DR. GLENN MARK SHOPTAUGH (NPI# 1962465807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962465807 |
| Entity Type | Individual |
| Full Name | DR. GLENN MARK SHOPTAUGH |
| Credential | M.D. |
| Practice Address |
82 Raven Hills Ct Colorado Springs CO 80919-1316 |
| Practice Telephone | 7192014964 |
| Practice Fax Number | 7194478987 |
| Mailing Telephone | 7192014964 |
| Mailing Fax Number | 7194478987 |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
40437 | CO | Allopathic & Osteopathic Physicians |
| Street Address |
82 RAVEN HILLS CT |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80919-1316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275171373 | Joshua Swanson | Chiropractor | 7075 Lexington Dr, Colorado Springs, CO 80919 | 2019-12-19 |
| 1144878000 | Perseverance Counseling, LLC | Counselor | 6645 Delmonico Drive, Suite 103, Colorado Springs, CO 80919 | 2019-09-03 |
| 1184288763 | Natasha Lei Michelle Meszler | Speech-Language Pathologist | 1130 W Woodmen Rd Ntsoc Inc, Colorado Springs, CO 80919 | 2019-04-29 |
| 1396207452 | Bruna Maria Vancleave | Physical Therapist | 1130 West Woodmen Road, Colorado Springs, CO 80919 | 2019-04-05 |
| 1346709425 | Brier Van Valin | Occupational Therapist | 1130 W. Woodmen Rd, Co Springs, CO 80919 | 2019-03-18 |
| 1285116756 | Amanda N Evanson | Behavioral Analyst | 2706 Fieldstone Road, Colorado Springs, CO 80919 | 2018-08-31 |
| 1033606124 | Kristina Reck | Dentist | 3340 W Woodmen Rd, Colorado Springs, CO 80919 | 2018-04-16 |
| 1326556192 | Charles Jacob Cox | Behavior Technician | 2760 Fieldstone Road, Colorado Springs, CO 80919 | 2018-01-16 |
| 1306360342 | Jessica Kledzinski | Specialist/Technologist | 5516 Big Paw Heights, Colorado Springs, CO 80919 | 2017-08-01 |
| 1790209732 | Maryanne Fitzgerald | Specialist/Technologist | 5625 Big Paw Heights, Colorado Springs, CO 80919 | 2017-08-01 |
| Find all providers in zip 80919 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| 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) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679891832 | Tristan Poe Lindberg | Pediatrics | 6001 E Woodmen Road, Colorado Springs, CO 80923 | 2010-05-12 |
| 1669479705 | Kathleen Sue Bohanon | Pediatrics | 4090 Stonebridge Pt, Colorado Springs, CO 80904-4704 | 2005-07-05 |
| 1336754175 | Pediatrix Medical Group of Colorado, P.C. | Pediatrics | 4050 Briargate Pkwy, Colorado Springs, CO 80920-7815 | 2020-09-09 |
| 1558975284 | Pediatrix Medical Group of Colorado, P.C. | Pediatrics | 4090 Briargate Pkwy, Colorado Springs, CO 80920-7815 | 2020-09-01 |
| 1376699983 | Pastora Garcia-jones | Pediatrics | 1400 E Boulder St, Colorado Springs, CO 80909-5533 | 2007-01-26 |
| 1841357969 | Sheridan Childrens Healthcare Services of Colorado PC | Pediatrics | 6001 E Woodmen Rd, Colorado Springs, CO 80923-2601 | 2007-01-02 |
| 1548218373 | Mary Rachel Laird | Pediatrics | 1400 E Boulder St, #3593, Colorado Springs, CO 80909-5533 | 2006-05-04 |
| 1275595084 | Susan F. Townsend | Pediatrics | 1400 E Boulder St, Suite 3593, Colorado Springs, CO 80909-5533 | 2006-04-05 |
| 1629050380 | Robert C Kiley | Pediatrics | 1400 E Boulder St, Pediatrix Associates of Colorado Springs, Suite 3593, Colorado Springs, CO 80909-5533 | 2005-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487254215 | Sheridan Childrens Healthcare Services of Colorado PC | Pediatrics | 340 Peak Oned Drive, Frisco, CO 80443 | 2020-10-30 |
| 1770668402 | Bonita Carson | Pediatrics | 4191 S Colorado Blvd, Englewood, CO 80113-5039 | 2006-10-25 |
| 1518041953 | Karen Marie Zarlengo | Pediatrics | 1601 E 19th Ave Ste 5300, Denver, CO 80218-1229 | 2006-10-24 |
| 1497709646 | Pamela Jean Gewinner | Pediatrics | 1165 Pennsylvania St, Denver, CO 80203-2501 | 2006-05-20 |
| 1386600260 | Michael S Paranka | Pediatrics | 1601 E. 19th Street, Suite 5300, Denver, CO 80218 | 2006-04-21 |
| 1942263173 | David Arnold Belenky | Pediatrics | 1713 E Lake Dr, Centennial, CO 80121-2607 | 2006-04-10 |
| 1649870957 | Sheridan Childrens Healthcare Services of Colorado PC | Pediatrics | 14300 Orchard Pkwy, Westminster, CO 80023-9206 | 2020-10-27 |
| 1841890159 | Sheridan Childrens Healthcare Services of Colorado PC | Pediatrics | 1950 Mountain View Ave, Longmont, CO 80501-3129 | 2020-10-27 |
| 1114527520 | Sheridan Childrens Healthcare Services of Colorado PC | Pediatrics | 100 Health Park Dr, Louisville, CO 80027-9583 | 2020-10-27 |
| 1275133506 | Sheridan Childrens Healthcare Services of Colorado PC | Pediatrics | 1338 Phay Ave, Canon City, CO 81212-2311 | 2020-10-27 |
| Find all providers with the same taxonomy | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80919 |
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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.