COLORADO SPRINGS RADIOLOGISTS PC (NPI# 1760083836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760083836 |
| Entity Type | Organization |
| Organization Name | COLORADO SPRINGS RADIOLOGISTS PC |
| Practice Address |
3205 N Academy Blvd Colorado Springs CO 80917-5147 |
| Mailing Address |
Po Box 2989 Colorado Springs CO 80901-2989 |
| Practice Telephone | 7195931799 |
| Practice Fax Number | 7192653794 |
| Mailing Telephone | 7195931799 |
| Mailing Fax Number | 7192653794 |
| Enumeration Date | 2020-11-05 |
| Last Update Date | 2020-11-05 |
| Authorized Official Name | DEREK SCOTT BERGESON (RADIOLOGIST) |
| Authorized Official Telephone | 7195931799 |
| Authorized Official Credential | MD |
| 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 |
|---|---|---|---|---|
| 1376153965 | Colorado Springs Radiologists PC | Radiology | 5607 Barnes Rd # 140, Colorado Springs, CO 80917-1347 | 2020-08-07 |
| 1336740406 | Colorado Springs Radiologists PC | Radiology | 3050 N Circle Dr, Colorado Springs, CO 80909-1175 | 2020-11-05 |
| 1013518463 | Colorado Springs Radiologists PC | Radiology | 1101 County Road 1, Cripple Creek, CO 80813-8909 | 2020-11-03 |
| 1043811490 | Colorado Springs Radiologists PC | Radiology | 3027 N Circle Dr, Colorado Springs, CO 80909-1179 | 2020-11-03 |
| 1508467952 | Colorado Springs Radiologists PC | Radiology | 6001 E Woodmen Rd, Colorado Springs, CO 80923-2601 | 2020-11-03 |
| 1609486299 | Colorado Springs Radiologists PC | Radiology | 7955 Fountain Mesa Rd, Fountain, CO 80817-1535 | 2020-08-07 |
| 1629168406 | Colorado Springs Radiologists PC | Radiology | 2222 N Nevada Ave, Colorado Springs, CO 80907-6819 | 2006-10-13 |
| Street Address |
3205 N ACADEMY BLVD |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80917-5147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649260613 | Daniel Samuel Berliner | Emergency Medicine | 3205 N Academy Blvd, Suite 160, Colorado Springs, CO 80917-5101 | 2005-10-21 |
| 1609308436 | Royce Toffol | Student in an Organized Health Care Education/Training Program | 3205 N Academy Blvd, Suite 130, Colorado Springs, CO 80917-5147 | 2017-03-30 |
| 1255784021 | Eric Austin Attard | Counselor | 3205 N Academy Blvd, Colorado Springs, CO 80917-5147 | 2016-07-18 |
| 1124481320 | Joshua Jewell | Family Medicine | 3205 N Academy Blvd, Suite 130, Colorado Springs, CO 80917-5147 | 2016-04-04 |
| 1871955815 | Jordan Christensen | Student in an Organized Health Care Education/Training Program | 3205 N Academy Blvd, Ste. 130, Colorado Springs, CO 80917-5147 | 2016-03-28 |
| 1164883302 | Matthew J Schippers | Hospitalist | 3205 N Academy Blvd, Suite 130, Colorado Springs, CO 80917-5147 | 2016-03-16 |
| 1255791190 | Peak Vista Community Health Center | Dentist | 3205 N Academy Blvd, Suite 130, Colorado Springs, CO 80917 | 2016-03-04 |
| 1780084392 | Erin Ordway | Physician Assistant | 3205 N Academy Blvd, Ste 100, Colorado Springs, CO 80917-5147 | 2014-09-02 |
| 1841551967 | Colorado Urgent Care Associates, P.C. | Clinic/Center | 3205 N Academy Blvd, Colorado Springs, CO 80917-5101 | 2012-06-05 |
| 1689977365 | Peak Vista Community Health Centers | Clinic/Center | 3205 N Academy Blvd, Suite 100, Colorado Springs, CO 80917 | 2010-12-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952910499 | Select Physical Therapy of Colorado Springs Lp | Durable Medical Equipment & Medical Supplies | 5660 Barnes Road, Suite 116, Colorado Springs, CO 80917 | 2020-07-30 |
| 1043796774 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 3475 North Academy Blvd, Colorado Springs, CO 80917 | 2018-07-16 |
| 1598273153 | Ariana Goemaere | Behavior Technician | 3535 Parkmoor Village Dr, Colorado Springs, CO 80917 | 2018-01-17 |
| 1366959769 | Behavioral Health Consultants, Inc. | Clinic/Center | 3210 North Academy Blvd, Suite 3, Colorado Springs, CO 80917 | 2018-01-08 |
| 1558870030 | Falisha Rief | Assistant Behavior Analyst | 2790 North Academy Blvd, Suite 180, Colorado Springs, CO 80917 | 2017-09-27 |
| 1407374655 | Christina Otto | Assistant Behavior Analyst | 2790 North Academy, Suite 180, Colorado Springs, CO 80917 | 2017-09-07 |
| 1992155956 | Georgina Segura | Nurse Practitioner | 5135 Iron Horse Trl, Colorado Springs, CO 80917 | 2016-06-20 |
| 1952685182 | Barbara Hazard Henning | Pharmacist | 3840 N Academy Blvd, Colorado Springs, CO 80917 | 2011-10-06 |
| 1659651412 | Nicole Blakesley | Psychologist | 3264 Vail Pass Drive, Colorado Springs, CO 80917 | 2011-08-25 |
| 1427360254 | Austinbluffs Dental Prof. LLC | Dentist | 3952 North Academy, Colorado Springs, CO 80917 | 2010-07-09 |
| Find all providers in zip 80917 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1376153965 | Colorado Springs Radiologists PC | Radiology | 5607 Barnes Rd # 140, Colorado Springs, CO 80917-1347 | 2020-08-07 |
| 1447662325 | Lee Holder | Radiology | 6095 Grand Mesa Dr, Colorado Springs, CO 80923-3484 | 2014-05-27 |
| 1215270004 | Craig Thomas Mcmullen | Radiology | 1924 N Tejon St, Colorado Springs, CO 80907-6919 | 2013-04-01 |
| 1871853416 | Jamie A. Aminsharifi | Radiology | 18 W Buena Ventura St, Colorado Springs, CO 80907 | 2012-05-16 |
| 1689944290 | Richard Bard Mcmullen | Radiology | 405 Southfield Rd, Colorado Springs, CO 80919-3217 | 2012-01-12 |
| 1154690840 | Robert Warr | Radiology | 1160 Dancing Horse Dr, Colorado Springs, CO 80919-3908 | 2011-12-26 |
| 1841463452 | Gavin W. Arnett | Radiology | 1885 Mud Hen Dr, Colorado Springs, CO 80921-2094 | 2008-04-04 |
| 1770620106 | Jason Thomas Scism | Radiology | 1545 Napoli Way, Colorado Springs, CO 80906-5793 | 2007-02-01 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80917 |
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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.