COLORADO PERMANENTE MEDICAL GROUP, P.C. (NPI# 1740633098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740633098 |
| Entity Type | Organization |
| Organization Name | COLORADO PERMANENTE MEDICAL GROUP, P.C. |
| Other Organization Name | KAISER PERMANENTE BRIARGATE MEDICAL OFFICES |
| Practice Address |
4105 Briargate Pkwy Ste 125 Colorado Springs CO 80920-3480 |
| Mailing Address |
10350 E Dakota Ave Denver CO 80247-1314 |
| Practice Telephone | 3033384545 |
| Mailing Telephone | 3033384545 |
| Enumeration Date | 2016-07-21 |
| Last Update Date | 2019-09-24 |
| Authorized Official Name | MATTHEW J SPLINTER (CPMG CFO) |
| Authorized Official Telephone | 3033447345 |
| Is Organization Subpart | Y |
| Parent Organization Name | COLORADO PERMANENTE MEDICAL GROUP, P.C. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | CO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 04710083 | 05 |
| Other Name | Type Code |
|---|---|
| Kaiser Permanente Briargate Medical Offices | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336775469 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 3920 N Union Blvd, Colorado Springs, CO 80907-4900 | 2020-03-20 |
| 1952937039 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 14701 E Exposition Ave, Aurora, CO 80012-2623 | 2020-03-20 |
| 1851927933 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 10240 Park Meadows Dr, Lone Tree, CO 80124-5425 | 2020-03-20 |
| 1669008744 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 8383 W Alameda Ave, Lakewood, CO 80226-3007 | 2020-03-20 |
| 1639641152 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 2625 W Pueblo Blvd, Pueblo, CO 80014-5833 | 2018-12-21 |
| 1083161152 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 226 Lusher Court, Ste 104, Frisco, CO 80443-7600 | 2016-09-07 |
| 1932655099 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 56 Edwards Village Blvd, Ste 208, Edwards, CO 81632-7802 | 2016-08-29 |
| 1487100541 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 215 S Parkside Dr, Ste 215, Colorado Springs, CO 80910-3131 | 2016-08-29 |
| 1205382363 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 1136 E Stuart St, Bldg 3, 2nd Floor, Fort Collins, CO 80525-1195 | 2016-08-29 |
| 1174079594 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 4318 Trail Boss Dr, Ste 100, Castle Rock, CO 80104-7512 | 2016-08-26 |
| Street Address |
4105 BRIARGATE PKWY STE 125 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80920-3480 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578548756 | Kevin M Haddock | Physical Therapist | 4105 Briargate Pkwy, Ste 255, Colorado Springs, CO 80920-3480 | 2005-12-12 |
| 1700343746 | Daniel Hutchison | Emergency Medicine | 4105 Briargate Pkwy, Colorado Springs, CO 80920-3480 | 2019-02-26 |
| 1033673553 | Sara Jean Brandow | Physical Medicine & Rehabilitation | 4105 Briargate Pkwy, Colorado Springs, CO 80920-3480 | 2019-01-29 |
| 1629518881 | Fay Sonnenburg | Registered Nurse | 4105 Briargate Pkwy, Suite 250, Colorado Springs, CO 80920-3480 | 2017-03-06 |
| 1881051787 | Mitchell Dawson | Physician Assistant | 4105 Briargate Pkwy, Suite 300, Colorado Springs, CO 80920-3480 | 2016-01-22 |
| 1881015014 | Lisa Winkler | Respiratory Therapist, Registered | 4105 Briargate Pkwy, 125, Colorado Springs, CO 80920-3480 | 2013-12-13 |
| 1932457710 | Maegan I Divecha | Physician Assistant | 4105 Briargate Pkwy, Suite #125, Colorado Springs, CO 80920-3480 | 2012-08-27 |
