VANGUARD MEDICAL SPECIALISTS LLC


Address: 41 State Highway 67 Unit B, Woodland Park, CO 80863-5009
Phone: 7193551585

VANGUARD MEDICAL SPECIALISTS LLC (NPI# 1558981175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558981175
Entity Type Organization
Organization Name VANGUARD MEDICAL SPECIALISTS LLC
Practice Address 41 State Highway 67 Unit B
Woodland Park
CO 80863-5009
Mailing Address 9348 Grand Cordera Pkwy Ste 160
Colorado Springs
CO 80924-7023
Practice Telephone 7193551585
Mailing Telephone 7193551585
Enumeration Date 2020-04-23
Last Update Date 2020-04-23
Authorized Official Name VINH QUOC CHUNG (OWNER/PHYSICIAN)
Authorized Official Telephone 7193551585
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207ND0101X Dermatology
Specialization: MOHS-Micrographic Surgery
Allopathic & Osteopathic Physicians
N 207ND0900X Dermatology
Specialization: Dermatopathology
Allopathic & Osteopathic Physicians
N 207NP0225X Dermatology
Specialization: Pediatric Dermatology
Allopathic & Osteopathic Physicians
N 207NS0135X Dermatology
Specialization: Procedural Dermatology
Allopathic & Osteopathic Physicians
N 207YS0123X Otolaryngology
Specialization: Facial Plastic Surgery
Allopathic & Osteopathic Physicians
N 207YX0007X Otolaryngology
Specialization: Plastic Surgery within the Head & Neck
Allopathic & Osteopathic Physicians
N 207YX0905X Otolaryngology
Specialization: Otolaryngology/Facial Plastic Surgery
Allopathic & Osteopathic Physicians
N 208200000X Plastic Surgery Allopathic & Osteopathic Physicians
N 2082S0099X Plastic Surgery
Specialization: Plastic Surgery Within the Head and Neck
Allopathic & Osteopathic Physicians
Y 207N00000X Dermatology Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1366062994 Vanguard Medical Specialists LLC Otolaryngology 109 Latigo Ln Ste F, Canon City, CO 81212-8113 2020-04-23
1588284103 Vanguard Medical Specialists LLC Dermatology 2620 Tenderfoot Hill St Ste 110, Colorado Springs, CO 80906-8356 2020-04-23
1013538354 Vanguard Medical Specialists LLC Dermatology 9348 Grand Cordera Pkwy Ste 160, Colorado Springs, CO 80924-7023 2020-04-28
1639799257 Vanguard Medical Specialists LLC Dermatology 5700 N Elizabeth St, Pueblo, CO 81008-2166 2020-04-23
1821618190 Vanguard Medical Specialists LLC Dermatology 13492 Bass Pro Dr Ste 100, Colorado Springs, CO 80921-3852 2020-04-16
1518105253 Vanguard Medical Specialists LLC Dermatology 9348 Grand Cordera Pkwy, Ste 160, Colorado Springs, CO 80924-7001 2009-02-03

Office Location

Street Address 41 STATE HIGHWAY 67 UNIT B
City WOODLAND PARK
State CO
Zip Code 80863-5009

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518576867 Poudre Valley Medical Group, LLC Orthopaedic Surgery 333 North West Street, Woodland Park, CO 80863 2020-07-23
1003461476 Alive Connections Counseling, LLC Community/Behavioral Health 321 West Henrietta Avenue, Office D-8, Woodland Park, CO 80863 2019-08-02
1720630130 Jennifer Fuller James Social Worker 400 W Midland Ave Ste 100h, Woodland Park, CO 80863 2019-07-15
1558861815 Thrive Primary Care At Woodland Park LLC Nurse Practitioner 1067 Us 24, 276, Woodland Park, CO 80863 2018-02-13
1841712080 Jamie Andersen Marriage & Family Therapist 321 W. Henrietta Ave, Suite B, Woodland Park, CO 80863 2017-07-10
1720438492 Laurie Kim Warchol Counselor 321 West Henrietta, Woodland Park, CO 80863 2016-06-14
1255788402 Colorado Lions Camp Inc Respite Care 28541 Highway 67, Wooodand Park, CO 80863 2016-05-18
1619337193 Ariana Papi Specialist/Technologist, Other 16240 W Hwy 24, Woodland Park, CO 80863 2016-02-26
1104281864 Daybreak-an Adult Day Program Respite Care 404 North Highway 67, Woodland Park, CO 80863 2015-12-23
1104281906 Kingdom Pediatric Therapy Speech-Language Pathologist 1067 E Us Hwy, Pmb 72, Woodland Park, CO 80863 2015-12-21
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Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396172292 Ahkami Dermatology Associates, LLC Dermatology 1031 Mcbride Ave, Suite D203, Woodland Park, NJ 07424-2559 2013-10-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1720685894 Colorado Springs Dermatology Clinic, P.C. Dermatology 1332 Bauer Ln, Canon City, CO 81212-4669 2020-10-02
1891392973 Colorado Springs Dermatology Clinic, P.C. Dermatology 2060 Briargate Pkwy Ste 150, Colorado Springs, CO 80920-7660 2020-10-02
1033723465 Inspired Dermatology, Pllc Dermatology 6050 Greenwood Plaza Blvd Ste 130, Greenwood Village, CO 80111-4823 2020-09-02
1700496668 Sorkin Dermatology Associates Professional LLC Dermatology 1960 N. Ogden Street, Suite 555, Denver, CO 80218-3602 2020-08-05
1194340802 Epiphany Dermatology of Colorado, LLC Dermatology 2530 N 8th St Ste 205, Grand Junction, CO 81501-8858 2020-06-09
1861026189 University Physicians Incorporated Dermatology 14305 E Alameda Ave Ste 225, Aurora, CO 80012-2549 2020-02-25
1316577323 Medical Man Cave Pllc Dermatology 250 Steele Street, Suite 350, Denver, CO 80206-5242 2020-01-17
1124664248 Allison Marquis Dermatology 4350 Limelight Ave Ste 205, Castle Rock, CO 80109-8034 2019-11-24
1790255313 Core Dermatology, Pllc Dermatology 425 South Cherry Suite 907, Glendale, CO 80246 2018-11-26
1326521576 Kaitlyn Laurel Pell Dermatology 125 Inverness Dr E Ste 340, Englewood, CO 80112-5139 2018-09-13
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Competitor

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City WOODLAND PARK
Zip Code 80863

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Dataset Information

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.

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