Organization Active NPI

Timothy J Cawlfield, MD, PLLC

  • Family Medicine Physician
  • Pueblo, CO
National Provider Identifier
1124336169
Registry record updated Aug 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
44041 Issued in CO
Legal business name
TIMOTHY J CAWLFIELD, MD, PLLC
Practice address
41 Montebello Rd Ste 210
Pueblo, CO 81001-1379
Phone
(719) 543-9158
Fax
(719) 544-1958
NPI assigned
Sep 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2011

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

Authorized official

Name
Dr. Timothy Joseph Cawlfield, MD
Title
Owner/Provider
Phone
(719) 543-9158

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 44041 CO Primary

Addresses

Primary practice location

41 Montebello Rd Ste 210
Pueblo, CO 81001-1379

Mailing address

41 Montebello Rd Ste 210
Pueblo, CO 81001-1366
Phone (719) 543-9158

Other identifiers 2

IdentifierTypeStateIssuer
35076852MedicaidCO
DR4619OtherCORAIL ROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

41 Montebello Rd
Ste 210
Pueblo, CO 81001
Phone (719) 543-9158

NPI Registry JSON

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

{
    "created_epoch": "1285200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313625600000",
    "number": "1124336169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 MONTEBELLO RD STE 210",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810011366",
            "telephone_number": "719-543-9158",
            "fax_number": "719-544-1958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 MONTEBELLO RD STE 210",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810011379",
            "telephone_number": "719-543-9158",
            "fax_number": "719-544-1958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY J CAWLFIELD, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-23",
        "last_updated": "2011-08-18",
        "status": "A",
        "authorized_official_last_name": "CAWLFIELD",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "719-543-9158",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "44041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35076852",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD  MEDICARE",
            "identifier": "DR4619",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

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

Verify at the official NPI Registry.