Active NPI
High Plains Oncology,PLLC
- Hematology & Oncology Physician
- Pueblo, CO
National Provider Identifier
1659306132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 38639
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vaughan Robert Cipperly, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 44824785 | Medicaid | CO | |
| 38639 | Other | CO | STATE LICENSE |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Mason City, IA
- NPI 1942235429
Hematology & Oncology
-
- Hematology & Oncology Physician
- Kalispell, MT
- NPI 1245440841
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.