MAGDIEL TRINIDAD HERNANDEZ (NPI# 1609025204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609025204 |
| Entity Type | Individual |
| Full Name | MAGDIEL TRINIDAD HERNANDEZ |
| Credential | M.D. |
| Practice Address |
1400 E Boulder St Ste 600 Colorado Springs CO 80909-5533 |
| Mailing Address |
2222 N Nevada Ave Suite 5011 Colorado Springs CO 80907-6819 |
| Practice Telephone | 7193646487 |
| Mailing Telephone | 7197766700 |
| Mailing Fax Number | 7197766780 |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2020-06-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 036114906 | IL | Allopathic & Osteopathic Physicians |
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
DR.0054839 | CO | Allopathic & Osteopathic Physicians |
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
45194 | AZ | Allopathic & Osteopathic Physicians |
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
104331 | MN | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2222 N Nevada Ave, Suite 5011, Colorado Springs, CO 809076819 | 7197766700 | 7197766780 |
| 1400 E Boulder St Ste 600, Colorado Springs, CO 809095533 | 7193646487 |
| Street Address |
1400 E BOULDER ST STE 600 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80909-5533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245217108 | David C Corry | Surgery | 1400 E Boulder St Ste 600, Colorado Springs, CO 80909-5533 | 2005-12-30 |
| 1477168557 | Poudre Valley Medical Group, LLC | Surgery | 1400 E Boulder St Ste 600, Colorado Springs, CO 80909-5533 | 2020-09-15 |
| 1659984003 | Poudre Valley Medical Group, LLC | Podiatrist | 1400 E Boulder St Ste 600, Colorado Springs, CO 80909-5533 | 2020-08-26 |
| 1447769351 | Bartlomiej Lipko | Physician Assistant | 1400 E Boulder St Ste 600, Colorado Springs, CO 80909-5533 | 2017-09-22 |
| 1982052510 | Renaie Leblond | Physician Assistant | 1400 E Boulder St Ste 600, Colorado Springs, CO 80909-5533 | 2016-05-24 |
| 1093188773 | Michelle S. Janowsky | Physician Assistant | 1400 E Boulder St Ste 600, Colorado Springs, CO 80909-5533 | 2015-11-03 |
| 1902298771 | Molly Beth Peterlin | Physician Assistant | 1400 E Boulder St Ste 600, Colorado Springs, CO 80909-5533 | 2015-03-03 |
| 1477983369 | Christopher Dorozynski | Physician Assistant | 1400 E Boulder St Ste 600, Colorado Springs, CO 80909-5533 | 2013-11-14 |
| 1154671295 | Julie Ann Caballero | Physician Assistant | 1400 E Boulder St Ste 600, Colorado Springs, CO 80909-5533 | 2012-09-17 |
| 1043570161 | Brett Allen Fair | Surgery | 1400 E Boulder St Ste 600, Colorado Springs, CO 80909 | 2012-05-22 |
| Find all providers in the same location | ||||
| 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 | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275896508 | Dmitriy Rybitskiy | Surgery | 2222 N Nevada Ave Ste 5010, Colorado Springs, CO 80907-6865 | 2012-06-21 |
| 1124008032 | Joseph Thomas Crepps Jr. | Surgery | 3220 Orion Dr, Colorado Springs, CO 80906-0920 | 2006-01-18 |
| 1730794819 | Poudre Valley Medical Group, LLC | Surgery | 4110 Briargate Pkwy Ste 140, Colorado Springs, CO 80920-7836 | 2020-09-15 |
| 1477168557 | Poudre Valley Medical Group, LLC | Surgery | 1400 E Boulder St Ste 600, Colorado Springs, CO 80909-5533 | 2020-09-15 |
| 1316986060 | John Miller Conn Sr. | Surgery | 2222 N Nevada Ave, Suite 5017, Colorado Springs, CO 80907-6819 | 2006-06-06 |
| 1700839248 | Parkside Ct Group LLC | Surgery | 215 Parkside Dr, Colorado Springs, CO 80910-3135 | 2006-05-18 |
| 1730130337 | Laura C Kissell | Surgery | 1400 E Boulder St Ste 600, Colorado Springs, CO 80909-5533 | 2006-05-16 |
| 1073593901 | Colorado Springs Vascular, P.C. | Surgery | 175 S Union Blvd, Suite 320, Colorado Springs, CO 80910-3113 | 2006-01-18 |
| 1427038330 | Scott Newton Hurlbert | Surgery | 1400 E Boulder St, Ste 600, Colorado Springs, CO 80909-5533 | 2006-01-18 |
| 1295715225 | Karl Paul Dittrich | Surgery | 175 S Union Blvd, Suite 320, Colorado Springs, CO 80910-3113 | 2006-01-17 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80909 |
Please comment or provide details below to improve the information on MAGDIEL TRINIDAD HERNANDEZ.
| 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.