PUEBLO RADIOLOGICAL GROUP, P.C. (NPI# 1699376764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699376764 |
| Entity Type | Organization |
| Organization Name | PUEBLO RADIOLOGICAL GROUP, P.C. |
| Practice Address |
1338 Phay Ave Canon City CO 81212-2311 |
| Mailing Address |
Po Box 7693 Loveland CO 80537-0693 |
| Practice Telephone | 7192852000 |
| Practice Fax Number | 7195427019 |
| Mailing Telephone | 9706632742 |
| Mailing Fax Number | 9703422093 |
| Enumeration Date | 2020-11-05 |
| Last Update Date | 2020-11-05 |
| Authorized Official Name | ROBIN L BOYER (AUTHORIZED REP/DIRECTOR OF OPERATIO) |
| Authorized Official Telephone | 9706632742 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013860 | Pueblo Radiological Group, P.C. | Radiology | 245 Balmoral Way, Colorado Springs, CO 80906-7907 | 2020-11-06 |
| 1154922938 | Pueblo Radiological Group, P.C. | Radiology | 3245 E Hwy 50 Unit E, Canon City, CO 81212-9343 | 2020-11-06 |
| 1548861529 | Pueblo Radiological Group, P.C. | Radiology | 1804 Oakmoor Hts, Colorado Springs, CO 80906-1171 | 2020-11-05 |
| 1063013852 | Pueblo Radiological Group, P.C. | Radiology | 933 Sell Ave, Canon City, CO 81212-4929 | 2020-11-06 |
| 1396346185 | Pueblo Radiological Group, P.C. | Radiology | 4112 Outlook Blvd Ste 255, Pueblo, CO 81008-1667 | 2020-11-06 |
| 1114528908 | Pueblo Radiological Group, P.C. | Radiology | 1020 Lakeview Ave, Pueblo, CO 81004-3508 | 2020-11-06 |
| 1346841129 | Pueblo Radiological Group, P.C. | Radiology | 4112 Outlook Blvd Ste 96, Pueblo, CO 81008-1667 | 2020-11-06 |
| 1962003947 | Pueblo Radiological Group, P.C. | Radiology | 4194 Royal Pine Dr, Colorado Springs, CO 80920-1507 | 2020-11-05 |
| 1013518000 | Pueblo Radiological Group, P.C. | Radiology | 2035 S Pueblo Blvd, Pueblo, CO 81005-2577 | 2020-11-05 |
| 1164023131 | Pueblo Radiological Group, P.C. | Radiology | 4112 Outlook Blvd Ste 37, Pueblo, CO 81008-1667 | 2020-11-05 |
| Street Address |
1338 PHAY AVE |
| City | CANON CITY |
| State | CO |
| Zip Code | 81212-2311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669462404 | Keith P Minihane | Orthopaedic Surgery | 1338 Phay Ave, Canon City, CO 81212-2302 | 2005-10-24 |
| 1275133506 | Sheridan Childrens Healthcare Services of Colorado PC | Pediatrics | 1338 Phay Ave, Canon City, CO 81212-2311 | 2020-10-27 |
| 1689272585 | Catholic Health Initiatives Colorado | Orthopaedic Surgery | 1338 Phay Ave, Bldg D Ortho, Canon City, CO 81212-2326 | 2020-10-13 |
| 1124634902 | Catholic Health Initiatives Colorado | Obstetrics & Gynecology | 1338 Phay Ave, Bldg D Ob, Canon City, CO 81212-2326 | 2020-09-17 |
| 1073124954 | Catholic Health Initiatives Colorado | Surgery | 1338 Phay Ave, Bldg D Gs, Canon City, CO 81212-2311 | 2020-08-13 |
| 1467061036 | Catholic Health Initiatives Colorado | Internal Medicine | 1338 Phay Ave, Canon City, CO 81212-2311 | 2020-07-29 |
| 1659907046 | Usacs of Colorado Inc | Emergency Medicine | 1338 Phay Ave, Canon City, CO 81212-2311 | 2020-03-17 |
| 1780241794 | Tyler William Randall | Nurse Practitioner | 1338 Phay Ave, Canon City, CO 81212-2311 | 2019-05-24 |
