Prospero Health Partners, P.C.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

PROSPERO HEALTH PARTNERS, P.C.

Doing business as

Landmark Medical of Colorado

Practice address

102 S Tejon St Ste 1100
Colorado Springs, CO 80903-2253

Phone

(657) 400-5180

NPI assigned

Nov 1, 2022

Last updated

Jan 30, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christopher DennisNPI 1811068349

Title

Medical Group President

Phone

(657) 237-2450

Specialties & licenses 1

Addresses

Other names 1

• LANDMARK MEDICAL OF COLORADO Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Prospero Health Partners, P.C.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Memphis, TN
  • NPI 1376187849

  9830525617

  Same PAC ID

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christopher R Dennis, MD

  • Psychiatry Physician
  • Huntington Beach, CA
  • NPI 1811068349

  CO

  Medicare reassignment NPD Authorized official
• Afshin Y Doust, M.D.

  • Internal Medicine Physician
  • Mission Viejo, CA
  • NPI 1417057316
  NPD
• David W Moen, MD

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Wyoming, MN
  • NPI 1942312301
  NPD (past)
• Heather Dawn Petry, APRN

  • Family Nurse Practitioner
  • Conway, SC
  • NPI 1427464148
  NPD (past)

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

{
    "created_epoch": "1667260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706572800000",
    "number": "1487361267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7755 CENTER AVE STE 630",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926479152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 S TEJON ST STE 1100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809032253",
            "telephone_number": "657-400-5180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPERO HEALTH PARTNERS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-01",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A",
        "authorized_official_last_name": "DENNIS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "MEDICAL GROUP PRESIDENT",
        "authorized_official_telephone_number": "657-237-2450"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LANDMARK MEDICAL OF COLORADO",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LANDMARK MEDICAL OF COLORADO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Promise Academy
• Pamela Pauline Propeck, RN
• Henoc Elie Prophete
• Lia Propst, LMT
• Joanna Clare Prosch, OTR/L
• Melanie J Protzmann, M.A., LPC
• Amanda Proud
• Christina Proulx, FNP-BC
• Heather Proulx, MA
• Provec Holdings Inc (Fyzical Therapy & Balance Centers)

• General Practice Physician in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• General Practice Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.