Active NPI
Pamela W. Casson, MD, PC
Doing business as Sunrise Pediatrics
- Pediatrics Physician
- Colorado Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- PAMELA W. CASSON, MD, PC
- Doing business as
- Sunrise Pediatrics
- Practice address
- 1465 Kelly Johnson Blvd
Suite 220
Colorado Springs, CO 80920-3955 - Phone
- (719) 265-1050
- Fax
- (719) 265-2503
- NPI assigned
- Mar 19, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Pamela Wallace Casson, M.D.
- Title
- Pediatrician
- Phone
- (719) 598-0631
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
1465 Kelly Johnson Blvd
Suite 220
Colorado Springs, CO 80920-3955
Mailing address
5605 Coachwood TRL
Colorado Springs, CO 80919-4454
Phone (719) 598-0631
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 85487210 | Medicaid | CO |
Other names 1
- Sunrise Pediatrics
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 06D1098870 | Pamela W Casson, MD PC | Certificate of waiver | Apr 28, 2027 |
National Provider Directory
National Provider DirectoryLocations
1465 Kelly Johnson Blvd
Ste 220
Colorado Springs, CO 80920
Phone (719) 265-1050
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Colorado Springs, CO
- NPI 1851388367
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237420800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1237420800000",
"number": "1477794428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5605 COACHWOOD TRL",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809194454",
"telephone_number": "719-598-0631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1465 KELLY JOHNSON BLVD",
"address_2": "SUITE 220",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809203955",
"telephone_number": "719-265-1050",
"fax_number": "719-265-2503"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAMELA W. CASSON, MD, PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-19",
"last_updated": "2009-03-19",
"status": "A",
"authorized_official_last_name": "CASSON",
"authorized_official_first_name": "PAMELA",
"authorized_official_middle_name": "WALLACE",
"authorized_official_title_or_position": "PEDIATRICIAN",
"authorized_official_telephone_number": "719-598-0631",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "85487210",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Sunrise Pediatrics",
"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 Mar 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.