Organization Active NPI

Rockrimmon Integrated Medical, LLC

  • General Practice Physician
  • Colorado Springs, CO
National Provider Identifier
1316464977
Registry record updated Aug 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
ROCKRIMMON INTEGRATED MEDICAL, LLC
Practice address
425 W Rockrimmon Blvd
Colorado Springs, CO 80919-1774
Phone
(719) 593-1969
NPI assigned
Aug 24, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2017

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

Authorized official

Name
Ben Sabo
Title
Manager
Phone
(719) 593-1969

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

425 W Rockrimmon Blvd
Colorado Springs, CO 80919-1774

Mailing address

425 W Rockrimmon Blvd
Colorado Springs, CO 80919-1774

National Provider Directory

National Provider Directory

Locations

425 W Rockrimmon Blvd
Colorado Springs, CO 80919
Phone (719) 593-1969

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": "1503532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503532800000",
    "number": "1316464977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 W ROCKRIMMON BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809191774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 W ROCKRIMMON BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809191774",
            "telephone_number": "719-593-1969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKRIMMON INTEGRATED MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-24",
        "last_updated": "2017-08-24",
        "status": "A",
        "authorized_official_last_name": "SABO",
        "authorized_official_first_name": "BEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "719-593-1969"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "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 Aug 24, 2017; 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.