Active NPI
Internal Medicine & Pediatric Associates, LTD
- General Acute Care Hospital
- Pueblo, CO
National Provider Identifier
1609007863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 44566
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryOwnership & 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.
-
- Internal Medicine Physician
- Pueblo, CO
- NPI 1376058743
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
- Institute for Total Rehabilitation
- Integrity Dental Inc
- Interim Healthcare of Southeastern Colorado, Inc.
- Interim Healthcare of Southeastern Colorado, Inc. (Interim Healthcare)
- Interim Healthcare of Southeastern Colorado, Inc.
- Internal Medicine Associates of Pueblo P.C.
- Internal Medicine Associates, PLLC
- Intuitive Science Holistic Massage Center, LLC
- Irby Dental Cottage
- Peggy Jo Irby, RDH
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.