PARKVIEW ANCILLARY SERVICES NPI 1144869371

NPI Information

NPI: 1144869371
Provider Name: PARKVIEW ANCILLARY SERVICES
Classification: Internal Medicine - 207RC0000X
Specialization: Cardiovascular Disease
Entity Type: Organization
Doing Business As: PARKVIEW MEDICAL GROUP
CLIA Number: 06D2039596
Address: 109 LATIGO LN STE E
CANON CITY, CO
ZIP 81212
Phone: (719) 595-7740

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NPI Details

PARKVIEW ANCILLARY SERVICES is a cardiovascular disease internal medicine in Canon City, CO. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. PARKVIEW ANCILLARY SERVICES NPI is 1144869371. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Parkview Medical Group.

The provider's business location address is:

109 LATIGO LN STE E
CANON CITY, CO
ZIP 81212-113
Phone: (719) 595-7740
Fax: (719) 595-7745

The provider's authorized official is Jana Conroy .
The authorized official title is Director Of Credentialing and has the following contact phone number (719) 595-7740.

The CLIA number assigned to this NPI record is 06D2039596 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/6/2020 and was last updated on 11/26/2024.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	Yes
2	207RC0200X	Internal Medicine	Critical Care Medicine	No
3	207RP1001X	Internal Medicine	Pulmonary Disease	No
4	207RS0012X	Internal Medicine	Sleep Medicine	No
5	2086S0129X	Surgery	Vascular Surgery	No
6	261QM2500X	Clinic/Center	Medical Specialty	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	26834774	MEDICAID	COLORADO

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: 3/30/2025

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