MARK EDELSTEIN (NPI# 1669444352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669444352 |
| Entity Type | Individual |
| Full Name | MARK EDELSTEIN |
| Credential | MD |
| Practice Address |
1650 Cochrane Cir Fort Carson CO 80913-4613 |
| Practice Telephone | 7195267924 |
| Practice Fax Number | 7195267850 |
| Mailing Telephone | 7195267924 |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2017-04-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 2010007571 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 1669444352 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972516714 | Mark David Edelstein | Psychiatry & Neurology | 1933 9th Ave, Sacramento, CA 95818-4214 | 2006-08-14 |
| 1437684446 | Mark Mark Edelstein | Student in an Organized Health Care Education/Training Program | 1250 E Marshall St, Richmond, VA 23298-5051 | 2017-04-27 |
| 1114981222 | Mark Edelstein | Internal Medicine | 4100 John R, Karmanos Cancer Center, Detroit, MI 48201-2013 | 2006-04-14 |
| 1750385696 | Mark R Edelstein | Internal Medicine | 1999 Sproul Rd, Ste 21, Broomall, PA 19008-3508 | 2005-06-09 |
| Street Address |
1650 COCHRANE CIR |
| City | FORT CARSON |
| State | CO |
| Zip Code | 80913-4613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740899780 | Jonathan Tyler Froshaug | Student in an Organized Health Care Education/Training Program | 1650 Cochrane Cir, Fort Carson, CO 80913-4613 | 2020-07-27 |
| 1841809837 | Andrew Finn | Student in an Organized Health Care Education/Training Program | 1650 Cochrane Cir, Fort Carson, CO 80913-4613 | 2020-07-27 |
| 1750999512 | Vimarys Leiwalo | Nurse Anesthetist, Certified Registered | 1650 Cochrane Cir, Fort Carson, CO 80913-4613 | 2020-07-17 |
| 1184263683 | John Rising | Pharmacist | 1650 Cochrane Cir, Fort Carson, CO 80913-4613 | 2019-12-31 |
| 1215595665 | Jonathan Maten | Physician Assistant | 1650 Cochrane Cir, Fort Carson, CO 80913-4613 | 2019-05-31 |
| 1053979401 | Daniel Matthes | Physician Assistant | 1650 Cochrane Cir, Fort Carson, CO 80913-4613 | 2019-05-31 |
| 1114585569 | Adam Clements | Physician Assistant | 1650 Cochrane Cir, Fort Carson, CO 80913-4613 | 2019-05-31 |
| 1619532520 | Savanna Ann Klippel | Nurse Practitioner | 1650 Cochrane Cir, Fort Carson, CO 80913-4613 | 2019-05-06 |
| 1689139057 | John Nunn | Family Medicine | 1650 Cochrane Cir, Fort Carson, CO 80913-4613 | 2019-02-09 |
| 1326512781 | Joshua Hickman | Physician Assistant | 1650 Cochrane Cir, Fort Carson, CO 80913-4613 | 2019-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326651498 | Christopher M Juneau | Physical Therapist | Us Air Force/ Fort Carson, 8420 Skyraider Rd, Colorado Springs, AA 80913 | 2020-08-28 |
| 1003433640 | Denise Marie Cacho | Dentist | Smith Dental Clinic, 2280 Hogan St. Blgd 1561, Fort Carson, CO 80913 | 2020-06-30 |
| 1497378053 | Ivan Sergeyevich Koutsopatriy | Dentist | Us Army Dental Health Activity 1667 Cochrane Circle, Bldg 7495, Fort Carson, CO 80913 | 2020-05-18 |
| 1396293478 | Kayla Howerton | Audiologist | 8901 Wetzel Ave, Bldg 1525, Fort Carson, CO 80913 | 2016-09-16 |
| 1922472125 | Danell Pugh | Social Worker | Bldg 1657, Fort Carson, CO 80913 | 2015-11-25 |
| 1750761136 | Colin Michael Kenny | Internal Medicine | Evans Army Community Hospital. 1650 Cochrane Cir B7500, Fort Carson, CO 80913 | 2015-06-01 |