| 1912261157 | Carol A Forsberg | Social Worker | 4105 Briargate Pkwy, Suite 125, Colorado Springs, CO 80920-3480 | 2012-07-03 |
| 1811261043 | Kaiser Foundation Health Plan of Colorado | Clinical Medical Laboratory | 4105 Briargate Pkwy, #125, Colorado Springs, CO 80920-3480 | 2012-03-06 |
| 1710257118 | Michelle Lynn Brickler | Physical Therapist | 4105 Briargate Pkwy, Suite 300, Colorado Springs, CO 80920-3480 | 2012-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407463409 | Cynthia Cruz | Marriage & Family Therapist | 7710 N. Union, Ste 100b and 100c, Colorado Springs, CO 80920 | 2020-09-24 |
| 1851905178 | Emergency Medical Specialists, PC | Emergency Medicine | Woodmen Fsed - Md, 3790 E. Woodmen Road, Colorado Springs, CO 80920 | 2020-09-03 |
| 1114531431 | Emergency Medical Specialists, PC | Emergency Medicine | Memorial Hospital North - Md, 4050 Briargate Pkway, Colorado Springs, CO 80920 | 2020-09-03 |
| 1205440583 | Emergency Medical Specialists, PC | Emergency Medicine | Memorial Hospital North - App, 4050 Briargate Pkway, Colorado Springs, CO 80920 | 2020-09-03 |
| 1700490455 | Poudre Valley Medical Group, LLC | Radiology | 4080 Briargate Parkway, Colorado Springs, CO 80920 | 2020-09-01 |
| 1962015792 | Emergency Medical Specialists, PC | Emergency Medicine | Woodmen Fsed - App, 3790 E. Woodmen Road, Colorado Springs, CO 80920 | 2020-08-31 |
| 1194296491 | Kramer Dentistry Inc | Clinic/Center | 9290 Highland Ridge Heights Suite # 120, Colorado Springs, CO 80920 | 2018-12-12 |
| 1134602279 | Juliana Plucinik | Assistant Behavior Analyst | 7011 Campus Drive Suite 205, Colorado Springs, CO 80920 | 2018-09-14 |
| 1811473861 | Vsb Colorado Providers Pllc | Dentist | 1750 Telstar Drive, Suite 200, Colorado Springs, CO 80920 | 2018-07-12 |
| 1336637438 | Children's Hospital Colorado | General Acute Care Hospital | 4090 Briargate Parkway, Colorado Springs, CO 80920 | 2018-04-25 |
| Find all providers in zip 80920 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295334746 | Joel Allen Miller | Clinic/Center | 2125 Norwich Dr, Colorado Springs, CO 80920-5332 | 2020-10-25 |
| 1972122232 | Chc Ncs, LLC | Clinic/Center | 11681 Voyager Pkwy Ste 110, Colorado Springs, CO 80921-3862 | 2020-04-15 |
| 1053880120 | Westside Wellness Pllc | Clinic/Center | 2020 W Colorado Ave Ste 201, Colorado Springs, CO 80904-3863 | 2018-11-19 |
| 1255831665 | Colorado Department of Corrections | Clinic/Center | 1250 Academy Park Loop, Colorado Springs, CO 80910-3708 | 2018-02-13 |
| 1205355732 | Healthworks Med Group of Colorado P C | Clinic/Center | 9970 Federal Dr, Colorado Springs, CO 80921-3616 | 2017-09-15 |
| 1841688058 | Thrive Wellness Centre | Clinic/Center | 3540 Austin Bluffs Pkwy, Ste 7 & 8, Colorado Springs, CO 80918-5731 | 2014-12-23 |
| 1609114560 | Sensible Chiropractic Pllc | Clinic/Center | 1880 Dublin Blvd Ste E, Colorado Springs, CO 80918-1224 | 2013-01-27 |
| 1194031575 | Rocky Mountain Brain Injury Services, LLC | Clinic/Center | 1420 E Fountain Blvd, Colorado Springs, CO 80910-3502 | 2010-08-24 |
| 1528220258 | Peter M. Bianco Do LLC | Clinic/Center | 5333 N Union Blvd, Ste 200, Colorado Springs, CO 80918-2051 | 2008-06-25 |
| 1740493329 | Tlc Vc, LLC | Clinic/Center | 6430 N Academy Blvd, Colorado Springs, CO 80918-8303 | 2007-05-08 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80920 |
Please comment or provide details below to improve the information on COLORADO PERMANENTE MEDICAL GROUP, P.C..
| 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.