Memorial Health System

Primary specialty

Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X

Legal business name

MEMORIAL HEALTH SYSTEM

Doing business as

Memorial Physician Network - Maternal Fetal Medicine

Practice address

1400 E Boulder St
Colorado Springs, CO 80909-5533

Phone

(719) 365-9951

NPI assigned

May 10, 2010

Last updated

Jun 18, 2010By the provider in NPPES

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 - Maternal Fetal Medicine Doing business as

Part of

Memorial Hospital

Locations

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

  dba Memorial Hospital Phys Group

  • 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": "1273449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276819200000",
    "number": "1043538432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 E BOULDER ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809095533",
            "telephone_number": "719-365-9951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E BOULDER ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809095533",
            "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": "2010-05-10",
        "last_updated": "2010-06-18",
        "status": "A",
        "authorized_official_last_name": "YANTIS",
        "authorized_official_first_name": "MARY JO",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "719-365-9951"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Memorial Physician Network - Maternal Fetal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melton Counseling LLC
• Blake Melton
• Melu Transportation LLC
• Cassie Melvin, PTA
• Memorial Health System (Memorial Physician Network -Breast Surgery)
• Memorial Health System (Memorial Physician Network - Pediatric Subspecialty)
• Memorial Health System (Memorial Physician Network- Pediatric Orthopedics)
• Memorial Health System (Memorial Physician Network-Cardiothoracic Surgery)
• Memorial Health System (Memorial Physician Network- Hematology Oncology)
• Memorial Health System (Memorial Physician Network- Pediatirc Surgery)

• Maternal & Fetal Medicine Physician in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Maternal & Fetal Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.