Active NPI
Paige L. Neifert, M.D.
- Dermatology Physician
- Colorado Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- DR0054452
- Practice address
- 2405 Research Pkwy
Colorado Springs, CO 80920-1044 - Phone
- (719) 228-0400
- Fax
- (719) 268-2827
- NPI assigned
- Oct 28, 2005
- Last updated
- Mar 1, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | A36171 | CA | |
| Dermatology Physician | 207N00000X | DR0054452 | CO | Primary |
Addresses
Primary practice location
2405 Research Pkwy
Colorado Springs, CO 80920-1044
Mailing address
2 South Cascade Avenue
Suite 140
Colorado Springs, CO 80903-1604
Phone (719) 538-2900
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A36171 | CA | MD | Dermatology Physician |
| DR0054452 | CO | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optumcare Colorado Medical Group LLC | Current | Accepting new patients | |
| Optumcare Colorado Medical Group LLC | Current | Accepting new patients |
Locations
1625 Medical Center Pt
Ste 290
Colorado Springs, CO 80907
Phone (719) 635-5148
1633 Medical Center Pt
Colorado Springs, CO 80907
Phone (719) 636-2999
2 S Cascade Ave
Ste 140
Colorado Springs, CO 80903
Phone (719) 538-2900
2405 Research Pkwy
Colorado Springs, CO 80920
Phone (719) 268-2800
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Optum Colorado Springs
- General Practice Physician
- Colorado Springs, CO
- NPI 1407252828
-
dba Colorado Center for Arthritis & Osteoporosis
- Rheumatology Physician
- Boulder, CO
- NPI 1922893478
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583020800000",
"number": "1255322319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 SOUTH CASCADE AVENUE",
"address_2": "SUITE 140",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809031604",
"telephone_number": "719-538-2900",
"fax_number": "719-538-2961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2405 RESEARCH PKWY",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809201044",
"telephone_number": "719-228-0400",
"fax_number": "719-268-2827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEIFERT",
"first_name": "PAIGE",
"middle_name": "L.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-28",
"last_updated": "2020-03-01",
"certification_date": "2020-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CA",
"license": "A36171",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CO",
"license": "DR0054452",
"primary": true
}
],
"identifiers": [],
"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 Mar 1, 2020; 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.