Catholic Health Initiatives Colorado

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CATHOLIC HEALTH INITIATIVES COLORADO

Doing business as

SFPB Sport Fam Med PB

Practice address

4112 Outlook Blvd Ste 303
Pueblo, CO 81008-1667

Phone

(719) 557-8600

Fax

(719) 557-8615

NPI assigned

Aug 13, 2020

Last updated

Jun 24, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Angela Jo Skinner

Title

Administrator Oma

Phone

(720) 667-7283

Specialties & licenses 1

Addresses

Other names 2

• SFPB SPORT FAM MED PB Doing business as
• CMG Rocky Mountain Sports & Family Medicine Pueblo Other name

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 6

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.

• Alison Hirsh, MD

  • Internal Medicine Physician
  • Westminster, CO
  • NPI 1992777247
  NPD
• Alexandra Eudokia Reiher, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Lakewood, CO
  • NPI 1700046018
  NPD
• Randall Wesley Steinmetz, NP

  • Family Nurse Practitioner
  • Pueblo, CO
  • NPI 1780484121
  NPD
• Rachel Lynn Yates, MD

  • Family Medicine Physician
  • Longmont, CO
  • NPI 1235310145
  NPD
• Haydar Al-Dabbagh

  • Internal Medicine Physician
  • Mechanicsville, VA
  • NPI 1720471824
  NPD
• Anthony E Sandoval, MD

  • Cardiovascular Disease Physician
  • Flagstaff, AZ
  • NPI 1811994429
  NPD

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

{
    "created_epoch": "1597276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1346851268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 800022",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641800022",
            "telephone_number": "800-953-0104",
            "fax_number": "303-765-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4112 OUTLOOK BLVD STE 303",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810081667",
            "telephone_number": "719-557-8600",
            "fax_number": "719-557-8615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC HEALTH INITIATIVES COLORADO",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-13",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A",
        "authorized_official_last_name": "SKINNER",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "ADMINISTRATOR OMA",
        "authorized_official_telephone_number": "720-667-7283",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SFPB SPORT FAM MED PB",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CMG Rocky Mountain Sports & Family Medicine Pueblo",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Catholic Health Initiatives Colorado (Rocky Mountain Sports and Family Medicine at Centura)
• Catholic Health Initiatives Colorado (WHMC WH SMC STM)
• Catholic Health Initiatives Colorado (St. Mary-Corwin Hospital)
• Catholic Health Initiatives Colorado (Centura Home Oxygen)
• Catholic Health Initiatives Colorado (GTMC Gastro SMC)
• Catholic Health Initiatives Colorado (Physical Therapy Pueblo)
• Catholic Health Initiatives Colorado (Urmc Urology Pueblo)
• Catholic Health Initiatives Colorado (HSMC Hospitalists SMC)
• Catholic Health Initiatives Colorado (CRSG Cardio Corwin)
• Catholic Health Initiatives Colorado (SMC Radiation Oncology)

• Family Medicine Physician in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.