PUEBLO RADIOLOGICAL GROUP, P.C. (NPI# 1962003947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962003947 |
| Entity Type | Organization |
| Organization Name | PUEBLO RADIOLOGICAL GROUP, P.C. |
| Practice Address |
4194 Royal Pine Dr Colorado Springs CO 80920-1507 |
| Mailing Address |
Po Box 7693 Loveland CO 80537-0693 |
| Practice Telephone | 7195222727 |
| Practice Fax Number | 7195427019 |
| Mailing Telephone | 9706632742 |
| Mailing Fax Number | 9703422093 |
| Enumeration Date | 2020-11-05 |
| Last Update Date | 2020-11-05 |
| Authorized Official Name | ROBIN L BOYER (AUTH REP/DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 9706632742 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013860 | Pueblo Radiological Group, P.C. | Radiology | 245 Balmoral Way, Colorado Springs, CO 80906-7907 | 2020-11-06 |
| 1154922938 | Pueblo Radiological Group, P.C. | Radiology | 3245 E Hwy 50 Unit E, Canon City, CO 81212-9343 | 2020-11-06 |
| 1548861529 | Pueblo Radiological Group, P.C. | Radiology | 1804 Oakmoor Hts, Colorado Springs, CO 80906-1171 | 2020-11-05 |
| 1063013852 | Pueblo Radiological Group, P.C. | Radiology | 933 Sell Ave, Canon City, CO 81212-4929 | 2020-11-06 |
| 1396346185 | Pueblo Radiological Group, P.C. | Radiology | 4112 Outlook Blvd Ste 255, Pueblo, CO 81008-1667 | 2020-11-06 |
| 1114528908 | Pueblo Radiological Group, P.C. | Radiology | 1020 Lakeview Ave, Pueblo, CO 81004-3508 | 2020-11-06 |
| 1346841129 | Pueblo Radiological Group, P.C. | Radiology | 4112 Outlook Blvd Ste 96, Pueblo, CO 81008-1667 | 2020-11-06 |
| 1699376764 | Pueblo Radiological Group, P.C. | Radiology | 1338 Phay Ave, Canon City, CO 81212-2311 | 2020-11-05 |
| 1013518000 | Pueblo Radiological Group, P.C. | Radiology | 2035 S Pueblo Blvd, Pueblo, CO 81005-2577 | 2020-11-05 |
| 1164023131 | Pueblo Radiological Group, P.C. | Radiology | 4112 Outlook Blvd Ste 37, Pueblo, CO 81008-1667 | 2020-11-05 |
| Street Address |
4194 ROYAL PINE DR |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80920-1507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235585845 | Emergency Medicine Doctors of Colorado Springs, P.C. | Clinic/Center | 4194 Royal Pine Dr, Suite 100, Colorado Springs, CO 80920-1507 | 2016-05-12 |
| 1659819084 | Total Access Vascular Access Services | Technician, Other | 4194 Royal Pine Dr, Colorado Springs, CO 80920-1507 | 2017-02-06 |
| 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 | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013860 | Pueblo Radiological Group, P.C. | Radiology | 245 Balmoral Way, Colorado Springs, CO 80906-7907 | 2020-11-06 |
| 1548861529 | Pueblo Radiological Group, P.C. | Radiology | 1804 Oakmoor Hts, Colorado Springs, CO 80906-1171 | 2020-11-05 |
| 1376153965 | Colorado Springs Radiologists PC | Radiology | 5607 Barnes Rd # 140, Colorado Springs, CO 80917-1347 | 2020-08-07 |
| 1447662325 | Lee Holder | Radiology | 6095 Grand Mesa Dr, Colorado Springs, CO 80923-3484 | 2014-05-27 |
| 1215270004 | Craig Thomas Mcmullen | Radiology | 1924 N Tejon St, Colorado Springs, CO 80907-6919 | 2013-04-01 |
| 1871853416 | Jamie A. Aminsharifi | Radiology | 18 W Buena Ventura St, Colorado Springs, CO 80907 | 2012-05-16 |
| 1689944290 | Richard Bard Mcmullen | Radiology | 405 Southfield Rd, Colorado Springs, CO 80919-3217 | 2012-01-12 |
| 1154690840 | Robert Warr | Radiology | 1160 Dancing Horse Dr, Colorado Springs, CO 80919-3908 | 2011-12-26 |
| 1841463452 | Gavin W. Arnett | Radiology | 1885 Mud Hen Dr, Colorado Springs, CO 80921-2094 | 2008-04-04 |
| 1770620106 | Jason Thomas Scism | Radiology | 1545 Napoli Way, Colorado Springs, CO 80906-5793 | 2007-02-01 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80920 |
Please comment or provide details below to improve the information on PUEBLO RADIOLOGICAL GROUP, P.C..
| 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.