A Glenn Shoptaugh MD PC

Key facts

NPI

1285877183

Entity type

Organization (NPI type 2)

Primary specialty

Pediatrics Physician 208000000X

License

14141 (CO)

Legal business name

A GLENN SHOPTAUGH MD PC

Practice address

1715 N Weber St
Suite 120
Colorado Springs, CO 80907-7532

Phone

(719) 577-4200

Fax

(719) 442-6595

NPI assigned

Apr 8, 2009

Organization subpart

No

Authorized official

Name

Dr. Albert Glenn Shoptaugh, M.D.

Title

President

Phone

(719) 577-4200

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

• Kids Are Great Pediatrics Primary Care Clinic/Center · Colorado Springs, CO · NPI 1013465327
  NPD tax ID

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeanette Mason Bachmann, M.D. Pediatrics Physician · US Air Force, CO · NPI 1003258047
  NPD (past) PEDIATRICS
• Richard James Kouri, M.D. Pediatrics Physician · Colorado Springs, CO · NPI 1164419677
  NPD (past) PEDIATRICS
• Robert Edward Sayers, M.D. Developmental - Behavioral Pediatrics Physician · Colorado Springs, CO · NPI 1144261405
  NPD (past)

National Provider Directory

Tax ID family

A Glenn Shoptaugh MD PC (2 organizations share this tax ID)

Specialties & licenses

Addresses

Other identifiers

Other names

• Kids Are Great Pediatrics Doing business as

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All providers in Colorado Springs, CO · Pediatrics Physician in Colorado