Organization Active NPI

Springs Gastroenterology, PLLC

  • Gastroenterology Physician
  • Colorado Springs, CO
National Provider Identifier
1285783092
Registry record updated Apr 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
SPRINGS GASTROENTEROLOGY, PLLC
Practice address
160 W Fillmore St
Colorado Springs, CO 80907-6155
Phone
(719) 636-1299
Fax
(719) 636-9166
NPI assigned
Jan 10, 2007
Last updated
Apr 29, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2020

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

Authorized official

Name
James Hor
Title
Chief Operating Officer
Phone
(719) 761-8005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X CO Primary

Addresses

Primary practice location

160 W Fillmore St
Colorado Springs, CO 80907-6155

Mailing address

PO Box 15497
Colorado Springs, CO 80935-5497
Phone (719) 473-4030

Other identifiers 2

IdentifierTypeStateIssuer
SPB65018OtherCOBLUE SHIELD
68682794MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071003000321 CO Part B Supplier - Clinic/Group Practice 4284729484 Receives reassigned benefits from 1 practitioner
Practice locations: Colorado Springs, CO

National Provider Directory

National Provider Directory

Locations

160 W Fillmore St
Colorado Springs, CO 80907
Phone (719) 471-1101

2 S Cascade Ave
Colorado Springs, CO 80903
Phone (719) 463-5494

719 N Cascade Ave
Frnt
Colorado Springs, CO 80903
Phone (719) 433-7224

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588118400000",
    "number": "1285783092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15497",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809355497",
            "telephone_number": "719-473-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 W FILLMORE ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076155",
            "telephone_number": "719-636-1299",
            "fax_number": "719-636-9166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGS GASTROENTEROLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A",
        "authorized_official_last_name": "HOR",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "719-761-8005"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "SPB65018",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "68682794",
            "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 Apr 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.