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A GLENN SHOPTAUGH MD PC NPI 1285877183


NPI Information

NPI: 1285877183
Provider Name: A GLENN SHOPTAUGH MD PC

Doing Business As: KIDS ARE GREAT PEDIATRICS

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 06D1019328

Address:
1715 N WEBER ST
SUITE 120
COLORADO SPRINGS, CO
ZIP 80907
Phone: (719) 577-4200
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A GLENN SHOPTAUGH MD PC is a pediatrics in Colorado Springs, CO. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. A GLENN SHOPTAUGH MD PC NPI is 1285877183. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Kids Are Great Pediatrics.

The provider's business location address is:

1715 N WEBER ST
SUITE 120
COLORADO SPRINGS, CO
ZIP 80907-532
Phone: (719) 577-4200
Fax: (719) 442-6595

The provider's authorized official is Albert Glenn Shoptaugh .
The authorized official title is President and has the following contact phone number (719) 577-4200.

The CLIA number assigned to this NPI record is 06D1019328 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/8/2009 and was last updated on 4/8/2009.


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
1208000000XPediatrics14141COLORADOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
101141415MEDICAIDCOLORADO

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: 11/14/2023

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