Active NPI
Electrophysiology Associates, P.C.
- Clinical Cardiac Electrophysiology Physician
- Colorado Springs, CO
National Provider Identifier
1366406936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- 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, 2009
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04010930 | Medicaid | CO |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Clinical Cardiac Electrophysiology Physician
- Richland, WA
- NPI 1902898661
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.