Physical, Rehabilitative and Occupational Medicine Center LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

30495 Issued in CO

Legal business name

PHYSICAL, REHABILITATIVE AND OCCUPATIONAL MEDICINE CENTER LLC

Doing business as

PRO Medicine LLC

Practice address

511 W 29TH St
Suite B
Pueblo, CO 81008-1128

Phone

(719) 545-7802

Fax

(719) 545-7804

NPI assigned

Mar 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Dwight Keith Caughfield, MD

Title

Owner

Phone

(719) 545-7802

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PRO Medicine LLC Doing business as

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407980675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 W 29TH ST",
            "address_2": "SUITE B",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810081128",
            "telephone_number": "719-545-7802",
            "fax_number": "719-545-7804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 W 29TH ST",
            "address_2": "SUITE B",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810081128",
            "telephone_number": "719-545-7802",
            "fax_number": "719-545-7804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL, REHABILITATIVE AND OCCUPATIONAL MEDICINE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CAUGHFIELD",
        "authorized_official_first_name": "DWIGHT",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-545-7802",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CO",
            "license": "30495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01304955",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRO Medicine LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristie Phillips
• Marisa K Phillips, NP
• Misty Marie Phillips, RN
• Greg Allen Philson, DDS
• Physical Therapy Connections, PC
• Physician Anesthesia of Pueblo, PC
• Physician's Choice Medical, LLC
• Jo Piano
• Taryn Pickerel, RN
• Lauren Pigott

• Specialist in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Specialist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.