MR. JOHN CAGNOLA III


Address: 25 N Spruce St, 11c-c, Colorado Springs, CO 80905-1436
Phone: 7193275697

MR. JOHN CAGNOLA III (NPI# 1790715183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790715183
Entity Type Individual
Full Name MR. JOHN CAGNOLA III
Credential PA-C
Practice Address 25 N Spruce St
11c-c
Colorado Springs
CO 80905-1436
Practice Telephone 7193275697
Practice Fax Number 7196338741
Mailing Telephone 7193275697
Mailing Fax Number 7196338741
Enumeration Date 2006-07-03
Last Update Date 2011-08-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 3214 CO Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 25 N SPRUCE ST
11C-C
City COLORADO SPRINGS
State CO
Zip Code 80905-1436

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164763579 Nicole Renee Fullerton Social Worker 25 N Spruce St, Colorado Springs, CO 80905-1436 2013-03-11
1386991040 Caroline Marie Reese Kelly Psychologist 25 N Spruce St, Colorado Springs, CO 80905-1436 2012-08-12
1801162409 Mary Nierode Social Worker 25 N Spruce St, Colorado Springs, CO 80905-1436 2012-03-28
1558680058 Dina Lynne Dunn Counselor 25 N Spruce St, Colorado Springs, CO 80905-1436 2010-05-24
1992022669 Margaret Kay Russell Social Worker 25 N Spruce St, Va Mental Health, Colorado Springs, CO 80905-1436 2010-04-21
1104059195 Benjamin Joseph Kluck Psychologist 25 N Spruce St, Colorado Springs, CO 80905-1436 2009-08-25
1164654067 Jill I. Turner Social Worker 25 N Spruce St, Colorado Springs, CO 80905-1436 2009-08-11
1437397908 Lynae C Kruse Social Worker 25 N Spruce St, Colorado Springs, CO 80905-1436 2009-01-22
1144467556 Barbara Joan Schultz Nurse Practitioner 25 N Spruce St, Rm 210 J, Colorado Springs, CO 80905-1436 2009-01-08
1437395340 Ruth Elaine Picton Pharmacist 25 N Spruce St, Colorado Springs, CO 80905-1436 2008-12-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710524137 Julie Esther Ayaad Nurse Practitioner 1427 W Rio Grande, Colorado Springs, CO 80905 2019-12-04
1437676970 Cara Boss Physical Therapy Assistant 1855 Presidential Hts, Apt 1023, Colorado Springs, CO 80905 2017-08-25
1720537509 Rhianon Leigh Davis Physical Therapy Assistant 810 Arcturus Drive, Colorado Springs, CO 80905 2016-09-22
1861878639 Melissa Bernstein-linan Counselor 1301 S 8th St Ste 200, Colorado Springs, CO 80905 2015-08-04
1376973669 Kierstie Cameron Counselor 875 W. Moreno Ave, Colorado Springs, CO 80905 2013-11-22
1215294301 Nancy J. Beach Counselor 1355 S 8th St Ste 206, Colorado Springs, CO 80905 2012-04-13
1699096107 Hinds' Feet Adventures Counselor 1301 S. Eighth Street, Suite 115, Colorado Springs, CO 80905 2010-06-18
1396067310 Pinnacle Family Medicine, Pllc Family Medicine 1040 S 8th Street, Suite 102, Colorado Springs, CO 80905 2010-02-17
1710154018 Amy Lee Moore Counselor 875 W. Moreno, Colorado Springs, CO 80905 2008-05-15
1386786598 Pia Hillevi Schalin Family Medicine 402 W Bijou, Emergicare Corporation, Colorado Springs, CO 80905 2007-02-13
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265054431 Kimberly Goyack Physician Assistant 10807 New Allegiance Dr Ste 450, Colorado Springs, CO 80921-3722 2020-05-11
1891316089 Chase Devalk Physician Assistant 560 Thames Dr, Colorado Springs, CO 80906-4839 2020-04-29
1841846193 Caroline Selting Physician Assistant 2255 Oak Hills Dr, Colorado Springs, CO 80919-3477 2019-08-13
1578121935 Raymond Shaun Wolff Physician Assistant 6936 Shea Dr Apt A, Colorado Springs, CO 80902-7334 2019-05-31
1063996288 Matthew Steven Chernikovich Physician Assistant 5134 N Nevada Ave Ste 100, Colorado Springs, CO 80918-8699 2018-09-24
1649798018 Adam Robert Sahlberg Physician Assistant 10222 Desert Bloom Way, Colorado Springs, CO 80925-1345 2017-09-06
1851821334 Jennifer Abbott Physician Assistant 6071 E Woodmen Rd Ste Unit300, Colorado Springs, CO 80923-2607 2017-06-15
1912431081 Brandon Eliott Griffis Physician Assistant 3803 N Chestnut St, Colorado Springs, CO 80907-4107 2017-04-16
1508309709 Aleksandr M Kaplun Physician Assistant 155 Printers Pkwy Ste 23, Colorado Springs, CO 80910-6100 2016-11-21
1972059038 Shelby Lynne Ransdell Physician Assistant 116 Sherri Dr, Colorado Springs, CO 80911-1447 2016-08-29
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Competitor

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City COLORADO SPRINGS
Zip Code 80905

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Dataset Information

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.

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