Perfect Skin PC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

PERFECT SKIN PC

Practice address

2925 Professional PL
Suite 104
Colorado Springs, CO 80904-8126

Phone

(719) 471-4147

Fax

(719) 471-4148

NPI assigned

Jul 16, 2006

Organization subpart

No

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

Authorized official

Name

Susan S Ellis, M.D.

Title

Owner President

Phone

(719) 471-4147

Specialties & licenses 1

Addresses

Other names 1

• Susan Ellis, M.D. Former legal business name

Locations

Practitioners 2

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

• Jeanne Pruss Osborn, M.D.

  • Dermatology Physician
  • Colorado Springs, CO
  • NPI 1013994367
  NPD (past)
• Susan Schroeder, M.D.

  • Procedural Dermatology Physician
  • Colorado Springs, CO
  • NPI 1366410920

  Specialist

  NPD (past)

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609893783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 PROFESSIONAL PL",
            "address_2": "SUITE 104",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809048126",
            "telephone_number": "719-471-4147",
            "fax_number": "719-471-4148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 PROFESSIONAL PL",
            "address_2": "SUITE 104",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809048126",
            "telephone_number": "719-471-4147",
            "fax_number": "719-471-4148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFECT SKIN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "719-471-4147",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Susan Ellis, M.D.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Lisa Y Perez, LPC, NCC
• Luis Enrique Perez, RN-C
• Maura Perez
• Samantha Perez, LPC
• Perfect Skin Dermatology PC
• Perfect Teeth - Cheyenne Meadows P.C.
• Perfect Teeth - Garden of the Gods P.C.
• Perfect Teeth - Powers P.C.
• Perfect Teeth - South 8TH Street P.C.
• Perfect Teeth - Uintah Gardens P.C.

• Specialist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Specialist in Colorado

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.