Organization Active NPI

Colorado Springs Allergy & Asthma Clinic, PC

  • Allergy & Immunology Physician
  • Colorado Springs, CO
National Provider Identifier
1184731721
Registry record updated Oct 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
Legal business name
COLORADO SPRINGS ALLERGY & ASTHMA CLINIC, PC
Practice address
3425 Austin Bluffs Pkwy
Suite 205
Colorado Springs, CO 80918-5701
Phone
(719) 592-1365
Fax
(719) 592-1370
NPI assigned
Aug 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2007

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

Authorized official

Name
Martha Harrell
Title
Office Manager
Phone
(719) 592-1582

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X Primary

Addresses

Primary practice location

3425 Austin Bluffs Pkwy
Suite 205
Colorado Springs, CO 80918-5701

Mailing address

3425 Austin Bluffs Pkwy
Suite 205
Colorado Springs, CO 80918-5701
Phone (719) 592-1365

Other identifiers 1

IdentifierTypeStateIssuer
04010765MedicaidCO

National Provider Directory

National Provider Directory

Locations

3425 Austin Bluffs Pkwy
Ste 205
Colorado Springs, CO 80918
Phone (719) 592-1365

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191542400000",
    "number": "1184731721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3425 AUSTIN BLUFFS PKWY",
            "address_2": "SUITE 205",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809185701",
            "telephone_number": "719-592-1365",
            "fax_number": "719-592-1370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3425 AUSTIN BLUFFS PKWY",
            "address_2": "SUITE 205",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809185701",
            "telephone_number": "719-592-1365",
            "fax_number": "719-592-1370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO SPRINGS ALLERGY & ASTHMA CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2007-10-05",
        "status": "A",
        "authorized_official_last_name": "HARRELL",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "719-592-1582"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04010765",
            "state": "CO"
        }
    ],
    "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 Oct 5, 2007; 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.