Pueblo Chemical Agent-Destruction Pilot Plant

Primary specialty

Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X

Legal business name

PUEBLO CHEMICAL AGENT-DESTRUCTION PILOT PLANT

Practice address

45825 E State Highway 96
Pueblo, CO 81006-9330

Phone

(719) 549-5483

NPI assigned

May 18, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Paul Glenn Merchant Jr., MDNPI 1609896299

Title

Medical Director

Phone

(719) 549-5483

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Paul Glenn Merchant Jr., M.D.

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Pueblo, CO
  • NPI 1609896299
  NPD Authorized official
• Jose Luis Ramirez, PA-C

  • Physician Assistant
  • Pueblo, CO
  • NPI 1740347996
  NPD (past)

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

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652832000000",
    "number": "1356088595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45825 E STATE HIGHWAY 96",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810069330",
            "telephone_number": "719-549-5483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45825 E STATE HIGHWAY 96",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810069330",
            "telephone_number": "719-549-5483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUEBLO CHEMICAL AGENT-DESTRUCTION PILOT PLANT",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-18",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A",
        "authorized_official_last_name": "MERCHANT",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "GLENN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "719-549-5483",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pueblo Cardiology Assoc PC
• Pueblo Care and Rehab
• Pueblo Co Caregiving LLC (Cornerstone Caregiving)
• Pueblo Co Ophthalmology ASC LLC (Rocky Mountain Laser & Surgery Center)
• Pueblo Community College
• Pueblo Community Connections
• Pueblo Community Connections Inc II

• Occupational Medicine Clinic/Center in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Occupational Medicine Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; 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.