MEDEVALS OF COLORADO, INC. (NPI# 1982102406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982102406 |
| Entity Type | Organization |
| Organization Name | MEDEVALS OF COLORADO, INC. |
| Practice Address |
1233 Lake Plaza Dr Ste B Colorado Springs CO 80906-3567 |
| Mailing Address |
536 Bluebird Canyon Dr Laguna Beach CA 92651-3307 |
| Practice Telephone | 9495102810 |
| Mailing Telephone | 9495102810 |
| Enumeration Date | 2018-01-30 |
| Last Update Date | 2018-01-30 |
| Authorized Official Name | STEVEN A NAHM (PRESIDENT) |
| Authorized Official Telephone | 9495102810 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | MedEvals of Colorado, Inc. | 1233 Lake Plaza, Suite B, Colorado Springs, CO 80906 |
| Washington State Corporations | MEDEVALS OF COLORADO, INC. | 536 Bluebird Canyon Dr, Laguna Beach, CA 92651-3307 |
| Street Address |
1233 LAKE PLAZA DR STE B |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80906-3567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124529045 | Theresa Mary Fraboni | Audiologist | 1233 Lake Plaza Dr Ste B, Colorado Springs, CO 80906-3567 | 2018-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437797339 | Michael Crise | Behavior Technician | 1330 Qual Lake Loop Ste 120, Colorado Springs, CO 80906 | 2019-12-11 |
| 1730720541 | Amanda Salinas | Massage Therapist | 1235 Lake Plaza Drive Suite 230, Colorado Springs, CO 80906 | 2019-10-02 |
| 1225511488 | Sheila Meggison | Massage Therapist | 1235 Lake Plaza Drive, Suite 230, Colorado Springs, CA 80906 | 2018-09-12 |
| 1316429756 | Vivus Counseling Services LLC | Counselor | 108 East Cheyenne Rd Suite 201, Colorado Springs, CO 80906 | 2018-09-01 |
| 1043796949 | Erin Lee Recinos | Nurse Practitioner | 225 E Cheyenne Mountain Blvd Ste 220, Colorado Springs, CO 80906 | 2018-07-13 |
| 1982103875 | Savannah Adeline Rentrop | Behavior Technician | 2989 Broadmoor Valley Rd D, Colorado Springs, CO 80906 | 2018-02-06 |
| 1205335288 | Ross Knowlton | Behavior Technician | 1330 Quail Lake Loop Suite 200, Colorado Springs, CO 80906 | 2018-02-06 |
| 1942709845 | Adrienne Bohlen | Behavior Technician | 1330 Quail Lake Loop, Ste. 200, Colorado Springs, CO 80906 | 2018-02-06 |
| 1881110088 | Christine Gonzales | Nurse Practitioner | 2739 E Las Vegas St, Colorado Springs, CO 80906 | 2017-08-18 |
| 1225568470 | Larry Alwine | Counselor | 2860 South Circle Drive, Unit 250k, Colorado Springs, CO 80906 | 2017-06-19 |
| Find all providers in zip 80906 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316569387 | Poudre Valley Medical Group, LLC | General Practice | 4050 Briargate Pkwy Fl 4, Colorado Springs, CO 80920-7815 | 2020-05-13 |
| 1215584321 | Belleview Spince and Wellnces Cos LLC | General Practice | 1257 Lake Plaza Dr Ste 105, Colorado Springs, CO 80906-7300 | 2019-08-22 |
| 1215499967 | Stanley Leon Rapaport | General Practice | 3920 E San Miguel St Apt 129, Colorado Springs, CO 80909-3416 | 2019-04-02 |
| 1972009637 | Optimal Therapy Billing | General Practice | 6547 N Academy Blvd Ste 1131, Colorado Springs, CO 80918-8342 | 2018-04-02 |
| 1710487939 | Imed Integration LLC | General Practice | 6190 Lehman Dr Ste 100b, Colorado Springs, CO 80918-3445 | 2018-02-14 |
| 1699164152 | Peak Performance Pt/md,llc | General Practice | 540 Mesa Vista Ct, Colorado Springs, CO 80904-2541 | 2015-01-21 |
| 1548668429 | Paul Baker Md PC | General Practice | 9703 Pinedale Dr, Colorado Springs, CO 80920-2443 | 2014-12-09 |
| 1235575457 | Barbara Meduna | General Practice | 14530 Silverton Rd, Colorado Springs, CO 80921-2944 | 2013-05-14 |
| 1184972598 | Courtney Crance | General Practice | 1715 N Weber St Ste 330, Colorado Springs, CO 80907-7554 | 2012-08-16 |
| 1669623120 | James Edward Edwards | General Practice | 2727 N Chelton Rd, Colorado Springs, CO 80909-1212 | 2008-10-02 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80906 |
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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.