Memorial Health System

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

MEMORIAL HEALTH SYSTEM

Practice address

4110 Briargate Pkwy
Suite 465
Colorado Springs, CO 80920-7835

Phone

(719) 365-9951

NPI assigned

May 6, 2010

Organization subpart

Yes

Parent organization

MEMORIAL HEALTH SYSTEMAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mary Jo Yantis

Title

Vice President

Phone

(719) 365-9951

Specialties & licenses 1

Addresses

Other names 1

• Memorial Physician Network -Breast Surgery Doing business as

Part of

Memorial Health System

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/d14690d6-3018-4bc8-945e-f3e2f9884f7f/

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Memorial Health System

  • General Acute Care Hospital
  • Colorado Springs, CO
  • NPI 1568668754
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1273104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276646400000",
    "number": "1003134644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 BRIARGATE PKWY",
            "address_2": "SUITE 465",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809207835",
            "telephone_number": "719-365-9951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 BRIARGATE PKWY",
            "address_2": "SUITE 465",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809207835",
            "telephone_number": "719-365-9951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL HEALTH SYSTEM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEMORIAL HEALTH SYSTEM",
        "enumeration_date": "2010-05-06",
        "last_updated": "2010-06-16",
        "status": "A",
        "authorized_official_last_name": "YANTIS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "719-365-9951"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Memorial Physician Network -Breast Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Megan Meloon
• Melton Counseling LLC
• Blake Melton
• Melu Transportation LLC
• Cassie Melvin, PTA
• Memorial Health System
• Memorial Health System
• Memorial Health System
• Memorial Health System
• Memorial Health System

• Specialist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Specialist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.