Pine Ridge Family Medicine Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

31061 Issued in CO

Legal business name

PINE RIDGE FAMILY MEDICINE INC

Practice address

7610 N Union Blvd
Colorado Springs, CO 80920-3861

Phone

(719) 550-5180

NPI assigned

Feb 27, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Anthony John Vecchiarelli, MD

Title

Owner

Phone

(719) 550-5180

Specialties & licenses 1

Addresses

Practitioners 1

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

• April Daylene Caldwell, PAC

  • Physician Assistant
  • Colorado Springs, CO
  • NPI 1184682403
  NPD (past)

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

{
    "created_epoch": "1235692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248220800000",
    "number": "1487894762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7610 N UNION BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203861",
            "telephone_number": "719-550-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7610 N UNION BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203861",
            "telephone_number": "719-550-5180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE RIDGE FAMILY MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-27",
        "last_updated": "2009-07-22",
        "status": "A",
        "authorized_official_last_name": "VECCHIARELLI",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-550-5180",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CO",
            "license": "31061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kena Lizbeth Pina, RN
• Kylie Pina, RN, BSN, IBCLC
• Veronica Williams Pinckney-Shaw
• Pine Creek Imaging, LLC
• Pine Creek Vision Center, P.C.
• Pine Top Orthodontics PC
• Chelsea Louise Pine, PTA
• Abimael Pineda Torres
• Angel Pineda
• Fabricia Pineda

• Primary Care Clinic/Center in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Primary Care Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2009; 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.