Active NPI
Marvin V Schober, RN
- Registered Nurse
- Colorado Springs, CO
National Provider Identifier
1477618023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 178385
- Practice address
- 115 Parkside Dr
Colorado Springs, CO 80910-3130 - Phone
- (719) 572-6340
- Fax
- (719) 447-4791
- NPI assigned
- Dec 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 178385 | CO | Primary |
Addresses
Primary practice location
115 Parkside Dr
Colorado Springs, CO 80910-3130
Mailing address
5145 Farmingdale Dr
Colorado Springs, CO 80917-1085
Phone (719) 550-0368
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178385 | CO | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477618023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5145 FARMINGDALE DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809171085",
"telephone_number": "719-550-0368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 PARKSIDE DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809103130",
"telephone_number": "719-572-6340",
"fax_number": "719-447-4791"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHOBER",
"first_name": "MARVIN",
"middle_name": "V",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CO",
"license": "178385",
"primary": true
}
],
"identifiers": [],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.