NPIMap

Organization Active NPI

Gerald a. Cichocki, M.D., PC

Doing business as Trinidad Urology Center

  • Urology Physician
  • Trinidad, CO
National Provider Identifier
1306015664
Registry record updated Feb 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
43028 Issued in CO
Legal business name
GERALD A. CICHOCKI, M.D., PC
Doing business as
Trinidad Urology Center
Practice address
328 S Bonaventure Ave
Suite 4
Trinidad, CO 81082-2086
Phone
(719) 846-2388
Fax
(719) 846-7305
NPI assigned
Feb 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2008

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

Authorized official

Name
Dr. Gerald Anthony Cichocki, M.D.NPI 1093770471
Title
President
Phone
(719) 846-2388

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X 43028 CO Primary

Addresses

Primary practice location

328 S Bonaventure Ave
Suite 4
Trinidad, CO 81082-2086

Mailing address

PO Box 831
Trinidad, CO 81082-0831
Phone (719) 846-2388

Other identifiers 1

IdentifierTypeStateIssuer
97350818MedicaidCO

Other names 1

  • Trinidad Urology Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203465600000",
    "number": "1306015664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 831",
            "city": "TRINIDAD",
            "state": "CO",
            "postal_code": "810820831",
            "telephone_number": "719-846-2388",
            "fax_number": "719-846-7305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 S BONAVENTURE AVE",
            "address_2": "SUITE 4",
            "city": "TRINIDAD",
            "state": "CO",
            "postal_code": "810822086",
            "telephone_number": "719-846-2388",
            "fax_number": "719-846-7305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERALD A. CICHOCKI, M.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-20",
        "last_updated": "2008-02-20",
        "status": "A",
        "authorized_official_last_name": "CICHOCKI",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-846-2388",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "CO",
            "license": "43028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "97350818",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trinidad Urology Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Trinidad, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.

Verify at the official NPI Registry.