DR. SALLY A SERVOLD (NPI# 1831281708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831281708 |
Entity Type | Individual |
Full Name | DR. SALLY A SERVOLD |
Credential | DPM |
Practice Address |
820 Castle Valley Blvd Suite 210 New Castle CO 81647-9480 |
Practice Telephone | 9709289785 |
Practice Fax Number | 9709280423 |
Mailing Telephone | 9709289785 |
Mailing Fax Number | 9709280423 |
Enumeration Date | 2006-09-29 |
Last Update Date | 2016-09-28 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
0459 | CO | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CO | DEA | BS3531224 | 01 |
CO | 01004597 | 05 | |
CO | STATE LIC | 0459 | 01 |
Street Address |
820 CASTLE VALLEY BLVD SUITE 210 |
City | NEW CASTLE |
State | CO |
Zip Code | 81647-9480 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447352422 | Dennis Marvin Eicher | Family Medicine | 820 Castle Valley Blvd, Suite 210, New Castle, CO 81647-9453 | 2006-09-01 |
1609323526 | Kelsey Quam | Physical Therapist | 820 Castle Valley Blvd, Suite 201, New Castle, CO 81647-9480 | 2016-09-08 |
1508009796 | Carey Elizabeth Levin | Pediatrics | 820 Castle Valley Blvd, Suite 204, New Castle, CO 81647-9480 | 2009-04-17 |
1811192610 | New Castle Family Health PC | Family Medicine | 820 Castle Valley Blvd, Suite 210, New Castle, CO 81647-9453 | 2007-06-20 |
1578766689 | Castle Valley Children's Clinic | Clinic/Center | 820 Castle Valley Blvd, Suite #204, New Castle, CO 81647-9480 | 2007-06-06 |
1902967755 | Debbieanne Moeller | Nurse Practitioner | 820 Castle Valley Blvd, Suite 204, New Castle, CO 81647-9480 | 2006-12-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619403631 | Mindwise Corporation | Marriage & Family Therapist | 386 W Main Street, Suite 105, New Castle, CO 81647 | 2017-05-11 |
1760788822 | Mary Elizabeth Bowles | Marriage & Family Therapist | 386 W. Main St., Suite #302, New Castle, CO 81647 | 2011-02-07 |
1699701888 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 850 Castle Valley Blvd, New Castle, CO 81647 | 2006-06-23 |
1730614744 | New Castle Dental, Pllc | Dentist | 500 W. Main Street, New Castle, CO 81647 | 2017-04-27 |
1497130645 | Lauren Roper | Dentist | 500 W Main St, New Castle, CO 81647 | 2015-07-29 |
1548718737 | Intermountain Monitoring LLC | Specialist/Technologist, Other | 107 Spur Dr, New Castle, CO 81647-8518 | 2016-09-15 |
1487192282 | Palisade Neuro Associates | Physiological Laboratory | 107 Spur Dr, New Castle, CO 81647-8518 | 2017-02-01 |
1811466469 | Sonni Lee Jackson | Massage Therapist | 151 E Clubhouse Dr, New Castle, CO 81647-9424 | 2018-11-13 |
1821551664 | Elias Transportation Services, LLC | Non-emergency Medical Transport (VAN) | 406 Palmetto Dr, New Castle, CO 81647-9436 | 2019-04-09 |
1972876357 | Barbara Ann Gugelman | Occupational Therapy Assistant | 412 Alder Way, New Castle, CO 81647-9438 | 2012-02-16 |
Find all providers in zip 81647 |
Taxonomy Code | 213ES0131X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740243500 | James F Rupp | Podiatrist | 1906 Wilmington Rd, New Castle, PA 16105-1945 | 2006-04-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790346997 | Nwsc Co Dr LLC | Podiatrist | 13402 W Coal Mine Ave # 310, Littleton, CO 80127-5407 | 2019-06-27 |
1912324351 | Mark Clark | Podiatrist | 2300 Coronado Rd, Pueblo, CO 81003-1840 | 2014-03-24 |
1891989760 | Boulder Valley Foot & Ankle Clinic PC | Podiatrist | 3000 Center Green Dr Ste 230, Boulder, CO 80301-2364 | 2007-09-04 |
1770686370 | Allied Foot and Ankle Clinics of Co, PC | Podiatrist | 7720 S Broadway #540, Littleton, CO 80122 | 2006-09-07 |
1124060488 | Lee T Fleming | Podiatrist | 1155 Kelly Johnson Blvd Ste 310, Colorado Springs, CO 80920-3959 | 2006-06-12 |
1366490666 | Charles J Daniel Jr. | Podiatrist | 201 W Park Dr, Grand Junction, CO 81505-1469 | 2006-05-05 |
1538117627 | Peter D Schultz | Podiatrist | 1440 Boise Ave, Loveland, CO 80538-4214 | 2006-05-04 |
1780648402 | Ritchie H Steed | Podiatrist | 630 Coffman St, Ste. A, Longmont, CO 80501-8302 | 2006-04-12 |
1235119983 | Sterling Foot & Ankle Ctr PC | Podiatrist | 101 Park St, Sterling, CO 80751-4134 | 2006-01-19 |
1356694228 | Groth Foot & Ankle Clinic PC | Podiatrist | 3920 N Union Blvd Ste 320, Colorado Spgs, CO 80907-4916 | 2012-10-17 |
Find all providers with the same taxonomy |
City | NEW CASTLE |
Zip Code | 81647 |
Please comment or provide details below to improve the information on DR. SALLY A SERVOLD.
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.