NPIMap

Organization Active NPI

Anesthesia & Pain Management Services of Pueblo

  • Anesthesiology Physician
  • Pueblo, CO
National Provider Identifier
1639255409
Registry record updated Apr 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
ANESTHESIA & PAIN MANAGEMENT SERVICES OF PUEBLO
Practice address
400 W 16TH St
Pueblo, CO 81003-2745
Phone
(719) 584-4420
NPI assigned
Oct 27, 2006
Last updated
Apr 24, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2019

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

Authorized official

Name
Mr. Juanita Quintana-Frazier
Title
Practice Administrator
Phone
(719) 543-7877

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X CO Primary

Addresses

Primary practice location

400 W 16TH St
Pueblo, CO 81003-2745

Mailing address

PO Box 8971
Pueblo, CO 81008-8971
Phone (719) 543-7877

National Provider Directory

National Provider Directory

Locations

1218 N Main St
Pueblo, CO 81003
Phone (719) 543-7827

Practitioners & affiliated clinicians

Practitioners 42

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 42

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556064000000",
    "number": "1639255409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8971",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810088971",
            "telephone_number": "719-543-7877",
            "fax_number": "719-543-7882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W 16TH ST",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810032745",
            "telephone_number": "719-584-4420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANESTHESIA & PAIN MANAGEMENT SERVICES OF PUEBLO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2019-04-24",
        "status": "A",
        "authorized_official_last_name": "QUINTANA-FRAZIER",
        "authorized_official_first_name": "JUANITA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "719-543-7877",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "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 Apr 24, 2019; 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.