DR. KENDALL A GERDES (NPI# 1639137177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639137177 |
Entity Type | Individual |
Full Name | DR. KENDALL A GERDES |
Credential | MD |
Practice Address |
3525 American Drive Colorado Springs CO 80917 |
Practice Telephone | 7195976075 |
Practice Fax Number | 7195736529 |
Mailing Telephone | 7195976075 |
Mailing Fax Number | 7195736529 |
Enumeration Date | 2006-05-03 |
Last Update Date | 2008-08-13 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207K00000X | Allergy & Immunology | 20959 | CO | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CO | 01209592 | 05 |
Street Address |
3525 AMERICAN DRIVE |
City | COLORADO SPRINGS |
State | CO |
Zip Code | 80917 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639471121 | Kimberly R Brown | Nurse Practitioner | 3525 American Drive, Colorado Springs, CO 80917 | 2010-12-03 |
1073732335 | Judith Ann Eldred Chandler | Nurse Practitioner | 3525 American Drive, Colorado Springs, CO 80917 | 2007-04-25 |
1639234818 | George J Juetersonke Do PC | Allergy & Immunology | 3525 American Drive, Colorado Springs, CO 80917 | 2006-12-27 |
1518022938 | George J Juetersonke | Internal Medicine | 3525 American Drive, Colorado Springs, CO 80917 | 2006-12-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952910499 | Select Physical Therapy of Colorado Springs Lp | Durable Medical Equipment & Medical Supplies | 5660 Barnes Road, Suite 116, Colorado Springs, CO 80917 | 2020-07-30 |
1043796774 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 3475 North Academy Blvd, Colorado Springs, CO 80917 | 2018-07-16 |
1598273153 | Ariana Goemaere | Behavior Technician | 3535 Parkmoor Village Dr, Colorado Springs, CO 80917 | 2018-01-17 |
1366959769 | Behavioral Health Consultants, Inc. | Clinic/Center | 3210 North Academy Blvd, Suite 3, Colorado Springs, CO 80917 | 2018-01-08 |
1558870030 | Falisha Rief | Assistant Behavior Analyst | 2790 North Academy Blvd, Suite 180, Colorado Springs, CO 80917 | 2017-09-27 |
1407374655 | Christina Otto | Assistant Behavior Analyst | 2790 North Academy, Suite 180, Colorado Springs, CO 80917 | 2017-09-07 |
1992155956 | Georgina Segura | Nurse Practitioner | 5135 Iron Horse Trl, Colorado Springs, CO 80917 | 2016-06-20 |
1952685182 | Barbara Hazard Henning | Pharmacist | 3840 N Academy Blvd, Colorado Springs, CO 80917 | 2011-10-06 |
1659651412 | Nicole Blakesley | Psychologist | 3264 Vail Pass Drive, Colorado Springs, CO 80917 | 2011-08-25 |
1427360254 | Austinbluffs Dental Prof. LLC | Dentist | 3952 North Academy, Colorado Springs, CO 80917 | 2010-07-09 |
Find all providers in zip 80917 |
Taxonomy Code | 207K00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Allergy & Immunology |
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528665239 | Asthma & Allergy Associates, PC | Allergy & Immunology | 7608 N Union Blvd Ste 115, Colorado Springs, CO 80920-3886 | 2020-10-06 |
1154971661 | Old Colorado City Wellness Pllc | Allergy & Immunology | 2020 W Colorado Ave # 303, Colorado Springs, CO 80904-3882 | 2019-09-17 |
1184731721 | Colorado Springs Allergy & Asthma Clinic, PC | Allergy & Immunology | 3425 Austin Bluffs Pkwy, Suite 205, Colorado Springs, CO 80918-5701 | 2006-08-23 |
1023125655 | Eric L Caplan | Allergy & Immunology | 3030 N Circle Dr Ste 300, Colorado Springs, CO 80909-1180 | 2006-08-23 |
1326154949 | Bonnie B Baswell | Allergy & Immunology | 1235 Lake Plaza Dr Ste 218, Colorado Springs, CO 80906-3556 | 2006-08-23 |
1316970577 | Kristine Elle Hembre | Allergy & Immunology | 2925 Professional Pl, Suite # 103, Colorado Springs, CO 80904-8126 | 2006-07-09 |
1386632172 | Christopher Michael Webber | Allergy & Immunology | 8585 Criterion Dr, Unit 64170, Colorado Springs, CO 80920 | 2005-10-06 |
1346856473 | Poudre Valley Medical Group, LLC | Allergy & Immunology | 5818 N Nevada, Suite 200, Colorado Springs, CO 80918 | 2020-09-23 |
1174152417 | Poudre Valley Medical Group, LLC | Allergy & Immunology | 175 S Union Blvd Ste 300, Colorado Springs, CO 80910-3126 | 2020-04-08 |
1184818478 | Deborah Ann Sweet | Allergy & Immunology | 2925 Professional Pl, Suite 103, Colorado Springs, CO 80904-8126 | 2007-08-30 |
Find all providers in COLORADO SPRINGS |
City | COLORADO SPRINGS |
Zip Code | 80917 |
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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.