MR. JEREMY MICHAEL RAULIE (NPI# 1538113105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538113105 |
| Entity Type | Individual |
| Full Name | MR. JEREMY MICHAEL RAULIE |
| Credential | PAC |
| Practice Address |
2446 Research Pkwy Suite 200 Colorado Springs CO 80920-1087 |
| Practice Telephone | 7196231050 |
| Practice Fax Number | 7196231052 |
| Mailing Telephone | 7196231050 |
| Mailing Fax Number | 7196231052 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2014-11-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | CO1776 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
CO1776 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
CO1776 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 46559043 | 05 |
| Street Address |
2446 RESEARCH PKWY SUITE 200 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80920-1087 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437131547 | Karl Martin Larsen | Orthopaedic Surgery | 2446 Research Pkwy, Suite 200, Colorado Springs, CO 80920-1087 | 2005-11-15 |
| 1639797335 | Brianne Wagner | Nurse Practitioner | 2446 Research Pkwy, Colorado Springs, CO 80920-1087 | 2020-07-09 |
| 1063853893 | Miyoko Stephanie Green | Physician Assistant | 2446 Research Pkwy, Suite 200, Colorado Springs, CO 80920-1087 | 2013-07-09 |
| 1326300559 | Stephanie Noble | Physician Assistant | 2446 Research Pkwy, Suite 200, Colorado Springs, CO 80920-1087 | 2012-06-13 |
| 1053615013 | Miranda D Holland | Nurse Practitioner | 2446 Research Pkwy, Suite 200, Colorado Springs, CO 80920-1087 | 2011-01-06 |
| 1538362389 | Colorado Center of Orthopaedic Excellence Inc | Orthopaedic Surgery | 2446 Research Pkwy, Suite 200, Colorado Springs, CO 80920-1087 | 2007-06-08 |
| 1972534873 | Ky Kobayashi | Orthopaedic Surgery | 2446 Research Pkwy, Ste 200, Colorado Springs, CO 80920-1087 | 2006-07-06 |
| 1356388490 | Frederick William Hainge | Podiatrist | 2446 Research Pkwy, Suite 200, Colorado Springs, CO 80920-1087 | 2006-05-31 |
| 1164478673 | Derek B Purcell | Orthopaedic Surgery | 2446 Research Pkwy, Suite 200, Colorado Springs, CO 80920-1087 | 2006-05-26 |
| 1831141290 | John R Shank | Orthopaedic Surgery | 2446 Research Pkwy, Suite 200, Colorado Springs, CO 80920-1087 | 2006-05-16 |
| 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 | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932517307 | Soco Surgical Services | Physician Assistant | 4140 Autumn Heights Dr Unit D, Colorado Springs, CO 80906-5912 | 2014-07-29 |
| 1609117654 | Tracy Andrew Truffin | Physician Assistant | 2955 Professional Pl Ste 100, Colorado Springs, CO 80904-8140 | 2013-03-14 |
| 1487792164 | Sondra Elaine Early | Physician Assistant | 2312 N Nevada Ave Ste 305, Colorado Springs, CO 80907-5318 | 2007-02-02 |
| 1427074434 | Mel I Cohen | Physician Assistant | 3225 International Circle, Suite 100, Colorado Springs, CO 80910 | 2006-07-14 |
| 1841231230 | Andrew Richard Domer | Physician Assistant | 3920 N Union Blvd Ste 330, Colorado Springs, CO 80907-4916 | 2006-06-09 |
| 1194373670 | Caitlin Dierkes | Physician Assistant | 4125 Briargate Pkwy, Colorado Springs, CO 80920-7804 | 2019-08-28 |
| 1528616091 | Integral First Assist Services, LLC | Physician Assistant | 1322 N Academy Blvd Ste 204, Colorado Springs, CO 80909-3320 | 2019-08-28 |
| 1649823196 | Sara Westerhaus, Surgical Assisting, LLC | Physician Assistant | 1322 N Academy Blvd Ste 204, Colorado Springs, CO 80909-3320 | 2019-07-23 |
| 1477072304 | Chelsea Elizabeth Onksen | Physician Assistant | 2222 N Nevada Ave Ste 5017, Colorado Springs, CO 80907-6865 | 2017-09-12 |
| 1629505250 | Teren Wayne Abraham Culbertson | Physician Assistant | 1400 E Boulder St, Colorado Springs, CO 80909-5533 | 2017-05-14 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80920 |
Please comment or provide details below to improve the information on MR. JEREMY MICHAEL RAULIE.
| 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.