| 1740689736 | Rachel Edwards | Speech-Language Pathologist | Evans Community Hospital, 1650 Cochrane Circle, Fort Carson, CO 80913 | 2014-08-15 |
| 1841617859 | Douglas Foote | Social Worker | 1657 Prussman, Ft. Carson, CO 80913 | 2014-03-27 |
| 1649619396 | Brigette Marie Grimes | Dietitian, Registered | Building 1435, 4th Infantry Division, Division Surgeon, Fort Carson, CO 80913 | 2013-06-17 |
| 1467895318 | Evans Army Community Hospital | Clinic/Center | Bldg 2361 Titus Blvd, Ft Carson, CO 80913 | 2013-04-10 |
| Find all providers in zip 80913 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821255761 | Ashley J Hothem | Obstetrics & Gynecology | 1650 Cochrane Cir, Fort Carson, CO 80913-4613 | 2008-05-19 |
| 1528269974 | Beth Salyer | Obstetrics & Gynecology | 1650 Cochrane Cir, Fort Carson, CO 80913-4613 | 2007-05-31 |
| 1780758953 | Kimberly Rae Barrett | Obstetrics & Gynecology | 1650 Cochrane Cir, Fort Carson, CO 80913-4613 | 2006-11-20 |
| 1992775837 | Anthony Sullivan | Obstetrics & Gynecology | Usa Meddac, Evans Army Community Hospital, 1650 Cochrane Circle, Dept of Ob/gyn, Fort Carson, CO 80913-4604 | 2006-01-24 |
| 1376529792 | Dawn Elyse Elliott | Obstetrics & Gynecology | 1650 Cochrane Cir, Fort Carson, CO 80913 | 2005-12-17 |
| 1215927652 | Sandra Lee Bierling | Obstetrics & Gynecology | 1650 Cochrane Circle, Evans Army Community Hospital, Fort Carson, CO 80913 | 2005-10-26 |
| 1104827468 | Jennifer Lynn Even | Obstetrics & Gynecology | 1650 Cochrane Circle, Fort Carson, CO 80913 | 2005-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760099766 | Bella Natural Womens Care | Obstetrics & Gynecology | 3894 Olive St, Denver, CO 80207-1528 | 2020-09-24 |
| 1902411895 | Healthone Clinic Services - Obstetrics and Gynecology LLC | Obstetrics & Gynecology | 14000 E Arapahoe Rd Ste 390, Centennial, CO 80112-4045 | 2020-09-09 |
| 1144834011 | Scl Health Medical Group - Denver, LLC | Obstetrics & Gynecology | 1960 N Ogden St Ste 230, Denver, CO 80218-3668 | 2020-09-08 |
| 1417560574 | Scl Health Medical Group - Denver, LLC | Obstetrics & Gynecology | 300 Exempla Cir Ste 400, Lafayette, CO 80026-3396 | 2020-08-28 |
| 1871102566 | Portercare Adventist Health System | Obstetrics & Gynecology | 2356 Meadows Blvd Ste 240b, Castle Rock, CO 80109-8410 | 2020-07-28 |
| 1245858463 | Healthone Clinic Services - Obstetrics and Gynecology LLC | Obstetrics & Gynecology | 4650 W 38th Ave Ste 215, Denver, CO 80212-2161 | 2020-07-14 |
| 1386262814 | Healthone Clinic Services - Obstetrics and Gynecology LLC | Obstetrics & Gynecology | 4330 W 37th Ave, Denver, CO 80212-1927 | 2020-07-10 |
| 1528686052 | Healthone Clinic Services - Obstetrics and Gynecology LLC | Obstetrics & Gynecology | 400 Indiana St Ste 240, Golden, CO 80401-5052 | 2020-07-10 |
| 1770101214 | Healthone Clinic Services - Obstetrics and Gynecology LLC | Obstetrics & Gynecology | 6179 S Balsam Way Ste 200, Littleton, CO 80123-3093 | 2020-07-10 |
| 1508482688 | Healthone Clinic Services - Obstetrics and Gynecology LLC | Obstetrics & Gynecology | 1258 S Pearl St Ste 100, Denver, CO 80210-1538 | 2020-06-24 |
| Find all providers with the same taxonomy | ||||
| City | FORT CARSON |
| Zip Code | 80913 |
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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.