Organization Active NPI

Electrophysiology Associates, P.C.

  • Clinical Cardiac Electrophysiology Physician
  • Colorado Springs, CO
National Provider Identifier
1366406936
Registry record updated May 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
Legal business name
ELECTROPHYSIOLOGY ASSOCIATES, P.C.
Practice address
215 Parkside Dr
Suite 100
Colorado Springs, CO 80910-3131
Phone
(719) 471-9942
Fax
(719) 471-3051
NPI assigned
Apr 12, 2006
Last updated
May 29, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2009

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

Authorized official

Name
Mary Allison Forcinito
Title
Assistant Office Manager
Phone
(719) 471-9942

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X CO Primary

Addresses

Primary practice location

215 Parkside Dr
Suite 100
Colorado Springs, CO 80910-3131

Mailing address

215 Parkside Dr
Suite 100
Colorado Springs, CO 80910-3131
Phone (719) 471-9942

Other identifiers 1

IdentifierTypeStateIssuer
04010930MedicaidCO

National Provider Directory

National Provider Directory

Locations

265 S Parkside Dr
Ste 110
Colorado Springs, CO 80910
Phone (719) 358-5377

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243555200000",
    "number": "1366406936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 PARKSIDE DR",
            "address_2": "SUITE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809103131",
            "telephone_number": "719-471-9942",
            "fax_number": "719-471-3051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 PARKSIDE DR",
            "address_2": "SUITE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809103131",
            "telephone_number": "719-471-9942",
            "fax_number": "719-471-3051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELECTROPHYSIOLOGY ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-12",
        "last_updated": "2009-05-29",
        "status": "A",
        "authorized_official_last_name": "FORCINITO",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ALLISON",
        "authorized_official_title_or_position": "ASSISTANT OFFICE MANAGER",
        "authorized_official_telephone_number": "719-471-9942"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04010930",
            "state": "CO"
        }
    ],
    "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 May 29, 2009; 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.