MR. RICHARD J NAVAREZ JR. (NPI# 1619159456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619159456 |
| Entity Type | Individual |
| Full Name | MR. RICHARD J NAVAREZ JR. |
| Credential | PA-C |
| Practice Address |
220 Falcon Pkwy 21 Medical Sq Colorado Springs CO 80912-5005 |
| Mailing Address |
220 Falcon Pkwy 21medical Sq Colorado Springs CO 80912-5005 |
| Practice Telephone | 7195675067 |
| Mailing Telephone | 7195675067 |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2018-04-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA.0005340 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 1080515 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
220 FALCON PKWY 21 MEDICAL SQ |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80912-5005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164412441 | Brent Sonday | Dentist | 220 Falcon Parkway, Schriever, Afb, CO 80912 | 2005-10-26 |
| 1285012922 | 21st Medical Group | Military/U.S. Coast Guard Pharmacy | 220 Falcon Pkwy Bldg 220, Colorado Springs, CO 80912-5005 | 2015-05-14 |
| 1922392265 | Branden Richard Crockett | Physical Therapist | 210 Falcon Pkwy Ste 2102, Colorado Springs, CO 80912-5006 | 2011-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013860 | Pueblo Radiological Group, P.C. | Radiology | 245 Balmoral Way, Colorado Springs, CO 80906-7907 | 2020-11-06 |
| 1285235127 | Matthews-vu Medical Group, P.C. | Clinic/Center | 4190 E Woodmen Rd Ste 230, Colorado Springs, CO 80920-8075 | 2020-11-06 |
| 1356942171 | Colorado Otolaryngology Associates, LLC | Specialist | 6031 E. Woodmen Rd., Ste. 300, Colorado Springs, CO 80923 | 2020-11-06 |
| 1548861529 | Pueblo Radiological Group, P.C. | Radiology | 1804 Oakmoor Hts, Colorado Springs, CO 80906-1171 | 2020-11-05 |
| 1043811904 | Cassondra Tina Marie Chagnon | Counselor | 6315 Council Pt Apt 204, Colorado Springs, CO 80923-5136 | 2020-11-05 |
| 1841891074 | Kristen Gutierrez | Massage Therapist | 6270 Lehman Dr Ste 250, Colorado Springs, CO 80918-1450 | 2020-11-04 |
| 1619578093 | Total Initiative Pursuit LLC | Behavioral Analyst | 5474 Jessica Ct, Colorado Springs, CO 80917-4218 | 2020-11-03 |
| 1699376038 | Penrad Imaging LLC | Clinic/Center | 2202 N Nevada Ave, Colorado Springs, CO 80907-6819 | 2020-11-03 |
| 1346841616 | Therese Inman | Doula | 5370 Artistic Cir, Colorado Springs, CO 80917-2239 | 2020-11-03 |
| 1922609395 | Emily Nearing | Student in an Organized Health Care Education/Training Program | 2425 N Wahsatch Ave, Colorado Springs, CO 80907-6942 | 2020-11-03 |
| Find all providers in COLORADO SPRINGS | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265054431 | Kimberly Goyack | Physician Assistant | 10807 New Allegiance Dr Ste 450, Colorado Springs, CO 80921-3722 | 2020-05-11 |
| 1891316089 | Chase Devalk | Physician Assistant | 560 Thames Dr, Colorado Springs, CO 80906-4839 | 2020-04-29 |
| 1841846193 | Caroline Selting | Physician Assistant | 2255 Oak Hills Dr, Colorado Springs, CO 80919-3477 | 2019-08-13 |
| 1578121935 | Raymond Shaun Wolff | Physician Assistant | 6936 Shea Dr Apt A, Colorado Springs, CO 80902-7334 | 2019-05-31 |
| 1063996288 | Matthew Steven Chernikovich | Physician Assistant | 5134 N Nevada Ave Ste 100, Colorado Springs, CO 80918-8699 | 2018-09-24 |
| 1649798018 | Adam Robert Sahlberg | Physician Assistant | 10222 Desert Bloom Way, Colorado Springs, CO 80925-1345 | 2017-09-06 |
| 1851821334 | Jennifer Abbott | Physician Assistant | 6071 E Woodmen Rd Ste Unit300, Colorado Springs, CO 80923-2607 | 2017-06-15 |
| 1912431081 | Brandon Eliott Griffis | Physician Assistant | 3803 N Chestnut St, Colorado Springs, CO 80907-4107 | 2017-04-16 |
| 1508309709 | Aleksandr M Kaplun | Physician Assistant | 155 Printers Pkwy Ste 23, Colorado Springs, CO 80910-6100 | 2016-11-21 |
| 1972059038 | Shelby Lynne Ransdell | Physician Assistant | 116 Sherri Dr, Colorado Springs, CO 80911-1447 | 2016-08-29 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80912 |
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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.