Organization Active NPI

Internal Medicine & Pediatric Associates, LTD

  • General Acute Care Hospital
  • Pueblo, CO
National Provider Identifier
1609007863
Registry record updated Dec 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
44566 Issued in CO
Legal business name
INTERNAL MEDICINE & PEDIATRIC ASSOCIATES, LTD
Practice address
1008 Minnequa Ave
Pueblo, CO 81004-3733
Phone
(719) 560-4000
NPI assigned
Aug 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2009

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

Authorized official

Name
Dr. Steven J Simerville, MD
Title
Sole MBR
Phone
(719) 296-5854

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X 44566 CO
General Acute Care Hospital 282N00000X 44566 CO Primary
Children's Hospital 282NC2000X 44566 CO

Addresses

Primary practice location

1008 Minnequa Ave
Pueblo, CO 81004-3733

Mailing address

PO Box 567
Pueblo, CO 81002-0567
Phone (719) 296-5854

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1249430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260748800000",
    "number": "1609007863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 567",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810020567",
            "telephone_number": "719-296-5854",
            "fax_number": "719-542-0746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 MINNEQUA AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810043733",
            "telephone_number": "719-560-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE & PEDIATRIC ASSOCIATES, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-05",
        "last_updated": "2009-12-14",
        "status": "A",
        "authorized_official_last_name": "SIMERVILLE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "719-296-5854",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "CO",
            "license": "44566",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CO",
            "license": "44566",
            "primary": true
        },
        {
            "code": "282NC2000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Children",
            "state": "CO",
            "license": "44566",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.