DR. DIANE REBECCA HESSELBROCK (NPI# 1598924052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598924052 |
Entity Type | Individual |
Full Name | DR. DIANE REBECCA HESSELBROCK |
Credential | M.D. |
Practice Address |
5770 Flintridge Dr Ste 100 Colorado Springs CO 80918-1870 |
Practice Telephone | 7194459902 |
Practice Fax Number | 7193870312 |
Mailing Telephone | 7194459902 |
Mailing Fax Number | 7193870312 |
Enumeration Date | 2008-06-09 |
Last Update Date | 2019-03-29 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
DR.0054110 | CO | Allopathic & Osteopathic Physicians |
N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
R-8333 | IA | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | VA | Student, Health Care |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CO | 64920330 | 05 |
Street Address |
5770 FLINTRIDGE DR STE 100 |
City | COLORADO SPRINGS |
State | CO |
Zip Code | 80918-1870 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700946720 | Lisa Marie Dudzik | Nurse Practitioner | 5770 Flintridge Dr Ste 100, Colorado Springs, CO 80918-1870 | 2006-12-11 |
1952543555 | Michele Ann Gatheridge | Psychiatry & Neurology | 5770 Flintridge Dr Ste 100, Colorado Springs, CO 80918-1870 | 2009-03-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952917056 | Uch-mhs | Clinic/Center | 5818 North Nevada, Suite 200, Colorado Springs, CO 80918 | 2020-09-23 |
1376159681 | Uchealth Imaging Services LLC | Clinic/Center | 5818 N. Nevada, Suite 100, Colorado Springs, CO 80918 | 2020-09-22 |
1699389353 | Poudre Valley Medical Group, LLC | Internal Medicine | 5818 N Nevada Ave, Suite 225, Colorado Springs, CO 80918 | 2020-09-01 |
1134732209 | Poudre Valley Medical Group, LLC | Physical Medicine & Rehabilitation | 5818 N Nevada Avenue, Suite 225, Colorado Springs, CO 80918 | 2020-08-28 |
1821619321 | Kayla Sanchez | Behavior Technician | Keystone Achievements, 5526 N. Academy Blvd, Colorado Springs, CO 80918 | 2020-05-06 |
1548801418 | Kelly Cottos | Chiropractor | 7075 Lexington Drive, Colorado Springs, CA 80918 | 2019-10-02 |
1568016038 | Overcomers Counseling | Counselor | 5585 Erindale Dr., Colorado Springs, CO 80918 | 2019-08-01 |
1457915522 | Joanne Beth Kuhn | Counselor | 6095 Kingdom View, Colorado Springs, CO 80918 | 2019-04-24 |
1780140210 | Megan Kennedy | Chiropractor | 6210 Lehman Drive Suite 100, Colorado Springs, CO 80918 | 2019-02-20 |
1871069864 | Jennifer Potage | Counselor | 6035 Erin Park Dr. Suite 102, Colorado Springs, CO 80918 | 2018-10-17 |
Find all providers in zip 80918 |
Taxonomy Code | 2084N0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Neurology |
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194340414 | Northstar Neurology of Colorado Springs PC | Psychiatry & Neurology | 3920 N Union Blvd Ste 150, Colorado Springs, CO 80907-1907 | 2020-06-11 |
1518478692 | Grabert Health, LLC | Psychiatry & Neurology | 7871 Dutchrock Rd, Colorado Springs, CO 80919-3893 | 2017-10-17 |
1265601645 | Patricia A. Fodor, M.d. P.C. | Psychiatry & Neurology | 7606 N. Union, Suite G, Colorado Springs, CO 80920 | 2008-02-29 |
1295916989 | Colorado Center for Neuroscience, PC | Psychiatry & Neurology | 1715 N Weber St # 100, Colorado Springs, CO 80907-7524 | 2007-11-21 |
1346324746 | Bradley J Davis | Psychiatry & Neurology | 8715 Massey Cir, Colorado Springs, CO 80920-7127 | 2006-10-24 |
1255425831 | Cynthea I Blake | Psychiatry & Neurology | 3010 N. Circle Drive Suite 120, Colorado Springs, CO 80209 | 2006-10-03 |
1700994423 | Lawrence C Wang | Psychiatry & Neurology | 3245 International Cir Ste 103, Colorado Springs, CO 80910-3152 | 2006-08-25 |
1518992155 | Thomas E. Bowser Md Pllc | Psychiatry & Neurology | 8540 Scarborough Drive Ste 390, Colorado Springs, CO 80920-7519 | 2006-07-12 |
1356399448 | Kevin R Scott | Psychiatry & Neurology | 1400 E Boulder St Ste 700, Colorado Springs, CO 80909-5533 | 2006-05-04 |
1598755092 | Christopher Steven Williams | Psychiatry & Neurology | 1725 E Boulder St Ste 101, Colorado Springs, CO 80909-5740 | 2005-10-26 |
Find all providers in COLORADO SPRINGS |
City | COLORADO SPRINGS |
Zip Code | 80918 |
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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.