Organization Active NPI

Joe V Kilpatrick, M.D.P.C.

  • Gastroenterology Physician
  • Colorado Springs, CO
National Provider Identifier
1639325111
Registry record updated Jul 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
31271 Issued in CO
Legal business name
JOE V KILPATRICK, M.D.P.C.
Practice address
3229 W Carefree Cir
BLDG G
Colorado Springs, CO 80917-3004
Phone
(719) 591-0595
Fax
(719) 591-0638
NPI assigned
Aug 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2013

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

Authorized official

Name
Dr. Joe Van Kilpatrick, M.D.
Title
President
Phone
(719) 591-0595

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 31271 CO Primary

Addresses

Primary practice location

3229 W Carefree Cir
BLDG G
Colorado Springs, CO 80917-3004

Mailing address

3355 N Academy Blvd
PMB 118
Colorado Springs, CO 80917-5103
Phone (719) 591-0595

Other identifiers 1

IdentifierTypeStateIssuer
04017521MedicaidCO

National Provider Directory

National Provider Directory

Locations

3355 N Academy Blvd
Colorado Springs, CO 80917
Phone (719) 473-4030

3229 W Carefree Cir
Bldg G
Colorado Springs, CO 80917
Phone (719) 591-0595

NPI Registry JSON

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

{
    "created_epoch": "1218758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374624000000",
    "number": "1639325111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 N ACADEMY BLVD",
            "address_2": "PMB 118",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809175103",
            "telephone_number": "719-591-0595",
            "fax_number": "719-591-0638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3229 W CAREFREE CIR",
            "address_2": "BLDG G",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809173004",
            "telephone_number": "719-591-0595",
            "fax_number": "719-591-0638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOE V KILPATRICK, M.D.P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-15",
        "last_updated": "2013-07-24",
        "status": "A",
        "authorized_official_last_name": "KILPATRICK",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "VAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-591-0595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CO",
            "license": "31271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04017521",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2013; 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.