DR. PAMELA WALLACE CASSON (NPI# 1851388367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851388367 |
| Entity Type | Individual |
| Full Name | DR. PAMELA WALLACE CASSON |
| Other Name | DR. PAMELA JANE WALLACE |
| Credential | M.D. |
| Practice Address |
1465 Kelly Johnson Blvd Suite 220 Colorado Springs CO 80920-3955 |
| Practice Telephone | 7192651050 |
| Practice Fax Number | 7192652503 |
| Mailing Telephone | 7192651050 |
| Mailing Fax Number | 7192652503 |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2010-02-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 41888 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 85487210 | 05 |
| Street Address |
1465 KELLY JOHNSON BLVD SUITE 220 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80920-3955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952397374 | Corinne O Laurance | Internal Medicine | 1465 Kelly Johnson Blvd, Suite 310, Colorado Springs, CO 80920-3955 | 2005-09-21 |
| 1730539107 | Beckie M Grgich | Psychologist | 1465 Kelly Johnson Blvd, Suite 212, Colorado Springs, CO 80920-3955 | 2016-06-16 |
| 1013378637 | Kelly Gillespie | Psychologist | 1465 Kelly Johnson Blvd, Suite 210, Colorado Springs, CO 80920-3955 | 2016-03-09 |
| 1265807010 | Matt Valente | Psychologist | 1465 Kelly Johnson Blvd, Suite 210, Colorado Springs, CO 80920-3955 | 2015-12-04 |
| 1700250073 | Michael J Oneill Md Pllc | Family Medicine | 1465 Kelly Johnson Blvd, Suite 310, Colorado Springs, CO 80920-3955 | 2015-11-24 |
| 1053782334 | Step Forward Counseling Services, LLC | Counselor | 1465 Kelly Johnson Blvd, Suite 210, Colorado Springs, CO 80920-3955 | 2015-10-13 |
| 1619367901 | Wahlberg Counseling Services | Social Worker | 1465 Kelly Johnson Blvd, Colorado Springs, CO 80920-3955 | 2015-01-26 |
| 1992109243 | Rocky Mountain Health Center, LLC | Physical Medicine & Rehabilitation | 1465 Kelly Johnson Blvd, Suite 100-d, Colorado Springs, CO 80920-3955 | 2014-10-15 |
| 1699181750 | Elizabeth Wiggins | Counselor | 1465 Kelly Johnson Blvd, Colorado Springs, CO 80920-3955 | 2014-07-09 |
| 1033530480 | Linda Ellegard | Counselor | 1465 Kelly Johnson Blvd, Ste 360, Colorado Springs, CO 80920 | 2014-01-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407463409 | Cynthia Cruz | Marriage & Family Therapist | 7710 N. Union, Ste 100b and 100c, Colorado Springs, CO 80920 | 2020-09-24 |
| 1851905178 | Emergency Medical Specialists, PC | Emergency Medicine | Woodmen Fsed - Md, 3790 E. Woodmen Road, Colorado Springs, CO 80920 | 2020-09-03 |
| 1114531431 | Emergency Medical Specialists, PC | Emergency Medicine | Memorial Hospital North - Md, 4050 Briargate Pkway, Colorado Springs, CO 80920 | 2020-09-03 |
| 1205440583 | Emergency Medical Specialists, PC | Emergency Medicine | Memorial Hospital North - App, 4050 Briargate Pkway, Colorado Springs, CO 80920 | 2020-09-03 |
| 1700490455 | Poudre Valley Medical Group, LLC | Radiology | 4080 Briargate Parkway, Colorado Springs, CO 80920 | 2020-09-01 |
| 1962015792 | Emergency Medical Specialists, PC | Emergency Medicine | Woodmen Fsed - App, 3790 E. Woodmen Road, Colorado Springs, CO 80920 | 2020-08-31 |
| 1194296491 | Kramer Dentistry Inc | Clinic/Center | 9290 Highland Ridge Heights Suite # 120, Colorado Springs, CO 80920 | 2018-12-12 |
| 1134602279 | Juliana Plucinik | Assistant Behavior Analyst | 7011 Campus Drive Suite 205, Colorado Springs, CO 80920 | 2018-09-14 |
| 1811473861 | Vsb Colorado Providers Pllc | Dentist | 1750 Telstar Drive, Suite 200, Colorado Springs, CO 80920 | 2018-07-12 |
| 1336637438 | Children's Hospital Colorado | General Acute Care Hospital | 4090 Briargate Parkway, Colorado Springs, CO 80920 | 2018-04-25 |
| Find all providers in zip 80920 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548891815 | Optumcare Colorado Springs, LLC | Pediatrics | 8890 N Union Blvd Ste 220, Colorado Springs, CO 80920-2701 | 2020-01-27 |
| 1467985390 | Jennifer Lynne Anderson | Pediatrics | 782 Mcchord St, Colorado Springs, CO 80916-5299 | 2017-04-07 |
| 1316309891 | Dr. Harry J.anderson,jr.,m.d. | Pediatrics | 190 E Cheyenne Mountain Blvd, Colorado Springs, CO 80906-3718 | 2016-03-24 |
| 1245623693 | Jamie Hug | Pediatrics | 4190 E. Woodmen Rd, Suite 100, Colorado Springs, CO 80920 | 2015-03-10 |
| 1629414016 | Sean Michael Bradley | Pediatrics | 402 N Tejon St # 200, Colorado Springs, CO 80903-1142 | 2013-05-13 |
| 1912340738 | Erin Janel Meyer | Pediatrics | 4090 Briargate Pkwy # 106, Colorado Springs, CO 80920-7815 | 2013-04-10 |
| 1023303880 | Natalie Connolly | Pediatrics | 4150 E Woodmen Rd Ste 100, Colorado Springs, CO 80920-8042 | 2011-06-09 |
| 1194956292 | Margot A. Williams, D.o., P.C. | Pediatrics | 1465 Kelly Johnson Boulevard, Suite 300, Colorado Springs, CO 80920-3947 | 2009-08-06 |
| 1831326495 | Viral Kothari | Pediatrics | 6071 E Woodmen Rd Ste 225, Colorado Springs, CO 80923 | 2009-06-22 |
| 1609071877 | Anna E Lawrence | Pediatrics | 5575 Tech Center Dr Ste 106, Colorado Springs, CO 80919-2349 | 2007-06-18 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80920 |
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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.