Organization Active NPI

Elizabeth Piantanida MD PC

  • Specialist
  • Colorado Springs, CO
National Provider Identifier
1457792616
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
46621 Issued in CO
Legal business name
ELIZABETH PIANTANIDA MD PC
Practice address
640 Southpointe Court
Suite 110
Colorado Springs, CO 80906-3855
Phone
(719) 228-9488
Fax
(719) 424-4858
NPI assigned
Jul 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2021

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

Authorized official

Name
Janice McFadden
Title
Practice Manager
Phone
(719) 228-4403

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 46621 CO Primary

Addresses

Primary practice location

640 Southpointe Court
Suite 110
Colorado Springs, CO 80906-3855

Mailing address

640 Southpointe Court
Suite 110
Colorado Springs, CO 80906-3855
Phone (719) 228-9488

Other names 1

  • Skin MD Dermatology and Skin Enhancement Center Doing business as

National Provider Directory

National Provider Directory

Locations

3245 International Cir
Ste 202
Colorado Springs, CO 80910
Phone (719) 228-9488

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1373932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640649600000",
    "number": "1457792616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 SOUTHPOINTE COURT",
            "address_2": "SUITE 110",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809063855",
            "telephone_number": "719-228-9488",
            "fax_number": "719-424-4858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 SOUTHPOINTE COURT",
            "address_2": "SUITE 110",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809063855",
            "telephone_number": "719-228-9488",
            "fax_number": "719-424-4858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH PIANTANIDA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-16",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A",
        "authorized_official_last_name": "MCFADDEN",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "719-228-4403"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CO",
            "license": "46621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skin MD Dermatology and Skin Enhancement Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Skin MD Dermatology and Skin Enhancement Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 28, 2021; 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.