USA MEDDAC FT CARSON, CO (NPI# 1730159062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730159062 |
| Entity Type | Organization |
| Organization Name | USA MEDDAC FT CARSON, CO |
| Practice Address |
1650 Cochrane Cir Ft Carson CO 80913-4603 |
| Mailing Address |
Usa Meddac 1650 Cochrane Circle Ft. Carson CO 80913 |
| Practice Telephone | 7192607024 |
| Practice Fax Number | 7195244893 |
| Mailing Telephone | 7195267024 |
| Mailing Fax Number | 7165244893 |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. ELBA M D'ASARO (CHIEF OF EDUCATION AND TRAINING) |
| Authorized Official Telephone | 7195267024 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 286500000X | Military Hospital | 116725 | CO | Hospitals |
| Street Address |
1650 COCHRANE CIR |
| City | FT CARSON |
| State | CO |
| Zip Code | 80913-4603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164063459 | Michael John Beggs | Physical Therapist | 1650 Cochrane Cir, Ft Carson, CO 80913-4613 | 2019-10-08 |
| 1205301421 | Mitchell Ryan Andreas | Physician Assistant | 1650 Cochrane Cir, Ft Carson, CO 80913-4613 | 2018-10-04 |
| 1427417062 | Justin Grisham | Emergency Medicine | 1650 Cochrane Cir, Ft Carson, CO 80913-4613 | 2016-02-10 |
| 1780060491 | Jason Phillip Aitken | Nurse Anesthetist, Certified Registered | 1650 Cochrane Cir, Ft Carson, CO 80913-4613 | 2015-08-04 |
| 1871985887 | Us Army | Military Hospital | 1650 Cochrane Cir, Ft Carson, CO 80913-4613 | 2015-02-27 |
| 1780076869 | Joseph Milo Hibbert | Pathology | 1650 Cochrane Cir, Ft Carson, CO 80913 | 2015-02-25 |
| 1710384961 | Jonathan Matthew Luppens | Pharmacist | 1650 Cochrane Cir, Ft Carson, CO 80913-4613 | 2014-12-02 |
| 1386059970 | Mario Soto | Emergency Medicine | 1650 Cochrane Cir, Ft Carson, CO 80913-4613 | 2014-06-23 |
| 1407284037 | Remedios Evans | Registered Nurse | 1650 Cochrane Cir, Ft Carson, CO 80913-4613 | 2013-10-16 |
| 1811331846 | Jeffrey T Kay | General Practice | 1650 Cochrane Cir, Ft Carson, CO 80913-4613 | 2013-04-21 |
| 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 | 286500000X |
| Grouping | Hospitals |
| Classification | Military Hospital |
| A health care facility operated by the Department of Defense. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871985887 | Us Army | Military Hospital | 1650 Cochrane Cir, Ft Carson, CO 80913-4613 | 2015-02-27 |
| 1992772370 | Department of Defense | Military Hospital | 1650 Cochrane Cir, Ft Carson, CO 80913-4603 | 2006-03-03 |
| 1104897693 | Evans Army Community Hospital | Military Hospital | 1650 Cochrane Cir, Ft Carson, CO 80913-4603 | 2006-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487003570 | Ashley Murphy | Military Hospital | 930 S Milwaukee Way, Denver, CO 80209-5125 | 2016-06-08 |
| 1801214242 | Racinda Forbes | Military Hospital | 2451 Kipling St Apt 212, Lakewood, CO 80215-1480 | 2014-04-02 |
| 1841568169 | Evans Army Community Hospital | Military Hospital | 2400 Cody Dr, Colorado Springs, CO 80911-1018 | 2011-12-01 |
| 1003192428 | Us Army | Military Hospital | 6582 Magarath Street, Fort Carson, CO 80913 | 2011-10-31 |
| 1730332404 | Jonathan Frank Vargas | Military Hospital | 1216 102nd Avenue, Greeley, CO 80634 | 2008-10-28 |
| 1902872278 | Evans Army Community Hospital | Military Hospital | 1115 Encinitas Pt, Colorado Springs, CO 80906-9106 | 2006-02-27 |
| 1831623842 | Echcs Va Medical Center | Military Hospital | 1055 Clermont St, Ambulatory Care (11b), Denver, CO 80220-3808 | 2017-04-17 |
| 1770930547 | Va Eastern Colorado Health Care System | Military Hospital | 1055 Clermont St, Denver, CO 80220-3808 | 2016-05-20 |
| 1912389990 | Veterans Administration | Military Hospital | 1055 Clermont St, Denver, CO 80220-3808 | 2015-06-25 |
| 1881941219 | Dept. of Veterans Affairs | Military Hospital | 1055 Clermont St, Denver, CO 80220-3808 | 2012-08-03 |
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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.