EVENSTAR INTERNAL MEDICINE PC NPI 1396967097

NPI Information

  • NPI: 1396967097
  • Provider Name: EVENSTAR INTERNAL MEDICINE PC
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Organization
  • Address: 6165 LEHMAN DR STE 105
    COLORADO SPRINGS, CO
    ZIP 80918
  • Phone: (719) 528-6929

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NPI Details

EVENSTAR INTERNAL MEDICINE PC is an internal medicine in Colorado Springs, CO. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. EVENSTAR INTERNAL MEDICINE PC NPI is 1396967097. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6165 LEHMAN DR STE 105
COLORADO SPRINGS, CO
ZIP 80918-405
Phone: (719) 528-6929
Fax: (719) 528-6900

The provider's authorized official is Trudy G Wong .
The authorized official title is President and has the following contact phone number (719) 528-6929.

The enumeration date for this NPI number is 5/3/2007 and was last updated on 8/22/2020.

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 License Number License State Primary
1207R00000XInternal Medicine34645COLORADOYes

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
115874273MEDICAIDCOLORADO

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: 11/21/2025

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