Steven Quakenbush, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

22 Issued in CO

Practice address

3245 E Hwy 50
Suite E
Canon City, CO 81212-9342

Phone

(719) 285-2888

Fax

(719) 285-2889

NPI assigned

May 14, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Catholic Health Initiatives Colorado

  dba Ctsa Cardiac Thor Surg

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Colorado Springs, CO
  • NPI 1356783351
  Medicare reassignment
• Catholic Health Initiatives Colorado

  dba Sah Behavioral Health

  • Psychiatry Physician
  • Lakewood, CO
  • NPI 1679188619
  NPD
• Catholic Health Initiatives Colorado

  dba CommonSpirit Orthopedics Longmont

  • Orthopaedic Surgery Physician
  • Longmont, CO
  • NPI 1891675294
  NPD
• Catholic Health Initiatives Colorado

  dba NSSH Neurosurg Sah

  • Neurological Surgery Physician
  • Lakewood, CO
  • NPI 1205846664
  NPD (past)

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380758400000",
    "number": "1235306788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3245 E HWY 50",
            "address_2": "SUITE E",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812129342",
            "telephone_number": "719-285-2888",
            "fax_number": "719-285-2889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3245 E HWY 50",
            "address_2": "SUITE E",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812129342",
            "telephone_number": "719-285-2888",
            "fax_number": "719-285-2889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUAKENBUSH",
        "first_name": "STEVEN",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-14",
        "last_updated": "2013-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "22",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Marie Pridemore, PTA
• Pueblo Radiological Group, P.C.
• Pueblo Radiological Group, P.C.
• Pueblo Radiological Group, P.C.
• Gerald Roman Putzer, CRNA
• Qualicenters Pueblo, LLC (Fresenius Medical Care Canon City Dialysis)
• Margaret Anne Rabel, DMD
• Tracey Rafuse, FNP-C
• Ryan S Rahman, M.D.
• Marc-Andre Rameau

• Medical Physician Assistant in Canon City, CO
• Providers in Canon City, CO by specialty
• Medical Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.