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PARKVIEW ANCILLARY SERVICES NPI 1972145951


NPI Information

NPI: 1972145951
Provider Name: PARKVIEW ANCILLARY SERVICES

Doing Business As: PARKVIEW MEDICAL GROUP PAIN MANAGEMENT

Classification: Anesthesiology - 207LP2900X
Entity Type: Organization

Specialization: Pain Medicine

CLIA Number: 06D2145979

Address:
1600 N. GRAND AVE.
STE. 520
PUEBLO, CO
ZIP 81003
Phone: (719) 562-2360
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PARKVIEW ANCILLARY SERVICES is a pain medicine anesthesiology in Pueblo, CO. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. PARKVIEW ANCILLARY SERVICES NPI is 1972145951. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Parkview Medical Group Pain Management.

The provider's business location address is:

1600 N. GRAND AVE.
STE. 520
PUEBLO, CO
ZIP 81003-757
Phone: (719) 562-2360
Fax: (719) 562-2399

The provider's authorized official is Darrin R Smith .
The authorized official title is Sr Vp/coo and has the following contact phone number (719) 584-4290.

The CLIA number assigned to this NPI record is 06D2145979 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/11/2019 and was last updated on 2/4/2022.


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
1207LP2900XAnesthesiologyPain MedicineYes

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
19000158473MEDICAIDCOLORADO

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

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