Erin C Prenger, D.O.

Primary specialty

Neuroradiology PhysicianTaxonomy code 2085N0700X

License

3484 Issued in AZ

Practice address

10700 E. Geddes Ave Suite 200
Attn Credentialing
Englewood, CO 80112

Phone

(303) 761-9190

Fax

(303) 761-6278

NPI assigned

Feb 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Medical Imaging of Colorado Radiology Imaging Assc PC Etal PT

  • Diagnostic Radiology Physician
  • Englewood, CO
  • NPI 1336188234
  NPD (past)
• Radiology Imaging Associates, PC

  • Diagnostic Radiology Physician
  • Englewood, CO
  • NPI 1679513196
  NPD (past)
• Radiology Imaging of Nebraska, LLC

  • Diagnostic Radiology Physician
  • Scottsbluff, NE
  • NPI 1184869901
  NPD (past)
• Simonmed Imaging, Incorporated

  • Diagnostic Radiology Physician
  • Scottsdale, AZ
  • NPI 1164460077
  NPD (past)

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

{
    "created_epoch": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285718400000",
    "number": "1407821960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10700 E. GEDDES AVE SUITE 200",
            "address_2": "ATTN CREDENTIALING",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "80112",
            "telephone_number": "303-761-9190",
            "fax_number": "303-761-6278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 E. GEDDES AVE SUITE 200",
            "address_2": "ATTN CREDENTIALING",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "80112",
            "telephone_number": "303-761-9190",
            "fax_number": "303-761-6278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRENGER",
        "first_name": "ERIN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-20",
        "last_updated": "2010-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "AZ",
            "license": "3484",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "3484",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "32827",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "84059792913",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET OF AZ",
            "identifier": "1Z7046",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01328277",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "84089712600",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSAZ",
            "identifier": "AZ0861410",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL MEDICAID",
            "identifier": "XPY193671",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "481846",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Prana Internal Medicine PLLC
• Praxair Healthcare Services, Inc
• Michael T. Preece, MD
• Premier Mobile Imaging, Inc.
• Connor Prendergast
• Scott Press, MD
• Maureen Preston, NURSE PRACTITIONER
• Linda Corrine Pretekin, PT
• Ina I Price, C.M.T.
• Jerry G Price, MD

• Neuroradiology Physician in Englewood, CO
• Providers in Englewood, CO by specialty
• Neuroradiology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2010; 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.