Organization Active NPI

High Plains Oncology,PLLC

  • Hematology & Oncology Physician
  • Pueblo, CO
National Provider Identifier
1659306132
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
38639 Issued in CO
Legal business name
HIGH PLAINS ONCOLOGY,PLLC
Practice address
2004 Lake Ave
Suite 110
Pueblo, CO 81004-3536
Phone
(719) 565-0200
Fax
(719) 565-0999
NPI assigned
Jul 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Vaughan Robert Cipperly, M.D.NPI 1942235429
Title
President
Phone
(719) 565-0200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X 38639 CO Primary

Addresses

Primary practice location

2004 Lake Ave
Suite 110
Pueblo, CO 81004-3536

Mailing address

2004 Lake Ave
Suite 110
Pueblo, CO 81004-3536
Phone (719) 565-0200

Other identifiers 2

IdentifierTypeStateIssuer
44824785MedicaidCO
38639OtherCOSTATE LICENSE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1659306132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 LAKE AVE",
            "address_2": "SUITE 110",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810043536",
            "telephone_number": "719-565-0200",
            "fax_number": "719-565-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 LAKE AVE",
            "address_2": "SUITE 110",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810043536",
            "telephone_number": "719-565-0200",
            "fax_number": "719-565-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH PLAINS ONCOLOGY,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "CIPPERLY",
        "authorized_official_first_name": "VAUGHAN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-565-0200",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CO",
            "license": "38639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44824785",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "38639",
            "state": "CO"
        }
    ],
    "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 Mar 7, 2023; 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.