PARKVIEW ANCILLARY SERVICES (NPI# 1992347256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992347256 |
| Entity Type | Organization |
| Organization Name | PARKVIEW ANCILLARY SERVICES |
| Other Organization Name | ASSOCIATES IN WOMEN'S HEALTH CARE |
| Practice Address |
4010 Jerry Murphy Road Pueblo CO 81001-1045 |
| Mailing Address |
408 N Main St Pueblo CO 81003-3123 |
| Practice Telephone | 7195640660 |
| Practice Fax Number | 7195640037 |
| Mailing Telephone | 7195957417 |
| Mailing Fax Number | 7195420809 |
| Enumeration Date | 2019-10-08 |
| Last Update Date | 2020-06-26 |
| Authorized Official Name | DARRIN R SMITH (SR VP/COO) |
| Authorized Official Telephone | 7195844290 |
| Is Organization Subpart | Y |
| Parent Organization Name | PARKVIEW ANCILLARY SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 9000163674 | 05 |
| Other Name | Type Code |
|---|---|
| Associates in Women's Health Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144869371 | Parkview Ancillary Services | Internal Medicine | 109 Latigo Ln Ste E, Canon City, CO 81212-8113 | 2020-01-06 |
| 1790329035 | Parkview Ancillary Services | Psychiatry & Neurology | 1619 N. Greenwood St., Ste. 402, Pueblo, CO 81003-2658 | 2019-10-30 |
| 1346883097 | Parkview Ancillary Services | Nurse Practitioner | 1600 N Grand Ave Ste 210, Pueblo, CO 81003-2749 | 2019-10-25 |
| 1609419738 | Parkview Ancillary Services | Anesthesiology | 330 West 14th Street, Pueblo, CO 81003-2705 | 2019-10-22 |
| 1548802747 | Parkview Ancillary Services | Obstetrics & Gynecology | 1501 Court, Pueblo, CO 81003-2720 | 2019-10-09 |
| 1346882602 | Parkview Ancillary Services | Psychiatry & Neurology | 56 Club Manor Dr Ste 100, Pueblo, CO 81008-1685 | 2019-10-08 |
| 1790335909 | Parkview Ancillary Services | Specialist | 4100 Jerry Murphy, Pueblo, CO 81001-1046 | 2019-09-19 |
| 1164048062 | Parkview Ancillary Services | Family Medicine | 1600 N. Grand Ave., Ste. 230, Pueblo, CO 81003-2731 | 2020-06-17 |
| 1902436256 | Parkview Ancillary Services | Urology | 4100 Jerry Murphy, Pueblo, CO 81001-1046 | 2020-01-24 |
| 1215567383 | Parkview Ancillary Services | Internal Medicine | 3670 Parker Blvd., Ste. 101, Pueblo, CO 81008-2285 | 2020-01-17 |
| Street Address |
4010 JERRY MURPHY ROAD |
| City | PUEBLO |
| State | CO |
| Zip Code | 81001-1045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720015324 | Leslie Ginger Frederiksen | Obstetrics & Gynecology | 4010 Jerry Murphy Road, Pueblo, CO 81001-1045 | 2006-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588222863 | 1111 Bonforte Opco LLC | Respite Care | 855 Hunter Dr., Pueblo, CO 81001 | 2019-06-03 |
| 1992276026 | Andrew Benjamin Basham | Counselor | 1003 Rupple St Pueblo Co 81001, 606, Pueblo, CO 81001 | 2018-12-16 |
| 1316456981 | Amy R Leibli | Nurse Practitioner | 1080 Chinook Lane, Pueblo, CO 81001 | 2017-09-26 |
| 1457781262 | Ron Concialdi | Dentist | 2037 Jerry Murphy Rd., Pueblo, CO 81001 | 2013-11-14 |
| 1609146950 | Natasha Liette Mondragon | Registered Nurse | 1302 E. 5th, Pueblo, CO 81001 | 2012-01-04 |
| 1023303575 | Malinda Lee Davis | Registered Nurse | 1302 E 5th, Pueblo, CO 81001 | 2011-06-13 |
| 1679876429 | Michael Edward Leyba | Substance Abuse Rehabilitation Facility | 4 Montebello Rd., Pueblo, CO 81001 | 2010-12-17 |
| 1609008796 | Laura Ann Mcmahon | Nurse Practitioner | 4020 Jerry Murphy Rd/, Pueblo, CO 81001 | 2009-08-21 |
| 1730380882 | Corrine Stella Tafoya | Counselor | 44 Calhoun Rd, Pueblo, CO 81001 | 2007-05-29 |
| 1518171008 | George Henry Beck | Dentist | 1700 N Salem Ave, Suite A, Pueblo, CO 81001 | 2007-05-10 |
| Find all providers in zip 81001 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548802747 | Parkview Ancillary Services | Obstetrics & Gynecology | 1501 Court, Pueblo, CO 81003-2720 | 2019-10-09 |
| 1891714713 | James E Roukema | Obstetrics & Gynecology | 4010 Jerry Murphy Rd, Pueblo, CO 81001-1045 | 2006-07-19 |
| 1720015324 | Leslie Ginger Frederiksen | Obstetrics & Gynecology | 4010 Jerry Murphy Road, Pueblo, CO 81001-1045 | 2006-06-27 |
| 1033163415 | Jeffrey V Fowler Do Prof LLC | Obstetrics & Gynecology | 4728 Eagleridge Cir, Pueblo, CO 81008-2195 | 2006-05-20 |
| 1447245139 | Brett L Hulet | Obstetrics & Gynecology | 300 Colorado Ave, Pueblo, CO 81004 | 2005-09-19 |
| 1083609796 | Pueblo Assoc In Ob & Gyn PC | Obstetrics & Gynecology | 1120 Minnequa Ave, Pueblo, CO 81004-3734 | 2005-09-19 |
| 1295385987 | Catholic Health Initiatives Colorado | Obstetrics & Gynecology | 729 E Spaulding Ave, Pueblo, CO 81007-3512 | 2019-09-16 |
| 1366092389 | Parkview Ancillary Services | Obstetrics & Gynecology | 1600 N Grand Ave Ste 400, Pueblo, CO 81003-2760 | 2019-09-12 |
| 1376926725 | Kruti Shivlal Patel | Obstetrics & Gynecology | 1600 N Grand Ave Ste 400, Pueblo, CO 81003-2760 | 2015-07-02 |
| 1558744359 | Elliott Bradley Courter | Obstetrics & Gynecology | 902 Lakeview Ave, Pueblo, CO 81004-3597 | 2015-06-30 |
| Find all providers in PUEBLO | ||||
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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.