Active NPI
Sheldon J Ravin DO PC
- Family Medicine Physician
- Colorado Springs, CO
National Provider Identifier
1245459023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 18863
- Legal business name
- SHELDON J RAVIN DO PC
- Doing business as
- PRIMARY CARE ASSOCIATES
- Practice address
- 155 Printers Pkwy
Ste 250
Colorado Springs, CO 80910-6100 - Phone
- (719) 636-3783
- NPI assigned
- Apr 24, 2007
- 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. Sheldon J Ravin, D.O.
- Title
- Owner
- Phone
- (719) 636-3783
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 18863 | CO | Primary |
Addresses
Primary practice location
155 Printers Pkwy
Ste 250
Colorado Springs, CO 80910-6100
Mailing address
155 Printers Pkwy
Ste 250
Colorado Springs, CO 80910-6100
Phone (719) 636-3783
Other names 1
- PRIMARY CARE ASSOCIATES
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1215734400000",
"number": "1245459023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 PRINTERS PKWY",
"address_2": "STE 250",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809106100",
"telephone_number": "719-636-3783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 PRINTERS PKWY",
"address_2": "STE 250",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809106100",
"telephone_number": "719-636-3783"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHELDON J RAVIN DO PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-24",
"last_updated": "2008-07-11",
"status": "A",
"authorized_official_last_name": "RAVIN",
"authorized_official_first_name": "SHELDON",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "719-636-3783",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CO",
"license": "18863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "PRIMARY CARE ASSOCIATES",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jul 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.