PERFECT SKIN PC (NPI# 1609893783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609893783 |
| Entity Type | Organization |
| Organization Name | PERFECT SKIN PC |
| Other Organization Name | SUSAN ELLIS, M.D. |
| Practice Address |
2925 Professional Pl Suite 104 Colorado Springs CO 80904-8126 |
| Practice Telephone | 7194714147 |
| Practice Fax Number | 7194714148 |
| Mailing Telephone | 7194714147 |
| Mailing Fax Number | 7194714148 |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | SUSAN S ELLIS (OWNER PRESIDENT) |
| Authorized Official Telephone | 7194714147 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Susan Ellis, M.D. | Former Legal Business Name - Organization |
| Street Address |
2925 PROFESSIONAL PL SUITE 104 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80904-8126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316970577 | Kristine Elle Hembre | Allergy & Immunology | 2925 Professional Pl, Suite # 103, Colorado Springs, CO 80904-8126 | 2006-07-09 |
| 1528445004 | Catholic Health Initiatives Colorado | Psychologist | 2925 Professional Pl, Ste 101, Colorado Springs, CO 80904-8125 | 2015-05-04 |
| 1548658354 | Pikes Peak Orthopaedic Surgery and Sports Medicine, Pllc | Orthopaedic Surgery | 2925 Professional Pl, Ste 110, Colorado Springs, CO 80904-8126 | 2014-12-31 |
| 1740501899 | Nicola Hope Auchincloss | Nurse Practitioner | 2925 Professional Pl, Suite 103, Colorado Springs, CO 80904-8126 | 2010-06-11 |
| 1184818478 | Deborah Ann Sweet | Allergy & Immunology | 2925 Professional Pl, Suite 103, Colorado Springs, CO 80904-8126 | 2007-08-30 |
| 1508079872 | April L Young | Nurse Practitioner | 2925 Professional Pl, Suite 103, Colorado Springs, CO 80904-8126 | 2007-05-07 |
| 1427270297 | Sarah M Zill | Nurse Practitioner | 2925 Professional Pl, Suite 103, Colorado Springs, CO 80904-8126 | 2007-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669084133 | Tclllc | Behavioral Analyst | 2822 W Cucharras Street, Colorado Springs, CO 80904 | 2020-08-17 |
| 1770131971 | Jill Case Brown | Technician | 3002 W. Kiowa St., Colorado Springs, CO 80904 | 2019-08-30 |
| 1457888232 | Marcia W. Soule Dobson | Counselor | 3510 Temple Drive, Colorado Springs, CO 80904 | 2017-05-11 |
| 1184163610 | Home Healthcare Staffing Solutions Inc | Home Health | 3117 Chambers Way, Colorado Springs, CO 80904 | 2017-02-16 |
| 1104242700 | Optumcare Colorado Springs, LLC | Non-Pharmacy Dispensing Site | 600 S 21st Street, Ste 100, Colorado Springs, CO 80904 | 2014-03-07 |
| 1639595382 | Jessyca Sonia Sterner | Counselor | 2514 Colorado Ave, Suite 200, Colorado Springs, CO 80904 | 2014-03-05 |
| 1508291956 | Diane Chisesi | Anesthesiology | 2517 B. King Street, Colorado Springs, CO 80904 | 2013-09-04 |
| 1124363635 | Piotr Bieniek | Physical Therapy Assistant | 1133 Adams Dr, Colorado Springs, CO 80904 | 2012-12-10 |
| 1235480526 | Barry G. Zile | Physical Therapy Assistant | 1685 S. 21st Street, Colorado Springs, CO 80904 | 2012-09-26 |
| 1326397076 | Christie Sheffer | Midwife | 2524 W. Colorado Avenue, Suite 209, Colorado Springs, CO 80904 | 2012-09-09 |
| Find all providers in zip 80904 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942171 | Colorado Otolaryngology Associates, LLC | Specialist | 6031 E. Woodmen Rd., Ste. 300, Colorado Springs, CO 80923 | 2020-11-06 |
| 1669079075 | Colorado Otolaryngology Associates, LLC | Specialist | 6071 E Woodmen Rd Ste 325, Colorado Springs, CO 80923-2612 | 2020-10-08 |
| 1205459633 | Associates In Gastroenterology, P.C. | Specialist | 6011 E Woodmen Rd Ste 345, Colorado Springs, CO 80923-2606 | 2020-05-20 |
| 1154973451 | Jimson Franck | Specialist | 4330 Hunting Meadows Cir, Colorado Springs, CO 80916-2460 | 2019-07-16 |
| 1477083954 | Elizabeth Mary Edling | Specialist | 8321 Steadman Dr, Colorado Springs, CO 80920-7058 | 2017-06-15 |
| 1306385026 | Kirsten Arbogast | Specialist | 2017 E Van Buren St, Colorado Springs, CO 80909-7828 | 2017-02-14 |
| 1538602750 | Shelby Thomas | Specialist | 6225 Emma Ln, Colorado Springs, CO 80922-1825 | 2016-11-19 |
| 1174073431 | Danella Ann Lynn | Specialist | 6140 Tutt Blvd Ste 120, Colorado Springs, CO 80923-3574 | 2016-10-11 |
| 1821449851 | Deana Schlepp | Specialist | 6219 Gemfield Dr, Colorado Springs, CO 80918-6107 | 2016-06-30 |
| 1639539612 | Andrew Bonner | Specialist | 102 S Tejon St Ste 1100, Colorado Springs, CO 80903 | 2016-03-03 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80904 |
Please comment or provide details below to improve the information on PERFECT SKIN PC.
| 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.