VANGUARD MEDICAL SPECIALISTS LLC (NPI# 1588284103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588284103 |
Entity Type | Organization |
Organization Name | VANGUARD MEDICAL SPECIALISTS LLC |
Practice Address |
2620 Tenderfoot Hill St Ste 110 Colorado Springs CO 80906-8356 |
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 |
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 | ||
Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians | ||
N | 2082S0099X |
Plastic Surgery Specialization: Plastic Surgery Within the Head and Neck |
Allopathic & Osteopathic Physicians | ||
N | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
Allopathic & Osteopathic Physicians | ||
N | 208200000X | Plastic Surgery | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366062994 | Vanguard Medical Specialists LLC | Otolaryngology | 109 Latigo Ln Ste F, Canon City, CO 81212-8113 | 2020-04-23 |
1558981175 | Vanguard Medical Specialists LLC | Dermatology | 41 State Highway 67 Unit B, Woodland Park, CO 80863-5009 | 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 |
Street Address |
2620 TENDERFOOT HILL ST STE 110 |
City | COLORADO SPRINGS |
State | CO |
Zip Code | 80906-8356 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437797339 | Michael Crise | Behavior Technician | 1330 Qual Lake Loop Ste 120, Colorado Springs, CO 80906 | 2019-12-11 |
1730720541 | Amanda Salinas | Massage Therapist | 1235 Lake Plaza Drive Suite 230, Colorado Springs, CO 80906 | 2019-10-02 |
1225511488 | Sheila Meggison | Massage Therapist | 1235 Lake Plaza Drive, Suite 230, Colorado Springs, CA 80906 | 2018-09-12 |
1316429756 | Vivus Counseling Services LLC | Counselor | 108 East Cheyenne Rd Suite 201, Colorado Springs, CO 80906 | 2018-09-01 |
1043796949 | Erin Lee Recinos | Nurse Practitioner | 225 E Cheyenne Mountain Blvd Ste 220, Colorado Springs, CO 80906 | 2018-07-13 |
1982103875 | Savannah Adeline Rentrop | Behavior Technician | 2989 Broadmoor Valley Rd D, Colorado Springs, CO 80906 | 2018-02-06 |
1205335288 | Ross Knowlton | Behavior Technician | 1330 Quail Lake Loop Suite 200, Colorado Springs, CO 80906 | 2018-02-06 |
1942709845 | Adrienne Bohlen | Behavior Technician | 1330 Quail Lake Loop, Ste. 200, Colorado Springs, CO 80906 | 2018-02-06 |
1881110088 | Christine Gonzales | Nurse Practitioner | 2739 E Las Vegas St, Colorado Springs, CO 80906 | 2017-08-18 |
1225568470 | Larry Alwine | Counselor | 2860 South Circle Drive, Unit 250k, Colorado Springs, CO 80906 | 2017-06-19 |
Find all providers in zip 80906 |
Taxonomy Code | 207N00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Dermatology |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891392973 | Colorado Springs Dermatology Clinic, P.C. | Dermatology | 2060 Briargate Pkwy Ste 150, Colorado Springs, CO 80920-7660 | 2020-10-02 |
1598171423 | Natalie R Edgar | Dermatology | 215 S Parkside Dr Ste 2015, Colorado Springs, CO 80910-3131 | 2014-07-11 |
1457766487 | Nickolas Evangelos Poulos | Dermatology | 6071 E Woodmen Rd Ste 230, Colorado Springs, CO 80923-2607 | 2014-06-28 |
1699021386 | Mountaintop Dermatology, Pllc | Dermatology | 2465 Research Pkwy, Suite 200, Colorado Springs, CO 80920-1089 | 2012-07-31 |
1487759254 | Ronald A Johnson | Dermatology | Ste 200 1665 Briargate Blvd, Colorado Springs, CO 80920-3400 | 2006-09-14 |
1700993409 | James A Mccoy | Dermatology | 625 N Cascade Ave Ste 105, Colorado Springs, CO 80903-3271 | 2006-08-25 |
1801901517 | Colorado Springs Dermatology Clinic, P.C. | Dermatology | 170 Parkside Dr, Colorado Springs, CO 80910-3129 | 2006-08-20 |
1598708737 | Lee H Blatt | Dermatology | 3229 W Carefree Cir, Colorado Springs, CO 80917-3004 | 2006-06-14 |
1629037395 | Frank Mark Samarin | Dermatology | 2465 Research Parkway, Suite 200, Colorado Springs, CO 80920 | 2006-03-21 |
1255322319 | Paige L. Neifert | Dermatology | 2405 Research Pkwy, Colorado Springs, CO 80920-1044 | 2005-10-28 |
Find all providers in COLORADO SPRINGS |
City | COLORADO SPRINGS |
Zip Code | 80906 |
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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.