PENRAD IMAGING LLC (NPI# 1538760962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538760962 |
| Entity Type | Organization |
| Organization Name | PENRAD IMAGING LLC |
| Practice Address |
6011 E Woodmen Rd Ste 10 Colorado Springs CO 80923-2603 |
| Mailing Address |
Po Box 2989 Colorado Springs CO 80901-2989 |
| Practice Telephone | 7195931799 |
| Practice Fax Number | 7192653794 |
| Mailing Telephone | 7195931799 |
| Mailing Fax Number | 7192653794 |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2020-11-03 |
| Authorized Official Name | DEREK SCOTT BERGESON (RADIOLOGIST) |
| Authorized Official Telephone | 7195931799 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699376038 | Penrad Imaging LLC | Clinic/Center | 2202 N Nevada Ave, Colorado Springs, CO 80907-6819 | 2020-11-03 |
| 1275134611 | Penrad Imaging LLC | Clinic/Center | 1263 Lake Plaza Dr Ste 100, Colorado Springs, CO 80906-3510 | 2020-11-03 |
| 1851992291 | Penrad Imaging LLC | Clinic/Center | 4105 Briargate Pkwy Ste 115, Colorado Springs, CO 80920-3482 | 2020-11-03 |
| 1730780172 | Penrad Imaging LLC | Clinic/Center | 17230 Jackson Creek Pkwy Ste 100, Monument, CO 80132-7302 | 2020-11-03 |
| 1770105900 | Penrad Imaging LLC | Clinic/Center | 4925 N Nevada Ave, Colorado Springs, CO 80918-8600 | 2020-05-11 |
| 1003906868 | Penrad Imaging LLC | Clinic/Center | 3050 N Circle Dr, Colorado Springs, CO 80909-1175 | 2006-10-13 |
| Street Address |
6011 E WOODMEN RD STE 10 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80923-2603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942171 | Colorado Otolaryngology Associates, LLC | Specialist | 6031 E. Woodmen Rd., Ste. 300, Colorado Springs, CO 80923 | 2020-11-06 |
| 1750993861 | Kara Pitou | Dietitian, Registered | 7064 Renegade Ridge Dr, Colorado Springs, CO 80923 | 2020-08-19 |
| 1366933632 | The Traveling Therapist, LLC | Social Worker | 6319 Sundance Kid Dr, Colorado Springs, CO 80923 | 2018-05-22 |
| 1669972246 | Stacy H Furukawa | Behavior Technician | 5719 Hawk Springs Dr, Colorado Springs, CO 80923 | 2018-02-20 |
| 1528573854 | Wal-mart Sores, Inc. | Durable Medical Equipment & Medical Supplies | 7825 Dublin Blvd, Colorado Springs, CO 80923 | 2017-12-08 |
| 1699148544 | Kristin Sekelsky | Nurse Practitioner | 6160 Tutt Blvd Ste 150, Colorado Springs, CO 80923 | 2015-11-01 |
| 1164826640 | Nancy Bakhtiar | Massage Therapist | 6160 Tutt Blve #102, Colorado Springs, CO 80923 | 2014-10-13 |
| 1558664326 | Helen Sobeck | Nurse Practitioner | 6001 E. Woodmen Road, Nicu St. Frances Medical Center, Colorado Springs, CO 80923 | 2010-12-16 |
| 1679891832 | Tristan Poe Lindberg | Pediatrics | 6001 E Woodmen Road, Colorado Springs, CO 80923 | 2010-05-12 |
| 1194058933 | Tiffany Ann Nelson | Physician Assistant | 6001 E. Woodmen Rd., St. Francis Medical Center - Nicu, Colorado Springs, CO 80923 | 2009-09-11 |
| Find all providers in zip 80923 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699376038 | Penrad Imaging LLC | Clinic/Center | 2202 N Nevada Ave, Colorado Springs, CO 80907-6819 | 2020-11-03 |
| 1275134611 | Penrad Imaging LLC | Clinic/Center | 1263 Lake Plaza Dr Ste 100, Colorado Springs, CO 80906-3510 | 2020-11-03 |
| 1851992291 | Penrad Imaging LLC | Clinic/Center | 4105 Briargate Pkwy Ste 115, Colorado Springs, CO 80920-3482 | 2020-11-03 |
| 1376159681 | Uchealth Imaging Services LLC | Clinic/Center | 5818 N. Nevada, Suite 100, Colorado Springs, CO 80918 | 2020-09-22 |
| 1710546932 | Uch-mhs | Clinic/Center | 2685 Dublin Blvd., Colorado Springs, CO 80918-1358 | 2019-06-11 |
| 1922343243 | Citadel Terrace Imaging, LLC | Clinic/Center | 709 Citadel Dr E, Colorado Springs, CO 80909-5302 | 2012-11-28 |
| 1063011096 | Uchealth Imaging Services LLC | Clinic/Center | 5818 N. Nevada, Suite 110, Colorado Springs, CO 80918 | 2020-10-21 |
| 1770105900 | Penrad Imaging LLC | Clinic/Center | 4925 N Nevada Ave, Colorado Springs, CO 80918-8600 | 2020-05-11 |
| 1144880675 | Uch-mhs | Clinic/Center | 1 Olympic Plz, Colorado Springs, CO 80909-5780 | 2019-06-17 |
| 1518526441 | Uch-mhs | Clinic/Center | 4190 E Woodmen Rd, Ste 240, Colorado Springs, CO 80920-8075 | 2019-06-13 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80923 |
Please comment or provide details below to improve the information on PENRAD IMAGING LLC.
| 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.