Anesthesia & Pain Management Services of Pueblo
Organization Active NPI Anesthesiology Physician · Pueblo, CO
NPI 1639255409 · NPPES record last updated Apr 24, 2019
Key facts
- NPI
- 1639255409
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Anesthesiology Physician 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
- Organization subpart
- No
Authorized official
- Name
- Mr. Juanita Quintana-Frazier
- Title
- Practice Administrator
- Phone
- (719) 543-7877
Practitioners 42
-
Toni Renee Abraham, CRNA
-
Serena M. Ackerman, CRNA
-
Elizabeth F. Cornwell, CRNA
-
Rex Lawrence Dillehay, CRNA
-
Shannon Lee Foust, CRNA
-
Cynthia A Gardiner, CRNA
-
Mary Elizabeth Jones, CRNA
-
Michael Evan Jones, CRNA
-
Dana J. Kamp, CRNA
-
Jacki L Kipe, CRNA
-
Melinda L Knipe, CRNA
-
Donna Lamont, CRNA
-
Gregory S Larsen, MD
-
David J Luedke, CRNA
-
Katharine San Macaulay, CRNA
-
Gregory L. McMichael, CRNA
-
William H Oliver II, CRNA
-
Paul M Rau, CRNA
-
Terry R Roach, CRNA
-
David J Smith, PA-AA
-
Hubert G. Taylor, CRNA
-
Aida Yohannes, CRNA
-
Paul K Basak, CRNA
-
Travis C Blackhurst, CRNA
National Provider Directory
Locations
112 W D St
Ste 210
Pueblo, CO 81003
Phone (719) 543-7877
1218 N Main St
Pueblo, CO 81003
Phone (719) 543-7827
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician |
207L00000X | CO | Yes |
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
NPI Registry JSON
{
"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
- Larissa Leigh Anderson
- Michelle Nicole Anderson
- Susan Faith Anderson
- Cody Andreis
- Jennifer Andrews
- Anesthesia and Pain Management Service of Pueblo
- Anesthesia Management Services, LLC
- Cher Li Ang
- Angel Care Inc.
- Angelo S. Giarratano, D.P.M.
All providers in Pueblo, CO · Anesthesiology Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.