NPIMap

Organization Active NPI

Pulse Family Acute Care Center, Prof. LLC

  • Specialist
  • Peyton, CO
National Provider Identifier
1497973747
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
33292 Issued in CO
Legal business name
PULSE FAMILY ACUTE CARE CENTER, PROF. LLC
Practice address
7475 McLaughlin Rd
Peyton, CO 80831-4716
Phone
(719) 495-9994
Fax
(719) 495-9904
NPI assigned
Apr 23, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kenneth Seymour Raper, D.O.NPI 1114999034
Title
President
Phone
(719) 495-9994

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)CodeLicenseStatePrimary
Specialist 174400000X 33292 CO Primary

Addresses

Primary practice location

7475 McLaughlin Rd
Peyton, CO 80831-4716

Mailing address

7475 McLaughlin Rd
Peyton, CO 80831-4716
Phone (719) 495-9994

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070615000409 CO Part B Supplier - Clinic/Group Practice 0840399879 Receives reassigned benefits from 16 practitioners
Practice locations: Peyton, CO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497973747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7475 MCLAUGHLIN RD",
            "city": "PEYTON",
            "state": "CO",
            "postal_code": "808314716",
            "telephone_number": "719-495-9994",
            "fax_number": "719-495-9904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7475 MCLAUGHLIN RD",
            "city": "PEYTON",
            "state": "CO",
            "postal_code": "808314716",
            "telephone_number": "719-495-9994",
            "fax_number": "719-495-9904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULSE FAMILY ACUTE CARE CENTER, PROF. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAPER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "SEYMOUR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-495-9994",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CO",
            "license": "33292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peyton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.