Active NPI
Chamisa Macindoe, D.O.
- Neurocritical Care Physician
- Colorado Springs, CO
National Provider Identifier
1104081637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurocritical Care Physician
- License
- DR.0051667
- Practice address
- 1725 E Boulder St Ste 101
Colorado Springs, CO 80909 - Phone
- (719) 365-6300
- Fax
- (719) 365-6094
- NPI assigned
- Jul 24, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | A-1568-10 | NM | |
| Emergency Medicine Physician | 207P00000X | OS014360 | PA | |
| Emergency Medicine Physician | 207P00000X | DR.0051667 | CO | |
| Neurocritical Care Physician | 2084A2900X | DR.0051667 | CO | Primary |
Addresses
Primary practice location
1725 E Boulder St Ste 101
Colorado Springs, CO 80909
Mailing address
1725 E Boulder St Ste 101
Colorado Springs, CO 80909-5740
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS014360 | PA | MD | Emergency Medicine Physician |
| DR.0051667 | CO | MD | Neurocritical Care Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535414400000",
"number": "1104081637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1725 E BOULDER ST STE 101",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809095740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1725 E BOULDER ST STE 101",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "80909",
"telephone_number": "719-365-6300",
"fax_number": "719-365-6094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACINDOE",
"first_name": "CHAMISA",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-24",
"last_updated": "2018-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NM",
"license": "A-1568-10",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PA",
"license": "OS014360",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CO",
"license": "DR.0051667",
"primary": false
},
{
"code": "2084A2900X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurocritical Care",
"state": "CO",
"license": "DR.0051667",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.