CHOA MD PC (NPI# 1851464523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851464523 |
| Entity Type | Organization |
| Organization Name | CHOA MD PC |
| Other Organization Name | CHILDHOOD HEMATOLOGY ONCOLOGY ASSOCIATES |
| Practice Address |
320 E Fontanero St Suite 308 Colorado Springs CO 80907-7529 |
| Practice Telephone | 3039869504 |
| Practice Fax Number | 7195744974 |
| Mailing Telephone | 7194712462 |
| Mailing Fax Number | 7195744974 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | BRUCE A COOK (PRESIDENT) |
| Authorized Official Telephone | 7194712462 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | NPI BRUCE A COOK MD | 1497775142 | 01 |
| CO | NPI STEPHEN R PALMER MD | 1417959107 | 01 |
| CO | THOMAS J SMITH MD | 1497767578 | 01 |
| Other Name | Type Code |
|---|---|
| CHILDHOOD HEMATOLOGY ONCOLOGY ASSOCIATES | Doing Business As Name - Organization |
| Street Address |
320 E FONTANERO ST SUITE 308 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80907-7529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750386322 | Novamed Surgery Center of Colorado Springs, LLC | Clinic/Center | 320 E Fontanero St, Ste 101, Colorado Springs, CO 80907-7535 | 2005-06-20 |
| 1013465327 | Kids Are Great Pediatrics | Clinic/Center | 320 E Fontanero St, Suite 308, Colorado Springs, CO 80907-7529 | 2016-09-15 |
| 1942564638 | Bobbie Sue Marie Glandt | Physical Therapist | 320 E Fontanero St, Colorado Springs, CO 80907-7529 | 2012-06-27 |
| 1942502489 | Kaitlin Gibson | Occupational Therapist | 320 E Fontanero St, Colorado Springs, CO 80907-7529 | 2010-12-02 |
| 1891956926 | Vijay Verma | Physical Medicine & Rehabilitation | 320 E Fontanero St, St #301, Colorado Springs, CO 80907-7529 | 2008-06-20 |
| 1184828147 | William T. Greer Dds PC | Dentist | 320 E Fontanero St, Suite 302, Colorado Springs, CO 80907-7529 | 2007-06-13 |
| 1871703710 | John Edwin Smith Jr. | Dentist | 320 E Fontanero St, Suite 302, Colorado Springs, CO 80907-7529 | 2007-05-22 |
| 1992921068 | Gary Kenneth Horn | Dentist | 320 E Fontanero St, Suite 302, Colorado Springs, CO 80907-7529 | 2007-04-17 |
| 1407070642 | Brian Douglas Fitzpatrick | Dentist | 320 E Fontanero St, Colorado Springs, CO 80907-7529 | 2007-04-12 |
| 1073643730 | William Thomas Greer | Dentist | 320 E Fontanero St, Suite 302, Colorado Springs, CO 80907-7526 | 2007-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871124057 | Margaret Elizabeth Macnabb | Occupational Therapist | 955 West Fillmore Street, Colorado Springs, CO 80907 | 2020-01-28 |
| 1598300394 | Eric L Peterson | Counselor | 4570 Hilton Pwky, Colorado Springs, CO 80907 | 2019-11-15 |
| 1669020160 | Vcphcs Xii, LLC | Clinic/Center | 4157-4159 Centennial Blvd, Colorado Springs, CO 80907 | 2019-08-28 |
| 1366907123 | Natural Healthcare, LLC | Chiropractor | 3030 N Hancock Ave Suite D, Colorado Springs, CO 80907 | 2019-02-06 |
| 1063981777 | Samuel Ray Porterfield | Social Worker | Pfc Floyd K. Lindstrom Outpatient Clinic, 3141 Centennial Blvd., Colorado Springs, CO 80907 | 2018-11-26 |
| 1982170114 | A Physicians Home Care | Home Health | 905 W Garden of The Gods Rd Suite F, Colorado Springs, CO 80907 | 2018-10-15 |
| 1689196180 | Reena Annetta Manka | Counselor | 888 Garden of The Gods, 150, Colorado Springs, CO 80907 | 2017-07-17 |
| 1356870356 | Solaris Hc Co Inc | Hospice Care, Community Based | 1045 Garden of Gods Rd, Colorado Springs, CO 80907 | 2017-06-05 |
| 1649704826 | Colorado Springs Urological Associates Pllc | Urology | 1644 Medical Center Point, Suite 200, Colorado Springs, CO 80907 | 2017-04-14 |
| 1194274704 | Sarah Lynn Hartman | Dietitian, Registered | 3207 North Academy Blvd, Colorado, CO 80907 | 2016-09-23 |
| Find all providers in zip 80907 | ||||
| Taxonomy Code | 2080P0207X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Hematology-Oncology |
| A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
| 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/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447256623 | Karol Hicks Kerr | Pediatrics | 4125 Briargate Pkwy, Suite 200, Colorado Springs, CO 80920-7804 | 2005-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104115765 | Mark Eric Kohler | Pediatrics | 13123 E 16th Ave # Ms 8302, Aurora, CO 80045-7106 | 2011-04-05 |
| 1629306337 | Carl Thomas Kisker | Pediatrics | 1088 Royal Buffalo Drive, Silverthorne, CO 80498-2165 | 2009-11-19 |
| 1538360185 | Terry J Fry | Pediatrics | Chco, Ccbd, Bone Marrow Transplant, B115, 13123 E. 16th Avenue, Aurora, CO 80045 | 2007-05-30 |
| 1932159522 | Pamela Jesse Hutt | Pediatrics | 1 Mercado Street - Suite 100, Durango, CO 81301-7300 | 2006-05-12 |
| 1477516391 | Joanne M. Hilden | Pediatrics | 13123 E 16th St, Box B115, Aurora, CO 80045 | 2006-04-11 |
| 1417959107 | Stephen Ralph Palmer | Pediatrics | 7720 S Broadway, Suite 110, Littleton, CO 80122-2632 | 2005-08-11 |
| 1013303098 | Laura Mclaughlin Cobb | Pediatrics | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2015-04-07 |
| 1639597305 | Colin J Sallee | Pediatrics | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2014-03-31 |
| 1588008858 | Priya P Chan | Pediatrics | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2013-04-17 |
| 1760825343 | Nathan A Dahl | Pediatrics | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2013-04-12 |
| Find all providers with the same taxonomy | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80907 |
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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.