COLORADO PERMANENTE MEDICAL GROUP, P.C. (NPI# 1639641152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639641152 |
| Entity Type | Organization |
| Organization Name | COLORADO PERMANENTE MEDICAL GROUP, P.C. |
| Other Organization Name | KAISER PERMANENTE ACERO MEDICAL OFFICES |
| Practice Address |
2625 W Pueblo Blvd Pueblo CO 80014-5833 |
| Mailing Address |
10350 E Dakota Ave Denver CO 80247-1314 |
| Practice Telephone | 3033384545 |
| Mailing Telephone | 3033384545 |
| Enumeration Date | 2018-12-21 |
| Last Update Date | 2019-09-24 |
| Authorized Official Name | DR. MATTHEW J SPLINTER (CPMG CFO) |
| Authorized Official Telephone | 3033447345 |
| Is Organization Subpart | Y |
| Parent Organization Name | COLORADO PERMANENTE MEDICAL GROUP, P.C. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Kaiser Permanente Acero Medical Offices | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336775469 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 3920 N Union Blvd, Colorado Springs, CO 80907-4900 | 2020-03-20 |
| 1952937039 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 14701 E Exposition Ave, Aurora, CO 80012-2623 | 2020-03-20 |
| 1851927933 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 10240 Park Meadows Dr, Lone Tree, CO 80124-5425 | 2020-03-20 |
| 1669008744 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 8383 W Alameda Ave, Lakewood, CO 80226-3007 | 2020-03-20 |
| 1083161152 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 226 Lusher Court, Ste 104, Frisco, CO 80443-7600 | 2016-09-07 |
| 1932655099 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 56 Edwards Village Blvd, Ste 208, Edwards, CO 81632-7802 | 2016-08-29 |
| 1487100541 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 215 S Parkside Dr, Ste 215, Colorado Springs, CO 80910-3131 | 2016-08-29 |
| 1205382363 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 1136 E Stuart St, Bldg 3, 2nd Floor, Fort Collins, CO 80525-1195 | 2016-08-29 |
| 1174079594 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 4318 Trail Boss Dr, Ste 100, Castle Rock, CO 80104-7512 | 2016-08-26 |
| 1881140200 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 10168 Parkglenn Way, Parker, CO 80138-3868 | 2016-08-26 |
| Street Address |
2625 W PUEBLO BLVD |
| City | PUEBLO |
| State | CO |
| Zip Code | 80014-5833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104366178 | Alfe Garperio | Physician Assistant | 2625 W Pueblo Blvd, Pueblo, CO 81004-3816 | 2017-02-24 |
| 1740751049 | Kaiser Foundation Health Plan of Colorado | Clinical Medical Laboratory | 2625 W Pueblo Blvd, Pueblo, CO 81004 | 2018-12-12 |
| 1912487810 | Kaiser Foundation Health Plan of Colorado | Clinic/Center | 2625 W Pueblo Blvd, Pueblo, CO 81004 | 2018-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942825021 | Dieuvil Varice | Occupational Therapist | 2851 S Parker Rd Ste 570, Aurora, Co, Aurora, CO 80014 | 2020-06-14 |
| 1518437144 | Curtis E Redd | Case Manager/Care Coordinator | 1059 E Bethany Dr, Suite 200, Aurora, CO 80014 | 2018-11-27 |
| 1144795154 | Prestige Adult Day Care LLC | Clinic/Center | 2860 S Havana St, Unit C, Aurora, CO 80014 | 2018-10-05 |
| 1609375492 | Jacob Mcbride | Behavior Technician | 2121 S Blackhawk St 100, Aurora, CO 80014 | 2018-02-07 |
| 1265931240 | Jasmine Nicole Joseph | Behavior Technician | 2121 S. Blackhawk St., Aurora, CO 80014 | 2018-02-06 |
| 1255830238 | Russel Talukder | Behavioral Analyst | 2121 South Blackhawk St 100, Aurora, CO 80014 | 2018-02-06 |
| 1467951442 | Dylan Kelley | Behavior Technician | 2121 Blackhawk St. Suite 100, Aurora, CO 80014 | 2018-02-06 |
| 1184123168 | Talisa Fisher | Behavior Technician | 2121 S Blackhawk St Suite 100, Aurora, CO 80014 | 2018-02-06 |
| 1144732314 | Hellen A Noamesi | Registered Nurse | Kaiser Water Park 1, 2500 S. Havana St, Aurora, CO 80014 | 2017-10-27 |
| 1255840641 | Amanda Dawn Thompson | Massage Therapist | 3035 South Parker Rd., 560 Building E, Aurora, CO 80014 | 2017-09-28 |
| Find all providers in zip 80014 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427689652 | Parkview Medical Center, Inc | Clinic/Center | 54 Club Manor Dr Ste 101, Pueblo, CO 81008-2605 | 2020-01-27 |
| 1528608304 | Parkview Medical Center, Inc. | Clinic/Center | 405 W 15th St Ste 210, Pueblo, CO 81003-2743 | 2020-01-09 |
| 1437647864 | White Crane Acupuncture | Clinic/Center | 2701 N Elizabeth St, Pueblo, CO 81003-3643 | 2018-05-01 |
| 1265853311 | Vicky J. Lowrance, D.c. | Clinic/Center | 2025 N Norwood Ave, Pueblo, CO 81001-5667 | 2013-12-16 |
| 1306184056 | Affordable Health Clinic, LLC | Clinic/Center | 900 Indiana Ave St D, Pueblo, CO 81004-8100 | 2013-01-30 |
| 1598371056 | Southern Colorado Clinic PC | Clinic/Center | 3937 Ivywood Ln, Pueblo, CO 81005-2551 | 2020-09-21 |
| 1134751712 | Parkview Medical Center, Inc. | Clinic/Center | 3670 Parker Blvd, Pueblo, CO 81008-2285 | 2020-02-11 |
| 1053954867 | American Currenct Care P.a. | Clinic/Center | 4117 N Elizabeth St, Pueblo, CO 81008-2009 | 2019-10-24 |
| 1912487810 | Kaiser Foundation Health Plan of Colorado | Clinic/Center | 2625 W Pueblo Blvd, Pueblo, CO 81004 | 2018-08-20 |
| 1235685652 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 3670 Parker Blvd, Ste 200, Pueblo, CO 81008-2285 | 2016-08-26 |
| Find all providers in PUEBLO | ||||
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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.