Active NPI
Gerald A. Hamstra, D.O.
- Family Medicine Physician
- Colorado Springs, CO
National Provider Identifier
1124020417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 17495
- Practice address
- 4775 Jamestown Dr
Colorado Springs, CO 80918-2725 - Phone
- (719) 574-7849
- Fax
- (719) 574-3776
- NPI assigned
- Jun 1, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 17495 | CO | Primary |
Addresses
Primary practice location
4775 Jamestown Dr
Colorado Springs, CO 80918-2725
Mailing address
P.O. Box 25819
Colorado Springs, CO 80936-5819
Phone (719) 574-7849
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04007233 | Medicaid | CO | |
| 014042929 | Other | RAILROAD MEDICARE |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gerald a. Hamstra, D.O., P.C. | Family Medicine | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Colorado Springs, CO
- NPI 1821262841
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316390400000",
"number": "1124020417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 25819",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809365819",
"telephone_number": "719-574-7849",
"fax_number": "719-574-3776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4775 JAMESTOWN DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809182725",
"telephone_number": "719-574-7849",
"fax_number": "719-574-3776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMSTRA",
"first_name": "GERALD",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-01",
"last_updated": "2011-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "17495",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04007233",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "014042929",
"state": null
}
],
"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 Sep 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.