DR. THOMAS HIGGINBOTHAM (NPI# 1962502567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962502567 |
| Entity Type | Individual |
| Full Name | DR. THOMAS HIGGINBOTHAM |
| Practice Address |
1430 S 21st St Ste 101 Colorado Springs CO 80904-4225 |
| Practice Telephone | 7192608190 |
| Practice Fax Number | 7192606086 |
| Mailing Telephone | 7192608190 |
| Mailing Fax Number | 7192606086 |
| Enumeration Date | 2006-09-24 |
| Last Update Date | 2007-11-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
27563 | CO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376618108 | Thomas Jessie Higginbotham | Chiropractor | 201 Veterans Dr Ste 106, Scottsboro, AL 35768-2167 | 2006-11-20 |
| 1861944084 | Thomas Higginbotham | Physician Assistant | 1 Blachley Rd, Stamford, CT 06902-0002 | 2016-11-04 |
| 1588673800 | Thomas O Higginbotham | Orthopaedic Surgery | 1300 N 500 E, #130, Logan, UT 84341-2408 | 2006-08-05 |
| Street Address |
1430 S 21ST ST STE 101 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80904-4225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275915142 | Bear Creek Dental | Dentist | 1430 S 21st St, Suite 200, Colorado Springs, CO 80904-4225 | 2015-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669084133 | Tclllc | Behavioral Analyst | 2822 W Cucharras Street, Colorado Springs, CO 80904 | 2020-08-17 |
| 1770131971 | Jill Case Brown | Technician | 3002 W. Kiowa St., Colorado Springs, CO 80904 | 2019-08-30 |
| 1457888232 | Marcia W. Soule Dobson | Counselor | 3510 Temple Drive, Colorado Springs, CO 80904 | 2017-05-11 |
| 1184163610 | Home Healthcare Staffing Solutions Inc | Home Health | 3117 Chambers Way, Colorado Springs, CO 80904 | 2017-02-16 |
| 1104242700 | Optumcare Colorado Springs, LLC | Non-Pharmacy Dispensing Site | 600 S 21st Street, Ste 100, Colorado Springs, CO 80904 | 2014-03-07 |
| 1639595382 | Jessyca Sonia Sterner | Counselor | 2514 Colorado Ave, Suite 200, Colorado Springs, CO 80904 | 2014-03-05 |
| 1508291956 | Diane Chisesi | Anesthesiology | 2517 B. King Street, Colorado Springs, CO 80904 | 2013-09-04 |
| 1124363635 | Piotr Bieniek | Physical Therapy Assistant | 1133 Adams Dr, Colorado Springs, CO 80904 | 2012-12-10 |
| 1235480526 | Barry G. Zile | Physical Therapy Assistant | 1685 S. 21st Street, Colorado Springs, CO 80904 | 2012-09-26 |
| 1326397076 | Christie Sheffer | Midwife | 2524 W. Colorado Avenue, Suite 209, Colorado Springs, CO 80904 | 2012-09-09 |
| Find all providers in zip 80904 | ||||
| Taxonomy Code | 2083P0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Preventive Medicine/Occupational Environmental Medicine |
| A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194172551 | Alfred Sellers | Preventive Medicine | 1105 Garlock Ln, Colorado Springs, CO 80918-3117 | 2016-05-16 |
| 1174845598 | George Emmanuel Schwender | Preventive Medicine | 3030 N Cascade Ave, Suite 210, Colorado Springs, CO 80909 | 2010-02-26 |
| 1881712461 | Delos Dwayne Carrier | Preventive Medicine | 30 S Nevada Ave, Suite 605, Colorado Springs, CO 80903-1802 | 2007-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336750942 | Healthstat Inc Reo | Preventive Medicine | 5505 Airport Blvd, Boulder, CO 80301-2316 | 2020-08-17 |
| 1205464757 | Healthstat Onsite Hss | Preventive Medicine | 990 S Broadway Ste 100, Denver, CO 80209-4084 | 2020-03-31 |
| 1356866511 | John Taylor Morrison | Preventive Medicine | 1065 S High St, Denver, CO 80209-4552 | 2017-08-09 |
| 1629417373 | Healthstat On-site Clinic/city of Loveland | Preventive Medicine | 1632 Topaz Ln, Loveland, CO 80537 | 2013-06-17 |
| 1376893966 | Healthstat- Steamboat Springs School District | Preventive Medicine | 325 7th St., Steamboat Springs, CO 80487 | 2012-09-12 |
| 1679800494 | Alisa Koval | Preventive Medicine | 1400 Jackson St., Denver, CO 80206 | 2009-11-16 |
| 1699924415 | James Philip Kornberg | Preventive Medicine | 12665 Highway 62, Ridgway, CO 81432 | 2008-09-17 |
| 1215105093 | Anthony Suruda | Preventive Medicine | 969 Reese Street, Silverton, CO 81433-0850 | 2008-02-14 |
| 1952422446 | Mark Norman Frank | Preventive Medicine | 3820 Barr Ct, Boulder, CO 80305-6503 | 2007-04-02 |
| 1881733285 | Susan J Fox | Preventive Medicine | 10065 E Harvard Ave Ste 250, Denver, CO 80231-5968 | 2007-02-05 |
| Find all providers with the same taxonomy | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80904 |
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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.