Individual provider Active NPI

Christopher Y C Louie, M.D.

  • Urology Physician
  • Pueblo, CO
National Provider Identifier
1467435149
Registry record updated Dec 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
24504 Issued in CO
Practice address
1619 N Greenwood St
Suit #210
Pueblo, CO 81003-2656
Phone
(719) 542-5121
Fax
(719) 584-4736
NPI assigned
Nov 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 24504 CO Primary

Addresses

Primary practice location

1619 N Greenwood St
Suit #210
Pueblo, CO 81003-2656

Mailing address

1619 N Greenwood St
Suit #210
Pueblo, CO 81003-2656
Phone (719) 542-5121

Other identifiers 1

IdentifierTypeStateIssuer
01245042MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080123000630 CO Practitioner - Urology 0547342099

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
24504COMDUrology Physician

NPI Registry JSON

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

{
    "created_epoch": "1133049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199059200000",
    "number": "1467435149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 N GREENWOOD ST",
            "address_2": "SUIT #210",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810032656",
            "telephone_number": "719-542-5121",
            "fax_number": "719-584-4736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 N GREENWOOD ST",
            "address_2": "SUIT #210",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810032656",
            "telephone_number": "719-542-5121",
            "fax_number": "719-584-4736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUIE",
        "first_name": "CHRISTOPHER",
        "middle_name": "Y C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-27",
        "last_updated": "2007-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CO",
            "license": "24504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01245042",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.