Active NPI
Timothy J Cawlfield, MD, PLLC
- Family Medicine Physician
- Pueblo, CO
National Provider Identifier
1124336169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 44041
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35076852 | Medicaid | CO | |
| DR4619 | Other | CO | RAIL ROAD MEDICARE |
National Provider Directory
National Provider DirectoryLocations
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.