MR. ROBERT DAVID DAWSON JR. (NPI# 1558700575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558700575 |
| Entity Type | Individual |
| Full Name | MR. ROBERT DAVID DAWSON JR. |
| Credential | PA-C |
| Practice Address |
4130 N Freeway Rd Pueblo CO 81008-2064 |
| Mailing Address |
5799 Stetson Hills Blvd Ste 100 Colorado Springs CO 80917-4223 |
| Practice Telephone | 7166952273 |
| Mailing Telephone | (719) 471-2273 |
| Enumeration Date | 2013-06-24 |
| Last Update Date | 2017-05-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0003695 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912335910 | Robert B Dawson IIi | General Acute Care Hospital | 32 Biscayne Pkwy, Nashua, NH 03064-1169 | 2013-10-29 |
| 1972561397 | Robert C. Dawson IIi | Radiology | 1111 Medical Center Boulevard, Suite S750, Marrero, LA 70072 | 2006-05-03 |
| 1689286700 | Robert Dawson | Case Manager/Care Coordinator | 1103 Ne Elm St, Prineville, OR 97754-1664 | 2020-08-19 |
| 1053729731 | Robert Dawson | Technician, Other | 4575 Se Dixie Hwy, Stuart, FL 34997-6826 | 2014-07-26 |
| 1376804989 | Robert Tyler Dawson | Dentist | 215 5th Ave, Saint Albans, WV 25177-2809 | 2012-05-31 |
| 1801093604 | Robert S. Dawson | Physician Assistant | 2109 Navajo Blvd, Holbrook, AZ 86025-0000 | 2007-06-27 |
| 1588727895 | Robert Keith Dawson | Nurse Practitioner | 925 S Nebraska St, Marion, IN 46953-1874 | 2006-12-18 |
| 1992800189 | Robert Earl Dawson | Internal Medicine | 843 Milling Ave, Luling, LA 70070-4442 | 2006-09-13 |
| 1932218203 | Robert E Dawson IIi | Physical Therapist | 600 Glen Ave Ste 203, Salisbury, MD 21804-5250 | 2006-08-30 |
| 1154393478 | Robert Arthur Dawson | Physician Assistant | 341 Greeno Rd N, Fairhope, AL 36532-2979 | 2006-02-02 |
| Street Address |
4130 N FREEWAY RD |
| City | PUEBLO |
| State | CO |
| Zip Code | 81008-2064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043276686 | Carla R Beswick | Nurse Practitioner | 4130 N Freeway Rd, Pueblo, CO 81008-2064 | 2006-04-22 |
| 1982216628 | Jordan Kaczor | Nurse Practitioner | 4130 N Freeway Rd, Pueblo, CO 81008-2064 | 2020-08-22 |
| 1225671712 | Victoria Kelley | Nurse Practitioner | 4130 N Freeway Rd, Pueblo, CO 81008-2064 | 2019-10-28 |
| 1871147942 | Jason Valle | Nurse Practitioner | 4130 N Freeway Rd, Pueblo, CO 81008-2064 | 2019-07-27 |
| 1326573411 | Julie Washabaugh | Registered Nurse | 4130 N Freeway Rd, Pueblo, CO 81008-2064 | 2017-04-26 |
| 1568913697 | Tracy Richardson | Nurse Practitioner | 4130 N Freeway Rd, Pueblo, CO 81008-2064 | 2016-10-24 |
| 1598143778 | Front Range Urgent Care, PC | Family Medicine | 4130 N Freeway Rd, Pueblo, CO 81008-2064 | 2015-05-08 |
| 1275911455 | Comfort Care Family Practice, PC | Family Medicine | 4130 N Freeway Rd, Pueblo, CO 81008-2064 | 2015-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164058913 | Healthone Clinic Services - Oncology Hematology LLC | Internal Medicine | 3678 Parker Blvd, Pueblo, CO 81008 | 2020-03-12 |
| 1073026423 | Carmel Community Living Corporation | Respite Care | 2003 Northmoor Terrace, Suite 100, Pueblo, CO 81008 | 2017-11-08 |
| 1568987121 | Hannah Vivian Roadruck | Pharmacist | 4200 Dillon Dr., Pueblo, CO 81008 | 2017-08-04 |
| 1184170425 | Brett Burana | Dentist | 729 Us-50, Pueblo, CO 81008 | 2016-08-28 |
| 1760832885 | Irby Dental Cottage | Dental Hygienist | 2099 West St # 50, Suite 180, Pueblo, CO 81008 | 2016-06-20 |
| 1649624362 | Curley Peak Dentistry Pllc | Dentist | 1640 W Fortino Blvd, Pueblo, CO 81008 | 2016-04-19 |
| 1336507847 | Kyle Tipton | Nurse Anesthetist, Certified Registered | 4741 Eagleridge Circle, 206, Pueblo, CO 81008 | 2016-01-29 |
| 1407211931 | Center At Park West, LLC | Skilled Nursing Facility | 3727 Parker Blvd., Pueblo, CO 81008 | 2015-12-29 |
| 1417327461 | Nicole Betts | Registered Nurse | 1310 Fortino Blvd Ste D, Pueblo, CO 81008 | 2015-10-02 |
| 1437578028 | Pueblo Modern Dentistry and Orthodontics, LLP | Dentist | 727 Us Hwy 50 West, Pueblo, CO 81008 | 2014-04-10 |
| Find all providers in zip 81008 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114527652 | Li Ashley Lim | Physician Assistant | 132 W B St Apt 3k, Pueblo, CO 81003-3446 | 2020-10-26 |
| 1104366178 | Alfe Garperio | Physician Assistant | 2625 W Pueblo Blvd, Pueblo, CO 81004-3816 | 2017-02-24 |
| 1871895995 | A Theodore Smith | Physician Assistant | 1600 West 24th Street, Colorado Mental Health Institute At Pueblo, Pueblo, CO 81003 | 2010-11-22 |
| 1689793812 | Paul Whitney Safford | Physician Assistant | 600 West 16th St, Pueblo, CO 81003 | 2007-03-28 |
| 1740347996 | Jose Luis Ramirez | Physician Assistant | 45825 Highway 96 East, Pueblo, CO 81006 | 2007-01-03 |
| 1932217635 | Juliana Schrettner | Physician Assistant | 1600 N Greenwood, 520, Pueblo, CO 81003 | 2006-08-25 |
| 1427046077 | James L Kramer | Physician Assistant | 1008 Minnegua Ave, Emergency Room, Pueblo, CO 81004 | 2005-10-07 |
| 1306846381 | Lucas R Derting | Physician Assistant | 1600 North Grand Avenue, Suite 500, Pueblo, CO 81003-2757 | 2005-07-29 |
| 1922001700 | Stephen D Bast | Physician Assistant | 3676 Parker Blvd, Pueblo, CO 81008-2212 | 2005-05-24 |
| 1245863257 | Anna Elizabeth Inserra | Physician Assistant | 1315 Fortino Blvd, Pueblo, CO 81008-1981 | 2020-02-18 |
| Find all providers in PUEBLO | ||||
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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.