WZUPDOC, INC. (NPI# 1659504454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659504454 |
| Entity Type | Organization |
| Organization Name | WZUPDOC, INC. |
| Other Organization Name | WZUPDOC |
| Practice Address |
4711 Opus Rd Suite 201 Colorado Springs CO 80906-8694 |
| Mailing Address |
Po Box 3104 Monument CO 80132-3104 |
| Practice Telephone | 7195790900 |
| Practice Fax Number | 7195790911 |
| Mailing Telephone | 7195790900 |
| Mailing Fax Number | 7195790911 |
| Enumeration Date | 2009-08-26 |
| Last Update Date | 2009-08-26 |
| Authorized Official Name | DR. GARY BLANE CHILDERS (OWNER) |
| Authorized Official Telephone | 7195790900 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
CO30910 | CO | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| WzUpDoc | Other Name - Individual/Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | WZUPDOC, INC | 6424 Forest Thorn Ct, Colorado Springs, CO 80927 |
| Street Address |
4711 OPUS RD SUITE 201 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80906-8694 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437797339 | Michael Crise | Behavior Technician | 1330 Qual Lake Loop Ste 120, Colorado Springs, CO 80906 | 2019-12-11 |
| 1730720541 | Amanda Salinas | Massage Therapist | 1235 Lake Plaza Drive Suite 230, Colorado Springs, CO 80906 | 2019-10-02 |
| 1225511488 | Sheila Meggison | Massage Therapist | 1235 Lake Plaza Drive, Suite 230, Colorado Springs, CA 80906 | 2018-09-12 |
| 1316429756 | Vivus Counseling Services LLC | Counselor | 108 East Cheyenne Rd Suite 201, Colorado Springs, CO 80906 | 2018-09-01 |
| 1043796949 | Erin Lee Recinos | Nurse Practitioner | 225 E Cheyenne Mountain Blvd Ste 220, Colorado Springs, CO 80906 | 2018-07-13 |
| 1982103875 | Savannah Adeline Rentrop | Behavior Technician | 2989 Broadmoor Valley Rd D, Colorado Springs, CO 80906 | 2018-02-06 |
| 1205335288 | Ross Knowlton | Behavior Technician | 1330 Quail Lake Loop Suite 200, Colorado Springs, CO 80906 | 2018-02-06 |
| 1942709845 | Adrienne Bohlen | Behavior Technician | 1330 Quail Lake Loop, Ste. 200, Colorado Springs, CO 80906 | 2018-02-06 |
| 1881110088 | Christine Gonzales | Nurse Practitioner | 2739 E Las Vegas St, Colorado Springs, CO 80906 | 2017-08-18 |
| 1225568470 | Larry Alwine | Counselor | 2860 South Circle Drive, Unit 250k, Colorado Springs, CO 80906 | 2017-06-19 |
| Find all providers in zip 80906 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992330500 | Quality Medical Clinic LLC | Clinic/Center | 3604 Galley Rd Ste 201, Colorado Springs, CO 80909-4301 | 2020-03-04 |
| 1629550868 | Cynthia R. Behrens | Clinic/Center | 1900 E Pikes Peak Ave Ste 1, Colorado Springs, CO 80909-5862 | 2018-09-04 |
| 1134614936 | Liberty Pain Institute | Clinic/Center | 2020 N Academy Blvd Ste 155, Colorado Springs, CO 80909-1569 | 2018-06-25 |
| 1396235511 | E Dawn Martin Caciii LLC | Clinic/Center | 1702 E Pikes Peak Ave, Colorado Springs, CO 80909-5717 | 2018-05-14 |
| 1891152203 | Atlas Integration LLC | Clinic/Center | 5490 Powers Center Pt, Colorado Springs, CO 80920-7166 | 2016-01-15 |
| 1629295225 | Becky Lynn Tanner | Clinic/Center | 1721 W Colorado Ave, Colorado Springs, CO 80904-3809 | 2007-04-18 |
| 1275142390 | Allinfamilymed | Clinic/Center | 2139 N Academy Blvd, Colorado Springs, CO 80909-1507 | 2020-07-24 |
| 1164061099 | Mmd Services, PC | Clinic/Center | 1485 Garden of The Gods Rd Ste 172, Colorado Springs, CO 80907-3304 | 2019-12-23 |
| 1013465327 | Kids Are Great Pediatrics | Clinic/Center | 320 E Fontanero St, Suite 308, Colorado Springs, CO 80907-7529 | 2016-09-15 |
| 1831555085 | Colorado Springs Internal Medicine | Clinic/Center | 175 S Union Blvd, Suite 350, Colorado Springs, CO 80910-3113 | 2016-01-04 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80906 |
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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.