PENRAD IMAGING LLC (NPI# 1770105900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770105900 |
| Entity Type | Organization |
| Organization Name | PENRAD IMAGING LLC |
| Practice Address |
4925 N Nevada Ave Colorado Springs CO 80918-8600 |
| Mailing Address |
1390 Kelly Johnson Blvd Colorado Springs CO 80920-3908 |
| Practice Telephone | 7195931799 |
| Practice Fax Number | 7192653794 |
| Mailing Telephone | 7195931799 |
| Mailing Fax Number | 7192653794 |
| Enumeration Date | 2020-05-11 |
| Last Update Date | 2020-05-11 |
| 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 | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699376038 | Penrad Imaging LLC | Clinic/Center | 2202 N Nevada Ave, Colorado Springs, CO 80907-6819 | 2020-11-03 |
| 1538760962 | Penrad Imaging LLC | Clinic/Center | 6011 E Woodmen Rd Ste 10, Colorado Springs, CO 80923-2603 | 2020-11-03 |
| 1275134611 | Penrad Imaging LLC | Clinic/Center | 1263 Lake Plaza Dr Ste 100, Colorado Springs, CO 80906-3510 | 2020-11-03 |
| 1851992291 | Penrad Imaging LLC | Clinic/Center | 4105 Briargate Pkwy Ste 115, Colorado Springs, CO 80920-3482 | 2020-11-03 |
| 1730780172 | Penrad Imaging LLC | Clinic/Center | 17230 Jackson Creek Pkwy Ste 100, Monument, CO 80132-7302 | 2020-11-03 |
| 1003906868 | Penrad Imaging LLC | Clinic/Center | 3050 N Circle Dr, Colorado Springs, CO 80909-1175 | 2006-10-13 |
| Street Address |
4925 N NEVADA AVE |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80918-8600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356980940 | Catholic Health Initiatives Colorado | Family Medicine | 4925 N Nevada Ave, Colorado Springs, CO 80918-8600 | 2019-12-30 |
| 1528690195 | Centura Ventures, LLC | Clinic/Center | 4925 N Nevada Ave, Colorado Springs, CO 80918-8600 | 2020-02-11 |
| 1386283836 | Catholic Health Iniatives Colorado | Orthopaedic Surgery | 4925 N Nevada Ave, Colorado Springs, CO 80918-8600 | 2020-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952917056 | Uch-mhs | Clinic/Center | 5818 North Nevada, Suite 200, Colorado Springs, CO 80918 | 2020-09-23 |
| 1376159681 | Uchealth Imaging Services LLC | Clinic/Center | 5818 N. Nevada, Suite 100, Colorado Springs, CO 80918 | 2020-09-22 |
| 1699389353 | Poudre Valley Medical Group, LLC | Internal Medicine | 5818 N Nevada Ave, Suite 225, Colorado Springs, CO 80918 | 2020-09-01 |
| 1134732209 | Poudre Valley Medical Group, LLC | Physical Medicine & Rehabilitation | 5818 N Nevada Avenue, Suite 225, Colorado Springs, CO 80918 | 2020-08-28 |
| 1821619321 | Kayla Sanchez | Behavior Technician | Keystone Achievements, 5526 N. Academy Blvd, Colorado Springs, CO 80918 | 2020-05-06 |
| 1548801418 | Kelly Cottos | Chiropractor | 7075 Lexington Drive, Colorado Springs, CA 80918 | 2019-10-02 |
| 1568016038 | Overcomers Counseling | Counselor | 5585 Erindale Dr., Colorado Springs, CO 80918 | 2019-08-01 |
| 1457915522 | Joanne Beth Kuhn | Counselor | 6095 Kingdom View, Colorado Springs, CO 80918 | 2019-04-24 |
| 1780140210 | Megan Kennedy | Chiropractor | 6210 Lehman Drive Suite 100, Colorado Springs, CO 80918 | 2019-02-20 |
| 1871069864 | Jennifer Potage | Counselor | 6035 Erin Park Dr. Suite 102, Colorado Springs, CO 80918 | 2018-10-17 |
| Find all providers in zip 80918 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699376038 | Penrad Imaging LLC | Clinic/Center | 2202 N Nevada Ave, Colorado Springs, CO 80907-6819 | 2020-11-03 |
| 1538760962 | Penrad Imaging LLC | Clinic/Center | 6011 E Woodmen Rd Ste 10, Colorado Springs, CO 80923-2603 | 2020-11-03 |
| 1275134611 | Penrad Imaging LLC | Clinic/Center | 1263 Lake Plaza Dr Ste 100, Colorado Springs, CO 80906-3510 | 2020-11-03 |
| 1851992291 | Penrad Imaging LLC | Clinic/Center | 4105 Briargate Pkwy Ste 115, Colorado Springs, CO 80920-3482 | 2020-11-03 |
| 1376159681 | Uchealth Imaging Services LLC | Clinic/Center | 5818 N. Nevada, Suite 100, Colorado Springs, CO 80918 | 2020-09-22 |
| 1710546932 | Uch-mhs | Clinic/Center | 2685 Dublin Blvd., Colorado Springs, CO 80918-1358 | 2019-06-11 |
| 1922343243 | Citadel Terrace Imaging, LLC | Clinic/Center | 709 Citadel Dr E, Colorado Springs, CO 80909-5302 | 2012-11-28 |
| 1063011096 | Uchealth Imaging Services LLC | Clinic/Center | 5818 N. Nevada, Suite 110, Colorado Springs, CO 80918 | 2020-10-21 |
| 1144880675 | Uch-mhs | Clinic/Center | 1 Olympic Plz, Colorado Springs, CO 80909-5780 | 2019-06-17 |
| 1518526441 | Uch-mhs | Clinic/Center | 4190 E Woodmen Rd, Ste 240, Colorado Springs, CO 80920-8075 | 2019-06-13 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80918 |
Please comment or provide details below to improve the information on PENRAD IMAGING LLC.
| 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.