DR. GERALD RICHARD TRAVERS (NPI# 1568455061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568455061 |
| Entity Type | Individual |
| Full Name | DR. GERALD RICHARD TRAVERS |
| Credential | DPM |
| Practice Address |
1612 E Pikes Peak Ave Colorado Springs CO 80909-5619 |
| Practice Telephone | 7194758080 |
| Practice Fax Number | 7194750913 |
| Mailing Telephone | 7194758080 |
| Mailing Fax Number | 7194750913 |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2008-04-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | 283 | CO | Podiatric Medicine & Surgery Service Providers |
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
283 | CO | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | DEA LICENSE# | AT5146192 | 01 |
| CO | 04011300 | 05 |
| Street Address |
1612 E PIKES PEAK AVE |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80909-5619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033661095 | Amanda Elizabeth Miles Vojak | Physical Therapist | 1612 E Pikes Peak Ave, Colorado Springs, CO 80909-5619 | 2016-10-25 |
| 1437142940 | Ronda G Ammon | Podiatrist | 1612 E Pikes Peak Ave, Colorado Springs, CO 80909-5619 | 2005-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376173765 | Ascent Health LLC | Community/Behavioral Health | 2608 Palmer Park Blvd., Colorado Springs, CO- COLORADO 80909 | 2020-01-24 |
| 1639714041 | Peak Vista Community Health Centers | Clinic/Center | 4041 E San Miguel St, Colorado Springs, CO 80909 | 2019-11-08 |
| 1437706231 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 445 N Circle Drive, Colorado Springs, CO 80909 | 2019-08-26 |
| 1760952964 | James Garofalo | Counselor | 2210 E La Salle St Ste 221, Colorado Spgs, CO 80909 | 2018-11-29 |
| 1144719055 | Autumn Leaves Counseling, LLC | Counselor | 2130 Academy Circle, Suite B, Co Springs, CO 80909 | 2018-05-07 |
| 1407353642 | Ambulnz Co, LLC | Ambulance | 2420 E Pikes Peak Ave Ste 1001, Colorado Springs, CO 80909 | 2018-04-12 |
| 1083117998 | Peak Wellness Counseling Service, LLC | Counselor | 2210 E. La Salle Street, Suite 208, Colorado Springs, CO 80909 | 2018-03-16 |
| 1043740822 | Ande Carol West | Dental Hygienist | 701 Citadel Drive East, Colorado Springs, CO 80909 | 2017-06-14 |
| 1043748791 | Colorado Springs Pharmacy LLC | Pharmacy | 2224 E. Pikes Peak Ave, Colorado Springs, CO 80909 | 2017-05-25 |
| 1215484365 | Brittney Nicole Roberts | Physical Therapist | 2201 Lelaray St., Colorado Springs, CO 80909 | 2016-09-07 |
| Find all providers in zip 80909 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710042841 | Hainge Foot & Ankle Clinic PC | Podiatrist | 3920 N Union Blvd Ste 320, Colorado Springs, CO 80907-4916 | 2006-12-27 |
| 1235176546 | Bryan Alan Groth | Podiatrist | 455 E Pikes Peak Ave Ste 220, Colorado Springs, CO 80903-3673 | 2006-06-02 |
| 1275517872 | Fred James Gremillion | Podiatrist | 3100 N Academy Blvd, Suite #115, Colorado Springs, CO 80917-5321 | 2005-12-06 |
| 1114921731 | Nicholas Sol | Podiatrist | 5014 El Camino Dr, The Walking Clinic, PC, Colorado Springs, CO 80918-2106 | 2005-06-10 |
| 1598396889 | Optumcare Colorado Springs, LLC | Podiatrist | 5014 El Camino Dr, Colorado Springs, CO 80918-2104 | 2020-01-27 |
| 1003362450 | Mcvay Foot & Ankle, PC | Podiatrist | 6160 Tutt Blvd, Ste 150, Colorado Springs, CO 80923-3500 | 2016-08-26 |
| 1134583172 | Darrick Richard Dominick | Podiatrist | 1465 Kelly Johnson Blvd Ste 100, Colorado Springs, CO 80920-3945 | 2016-04-06 |
| 1851769152 | Teague Gearhart | Podiatrist | 1155 Kelly Johnson Blvd, Colorado Springs, CO 80920-3932 | 2015-09-03 |
| 1003294083 | Foot and Ankle Institute of Colorado, PC | Podiatrist | 1465 Kelly Johnson Blvd Ste 100, Colorado Springs, CO 80920-3945 | 2015-05-11 |
| 1457746844 | Travis Kotter | Podiatrist | 4190 E Woodmen Rd Ste 100, Colorado Springs, CO 80920 | 2015-04-01 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80909 |
Please comment or provide details below to improve the information on DR. GERALD RICHARD TRAVERS.
| 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.