Sangre de Cristo Internal Medicine Associates

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

43850 Issued in CO

Legal business name

SANGRE DE CRISTO INTERNAL MEDICINE ASSOCIATES

Practice address

1600 N Grand Ave
Pueblo, CO 81003-2757

Phone

(719) 542-3100

NPI assigned

Nov 18, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Douglas Floyd Duffee, M.D.

Title

President/Physician

Phone

(719) 542-3100

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104808690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 N GRAND AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810032757",
            "telephone_number": "719-542-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 N GRAND AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810032757",
            "telephone_number": "719-542-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANGRE DE CRISTO INTERNAL MEDICINE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DUFFEE",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "FLOYD",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "719-542-3100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "43850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Nicole Sandstrom, MA, CAC-II
• Tyleen Irene Sandstrom, BSW
• Sangre de Cristo Community Care Joni Fair Hospice House
• Sangre de Cristo Hospice & Palliative Care
• Sangre de Cristo Hospice & Palliative Care
• Sangre de Cristo Surgical Associates, PC
• Shauna Sankey
• Jessica Santangelo, LPC
• Reah Santangelo
• Nanette Sarper, R.D.

• All providers in Pueblo, CO
• Internal Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.