Provider Type Icon

VANGUARD MEDICAL SPECIALISTS LLC NPI 1639799257


NPI Information

NPI: 1639799257
Provider Name: VANGUARD MEDICAL SPECIALISTS LLC
Classification: Dermatology - 207N00000X
Entity Type: Organization
Address:
5700 N ELIZABETH ST
PUEBLO, CO
ZIP 81008
Phone: (719) 355-1585
Get Directions

VANGUARD MEDICAL SPECIALISTS LLC is a dermatology in Pueblo, CO. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. VANGUARD MEDICAL SPECIALISTS LLC NPI is 1639799257. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5700 N ELIZABETH ST
PUEBLO, CO
ZIP 81008-166
Phone: (719) 355-1585

The provider's authorized official is Amber Gust-allen .
The authorized official title is Revenue Cycle Manager and has the following contact phone number (719) 465-5643.

The enumeration date for this NPI number is 4/23/2020 and was last updated on 4/1/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207N00000XDermatologyYes
2207ND0101XDermatologyMOHS-Micrographic SurgeryNo
3207ND0900XDermatologyDermatopathologyNo
4207NP0225XDermatologyPediatric DermatologyNo
5207NS0135XDermatologyProcedural DermatologyNo
6207YS0123XOtolaryngologyFacial Plastic SurgeryNo
7207YX0007XOtolaryngologyPlastic Surgery within the Head & NeckNo
8207YX0905XOtolaryngologyOtolaryngology/Facial Plastic SurgeryNo
9208200000XPlastic SurgeryNo
102082S0099XPlastic SurgeryPlastic Surgery Within the Head and NeckNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.