MR. JOHN M. MODELL (NPI# 1750355582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750355582 |
| Entity Type | Individual |
| Full Name | MR. JOHN M. MODELL |
| Credential | RN |
| Practice Address |
7500 Cochrane Circle Attn: Col Modell Usa Meddac Fort Carson CO 80913 |
| Mailing Address |
1745 Gumtree Ct Colorado Springs CO 80906-7761 |
| Practice Telephone | 7195267129 |
| Mailing Telephone | 7195790315 |
| Enumeration Date | 2006-02-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA2000X |
Registered Nurse Specialization: Administrator |
332458 | CA | Nursing Service Providers |
| Street Address |
7500 COCHRANE CIRCLE ATTN: COL MODELL USA MEDDAC |
| City | FORT CARSON |
| State | CO |
| Zip Code | 80913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639333867 | Haiddie L Prata | Dietitian, Registered | 7500 Cochrane Circle, Each Meddac Nutrition Care Division, Fort Carson, CO 80913 | 2008-07-16 |
| 1053387357 | Kay Frances Hulen | Registered Nurse | 7500 Cochrane Circle, Fort Carson, CO 80913 | 2006-02-27 |
| 1891767950 | Frank Joseph Godshall | Psychologist | 7500 Cochrane Circle, Ebhs-3, Dbh, Each, Fort Carson, CO 80913 | 2006-02-03 |
| 1689644049 | Linda Joanna Van Weelden | Advanced Practice Midwife | 7500 Cochrane Circle, Fort Carson, CO 80913 | 2006-01-26 |
| 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 | 163WA2000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Administrator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841266178 | Jamie Wonnett | Registered Nurse | 1650 Cochrane Cir, Fort Carson, CO 80913-4603 | 2006-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801360367 | Rejane Gabriella Branch | Registered Nurse | 19448 E 59th Ave, Aurora, CO 80019-2009 | 2019-01-17 |
| 1629582952 | Yeong Richardson | Registered Nurse | 2060 S Havana St, Aurora, CO 80014-1014 | 2017-11-22 |
| 1114462421 | Tamera Ruschelle Martin | Registered Nurse | 16352 Parkside Dr, Parker, CO 80134-3742 | 2016-12-21 |
| 1720438963 | Lisa Carroll Wagoner | Registered Nurse | 5444 Fullerton Cir, Highlands Ranch, CO 80130-6642 | 2016-06-19 |
| 1588055487 | Cheryl Read | Registered Nurse | 15690 Akron St, Brighton, CO 80602-8682 | 2015-02-12 |
| 1972859387 | Cheryl Maybelle Curtis | Registered Nurse | 19814 E Greenwood Dr, Aurora, CO 80013-3709 | 2012-08-03 |
| 1396005443 | Mary Randolph | Registered Nurse | 497 West 4th Street, Dove Creek, CO 81324-0368 | 2012-05-23 |
| 1487975025 | Lisa M Kane | Registered Nurse | 12660 Esperanza Ct, Castle Rock, CO 80108-8161 | 2010-06-17 |
| 1104140433 | Marcie Dawn Cooper | Registered Nurse | 2264 Castlegate Dr N, Apt 731, Castle Rock, CO 80108-8340 | 2010-03-15 |
| 1962732545 | Lucille A. Fitzharris | Registered Nurse | 3167 S Vine Ct, Englewood, CO 80113-3070 | 2010-01-05 |
| Find all providers with the same taxonomy | ||||
| City | FORT CARSON |
| Zip Code | 80913 |
Please comment or provide details below to improve the information on MR. JOHN M. MODELL.
| 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.