colorado Springs, CO 80920 | 2020-09-03 |
| 1114531431 | Emergency Medical Specialists, PC | Emergency Medicine | Memorial Hospital North - Md, 4050 Briargate Pkway, Colorado Springs, CO 80920 | 2020-09-03 |
| 1205440583 | Emergency Medical Specialists, PC | Emergency Medicine | Memorial Hospital North - App, 4050 Briargate Pkway, Colorado Springs, CO 80920 | 2020-09-03 |
| 1700490455 | Poudre Valley Medical Group, LLC | Radiology | 4080 Briargate Parkway, Colorado Springs, CO 80920 | 2020-09-01 |
| 1962015792 | Emergency Medical Specialists, PC | Emergency Medicine | Woodmen Fsed - App, 3790 E. Woodmen Road, Colorado Springs, CO 80920 | 2020-08-31 |
| 1194296491 | Kramer Dentistry Inc | Clinic/Center | 9290 Highland Ridge Heights Suite # 120, Colorado Springs, CO 80920 | 2018-12-12 |
| 1134602279 | Juliana Plucinik | Assistant Behavior Analyst | 7011 Campus Drive Suite 205, Colorado Springs, CO 80920 | 2018-09-14 |
| 1811473861 | Vsb Colorado Providers Pllc | Dentist | 1750 Telstar Drive, Suite 200, Colorado Springs, CO 80920 | 2018-07-12 |
| 1336637438 | Children's Hospital Colorado | General Acute Care Hospital | 4090 Briargate Parkway, Colorado Springs, CO 80920 | 2018-04-25 |
| Find all providers in zip 80920 | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750357414 | Brian Grabert | Psychiatry & Neurology | 1633 Medical Center Pt, Colorado Springs, CO 80907-8732 | 2006-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275899577 | Pinar Polat | Psychiatry & Neurology | 13123 E 16th Ave Fl 3, Aurora, CO 80045-7106 | 2012-04-11 |
| 1043519713 | Jan Martin | Psychiatry & Neurology | 13123 E 16th Ave, B155, Children Hospital Colorado, Aurora, CO 80045-7201 | 2011-03-21 |
| 1043374440 | Elizabeth Biller Dubow | Psychiatry & Neurology | 13123 E 16th Ave # B-155, Aurora, CO 80045-7106 | 2006-12-20 |
| 1073907457 | Ryan Kammeyer | Psychiatry & Neurology | 1635 Aurora Ct Fl 4, Aurora, CO 80045-2541 | 2015-03-24 |
| 1497173249 | Elizabeth T Troy | Psychiatry & Neurology | 13001 E 17th Pl, Aurora, CO 80045-2570 | 2014-03-30 |
| 1851633283 | Lauren Lynnea Jansons Treat | Psychiatry & Neurology | 13123 E 16th Ave # B155, Aurora, CO 80045-7106 | 2013-03-24 |
| 1699031039 | Melissa Adrianne Wright | Psychiatry & Neurology | 13123 E 16th Ave, Aurora, CO 80045 | 2012-04-10 |
| 1013206036 | Joshua J Bear | Psychiatry & Neurology | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2011-03-30 |
| 1528367281 | Margot Nagan | Psychiatry & Neurology | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2011-03-21 |
| 1104142108 | Andra Lee Dingman | Psychiatry & Neurology | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2010-04-15 |
| Find all providers with the same taxonomy | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80920 |
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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.