| 1790278950 | Rachel Ruth Maxwell | Physical Therapist | 1338 Phay Ave, Canon City, CO 81212-2311 | 2018-06-12 |
| 1689189227 | Miriam Loomis | Dietitian, Registered | 1338 Phay Ave, Canon City, CO 81212-2311 | 2017-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083212393 | Buck Jack LLC | Physical Therapist | Mountain View Core Knowledge School 890 Field Ave, Cannon City, CO 81212 | 2020-10-09 |
| 1942841374 | Glorious Works Neurotherapy | Community/Behavioral Health | 115 N 7th Street, Canon City, CO 81212 | 2019-10-07 |
| 1376046292 | Lonnie Mccarron | Social Worker | 600 Evans Rd, Fremont Correctional Facility, Canon City, CO 81212 | 2018-03-16 |
| 1487156964 | Patrick Neil Cox | Case Manager/Care Coordinator | 3239 Independence Road, Canon City, CO 81212 | 2018-03-01 |
| 1831559806 | Justin Ensinger | Counselor | 700 Four Mile Parkway, Canon City, CO 81212 | 2016-03-03 |
| 1710365713 | Amber Conover | Health Educator | 105 N 10th Street, Canon City, CO 81212 | 2015-05-11 |
| 1902073448 | Richard R Williams | Counselor | 612 Field Ave, Canon City, CO 81212 | 2008-05-14 |
| 1861662249 | Huh Inc | Hearing Instrument Specialist | 121 Justice Center Rd Ste D, Canon City, CO 81212 | 2008-03-03 |
| 1013113828 | Deborah Eileen Shock | Nurse Practitioner | 275 W Hwy 50, Canon City, CO 81212 | 2007-06-27 |
| 1245433564 | Lindsey Elizabeth Fish | Internal Medicine | 275 West Hwy 50, Colorado Territorial Correctional Facility, Canon City, CO 81212 | 2007-06-06 |
| Find all providers in zip 81212 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154922938 | Pueblo Radiological Group, P.C. | Radiology | 3245 E Hwy 50 Unit E, Canon City, CO 81212-9343 | 2020-11-06 |
| 1063013852 | Pueblo Radiological Group, P.C. | Radiology | 933 Sell Ave, Canon City, CO 81212-4929 | 2020-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013860 | Pueblo Radiological Group, P.C. | Radiology | 245 Balmoral Way, Colorado Springs, CO 80906-7907 | 2020-11-06 |
| 1548861529 | Pueblo Radiological Group, P.C. | Radiology | 1804 Oakmoor Hts, Colorado Springs, CO 80906-1171 | 2020-11-05 |
| 1346855905 | Cher LLC | Radiology | 2236 E Harmony Rd, Fort Collins, CO 80528-3412 | 2020-09-10 |
| 1376153965 | Colorado Springs Radiologists PC | Radiology | 5607 Barnes Rd # 140, Colorado Springs, CO 80917-1347 | 2020-08-07 |
| 1255949608 | Rocky Mountain Cancer Centers LLP | Radiology | 1800 N Williams St Ste 100, Denver, CO 80218-1237 | 2020-07-21 |
| 1376189258 | Smi Imaging LLC | Radiology | 7903 S Broadway Ste A, Littleton, CO 80122-2712 | 2019-11-26 |
| 1548806425 | Smi Imaging LLC | Radiology | 3840 Wadsworth Blvd Ste 5, Wheat Ridge, CO 80033-4613 | 2019-11-26 |
| 1881230829 | Smi Imaging LLC | Radiology | 939 N Broadway, Denver, CO 80203-2705 | 2019-11-25 |
| 1598301533 | Smi Imaging LLC | Radiology | 12520 Grant Dr Ste 200, Thornton, CO 80241-2512 | 2019-11-25 |
| 1780220723 | Smi Imaging LLC | Radiology | 14251 E Fremont Ave Unit A, Centennial, CO 80112-4444 | 2019-11-25 |
| Find all providers with the same taxonomy | ||||
| City | CANON CITY |
| Zip Code | 81212 |
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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.