HIGH PLAINS ONCOLOGY,PLLC (NPI# 1659306132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659306132 |
| Entity Type | Organization |
| Organization Name | HIGH PLAINS ONCOLOGY,PLLC |
| Practice Address |
2004 Lake Ave Suite 110 Pueblo CO 81004-3536 |
| Practice Telephone | 7195650200 |
| Practice Fax Number | 7195650999 |
| Mailing Telephone | 7195650200 |
| Mailing Fax Number | 7195650999 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2008-03-03 |
| Authorized Official Name | VAUGHAN ROBERT CIPPERLY (PRESIDENT) |
| Authorized Official Telephone | 7195650200 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
38639 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 44824785 | 05 | |
| CO | STATE LICENSE | 38639 | 01 |
| CO | DEA | BC0803848 | 01 |
| Street Address |
2004 LAKE AVE SUITE 110 |
| City | PUEBLO |
| State | CO |
| Zip Code | 81004-3536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356502702 | High Plains Oncology Associates Pllc | Internal Medicine | 2004 Lake Ave, Suite 110, Pueblo, CO 81004-3536 | 2008-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780155929 | Renee C Lane | Nurse Practitioner | 1925 E. Orman Ave. Ste. A109, Pueblo, CO 81004 | 2018-12-16 |
| 1215406913 | Kaiser Foundation Healthplan of Colorado | Pharmacy | 2625 W. Pueblo Blvd, Pueblo, CO 81004 | 2018-11-26 |
| 1053895532 | Rebecka Ann Reatherford | Nurse Practitioner | St Mary-corwin Medical Center, 1008 Minnequa Ave, Pueblo, CO 81004 | 2018-09-20 |
| 1124510821 | Angela M Sillas-green | Counselor | 327 Colorado Ave., Pueblo, CO 81004 | 2018-05-30 |
| 1558898569 | Alexandra R B King | Family Medicine | Southern Colorado Family Medicine, 902 Lakeview Avenue, Pueblo, CO 81004 | 2017-05-22 |
| 1578098752 | James Williams | Counselor | 414 Broadway Ave, Pueblo, CO 81004 | 2017-04-26 |
| 1740732601 | Valerie A Senger | Counselor | 635 W Corona Ave Ste 214, Pueblo, CO 81004 | 2016-10-26 |
| 1194111500 | A New Leaf Therapy, Pllc | Community/Behavioral Health | 327 Colorado Ave, Pueblo, CO 81004 | 2015-04-13 |
| 1619371671 | Mariah Mcginnis | Registered Nurse | 1232 Van Buren St., Pueblo, CO 81004 | 2014-10-20 |
| 1730593112 | Maritza Martinez | Registered Nurse | 1026 Wabriendo Ave, Pueblo, CO 81004 | 2014-06-13 |
| Find all providers in zip 81004 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356502702 | High Plains Oncology Associates Pllc | Internal Medicine | 2004 Lake Ave, Suite 110, Pueblo, CO 81004-3536 | 2008-06-18 |
| 1477711901 | Sofyan Morshed Taleb Radaideh | Internal Medicine | 3676 Parker Blvd Ste 350, Pueblo, CO 81008-2213 | 2008-05-31 |
| 1811188253 | Muath Dawod | Internal Medicine | 3676 Parker Blvd Ste 350, Pueblo, CO 81008-2213 | 2007-08-08 |
| 1831173574 | Louis B Balizet | Internal Medicine | 3676 Parker Blvd, Suite 350, Pueblo, CO 81008-2212 | 2005-12-06 |
| 1457335010 | Travis D Archuleta | Internal Medicine | 3676 Parker Blvd, Suite 350, Pueblo, CO 81008-2212 | 2005-12-06 |
| 1215911532 | Frank L Settipani | Internal Medicine | 3676 Parker Blvd, Ste 350, Pueblo, CO 81008-2212 | 2005-11-30 |
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| 1407351950 | University Physicians Incorporated | Internal Medicine | 13199 E Montview Blvd Ste 100, Aurora, CO 80045-7202 | 2018-03-27 |
| 1114439924 | Cancer Centers of Colorado, LLC | Internal Medicine | 1601 Lowell Blvd Ste 150, Denver, CO 80204-1545 | 2017-11-02 |
| 1760814644 | Cccric LLC | Internal Medicine | 799 E Hampden Ave Ste 500, Englewood, CO 80113-2777 | 2013-08-02 |
| 1336482769 | Tejas Patil | Internal Medicine | 12801 E 17th Ave Fl 81018, Aurora, CO 80045-2530 | 2013-04-04 |
| 1851667596 | Michelle A Levy | Internal Medicine | 1800 N Williams St Ste 200, Denver, CO 80218-1237 | 2012-03-27 |
| 1790818425 | Western Hematology Oncology Associates, P.C. | Internal Medicine | 34 Van Gordon St, Suite 160, Lakewood, CO 80228-1705 | 2007-03-13 |
| Find all providers with the same taxonomy | ||||
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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.