LAURENCE A BERARDUCCI (NPI# 1669478541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669478541 |
| Entity Type | Individual |
| Full Name | LAURENCE A BERARDUCCI |
| Credential | M. D. |
| Practice Address |
3670 Parker Blvd Suite 101 Pueblo CO 81008-2285 |
| Practice Telephone | 7195641544 |
| Practice Fax Number | 7199241593 |
| Mailing Telephone | 7195641544 |
| Mailing Fax Number | 7199241593 |
| Enumeration Date | 2005-06-24 |
| Last Update Date | 2013-07-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
51214 | CO | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
102133 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 39223361 | 05 | |
| CO | RAILROAD MEDICARE | P01102505 | 01 |
| Street Address |
3670 PARKER BLVD SUITE 101 |
| City | PUEBLO |
| State | CO |
| Zip Code | 81008-2285 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134751712 | Parkview Medical Center, Inc. | Clinic/Center | 3670 Parker Blvd, Pueblo, CO 81008-2285 | 2020-02-11 |
| 1790253128 | Amber Doss | Nurse Practitioner | 3670 Parker Blvd, Pueblo, CO 81008-2285 | 2018-11-03 |
| 1275077323 | Deborah Wells | Registered Nurse | 3670 Parker Blvd, Pueblo, CO 81008-2285 | 2016-12-08 |
| 1275085086 | Kelsey Lynn Markenson | Nurse Practitioner | 3670 Parker Blvd, Suite 101, Pueblo, CO 81008-2285 | 2016-10-27 |
| 1235685652 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 3670 Parker Blvd, Ste 200, Pueblo, CO 81008-2285 | 2016-08-26 |
| 1225423981 | Monica Lyn Valdez | Registered Nurse | 3670 Parker Blvd, Suite 200, Pueblo, CO 81003 | 2015-03-31 |
| 1639576929 | Lana Brumfield | Nurse Practitioner | 3670 Parker Blvd, Suite 101, Pueblo, CO 81008-2285 | 2014-12-02 |
| 1215201454 | Kaiser Foundation Health Plan of Colorado | Clinical Medical Laboratory | 3670 Parker Blvd, Ste 200, Pueblo, CO 81008-2285 | 2012-03-06 |
| 1760766430 | Karen Sue Springfield-verna | Nurse Practitioner | 3670 Parker Blvd, Suite 101, Pueblo, CO 81008-2285 | 2011-09-29 |
| 1144512278 | Barbara A Bergstrom | Registered Nurse | 3670 Parker Blvd, Suite 200, Pueblo, CO 81008-2285 | 2011-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164058913 | Healthone Clinic Services - Oncology Hematology LLC | Internal Medicine | 3678 Parker Blvd, Pueblo, CO 81008 | 2020-03-12 |
| 1073026423 | Carmel Community Living Corporation | Respite Care | 2003 Northmoor Terrace, Suite 100, Pueblo, CO 81008 | 2017-11-08 |
| 1568987121 | Hannah Vivian Roadruck | Pharmacist | 4200 Dillon Dr., Pueblo, CO 81008 | 2017-08-04 |
| 1184170425 | Brett Burana | Dentist | 729 Us-50, Pueblo, CO 81008 | 2016-08-28 |
| 1760832885 | Irby Dental Cottage | Dental Hygienist | 2099 West St # 50, Suite 180, Pueblo, CO 81008 | 2016-06-20 |
| 1649624362 | Curley Peak Dentistry Pllc | Dentist | 1640 W Fortino Blvd, Pueblo, CO 81008 | 2016-04-19 |
| 1336507847 | Kyle Tipton | Nurse Anesthetist, Certified Registered | 4741 Eagleridge Circle, 206, Pueblo, CO 81008 | 2016-01-29 |
| 1407211931 | Center At Park West, LLC | Skilled Nursing Facility | 3727 Parker Blvd., Pueblo, CO 81008 | 2015-12-29 |
| 1417327461 | Nicole Betts | Registered Nurse | 1310 Fortino Blvd Ste D, Pueblo, CO 81008 | 2015-10-02 |
| 1437578028 | Pueblo Modern Dentistry and Orthodontics, LLP | Dentist | 727 Us Hwy 50 West, Pueblo, CO 81008 | 2014-04-10 |
| Find all providers in zip 81008 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649440819 | Cardiology Now Pllc | Internal Medicine | 408 N. Main St, Pueblo, CO 81003-3123 | 2008-03-04 |
| 1225083587 | Robert L Holman | Internal Medicine | 101 N Putnam Ave, Pueblo, CO 81005-1344 | 2006-05-24 |
| 1205880960 | George Gibson | Internal Medicine | 3670 Parker Blvd Ste 101, Pueblo, CO 81008-2207 | 2006-05-19 |
| 1447251897 | David S Feuer | Internal Medicine | 1600 N. Grand Ave., Suite 500, Pueblo, CO 81003-2757 | 2005-08-09 |
| 1497360705 | Catholic Health Initiatives Colorado | Internal Medicine | 1008 Minnequa Ave, Pueblo, CO 81004-3733 | 2020-09-14 |
| 1215567383 | Parkview Ancillary Services | Internal Medicine | 3670 Parker Blvd., Ste. 101, Pueblo, CO 81008-2285 | 2020-01-17 |
| 1841835659 | Parkview Ancillary Services | Internal Medicine | 1600 N. Grand Ave., Ste. 500, Pueblo, CO 81003-2757 | 2019-11-15 |
| 1982982864 | Wallacy Souza Garcia | Internal Medicine | 3670 Parker Blvd., Ste 101, Pueblo, CO 81008-2285 | 2011-07-27 |
| 1255585329 | Fadi Taha Alattar | Internal Medicine | 3670 Parker Blvd Ste 101, Pueblo, CO 81008 | 2008-11-15 |
| 1447446901 | Samira Bahrainy | Internal Medicine | 311 W 14th St, Pueblo, CO 81003-2705 | 2007-09-19 |
| 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.