VANGUARD MEDICAL SPECIALISTS LLC


Address: 2620 Tenderfoot Hill St Ste 110, Colorado Springs, CO 80906-8356
Phone: 7193551585

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).

Provider Overview

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

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
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

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
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

Office Location

Street Address 2620 TENDERFOOT HILL ST STE 110
City COLORADO SPRINGS
State CO
Zip Code 80906-8356

Providers in the same zip code

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 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
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

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City COLORADO SPRINGS
Zip Code 80906

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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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