Wzupdoc, Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

CO30910 Issued in CO

Legal business name

WZUPDOC, INC.

Practice address

4711 Opus Rd
Suite 201
Colorado Springs, CO 80906-8694

Phone

(719) 579-0900

Fax

(719) 579-0911

NPI assigned

Aug 26, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Gary Blane Childers, M.D.

Title

Owner

Phone

(719) 579-0900

Specialties & licenses 1

Addresses

Other names 1

• WzUpDoc Other name

Locations

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

{
    "created_epoch": "1251244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251244800000",
    "number": "1659504454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3104",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801323104",
            "telephone_number": "719-579-0900",
            "fax_number": "719-579-0911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4711 OPUS RD",
            "address_2": "SUITE 201",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809068694",
            "telephone_number": "719-579-0900",
            "fax_number": "719-579-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WZUPDOC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-26",
        "last_updated": "2009-08-26",
        "status": "A",
        "authorized_official_last_name": "CHILDERS",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "BLANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-579-0900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CO",
            "license": "CO30910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WzUpDoc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Wyoming Physical Therapy PC
• Wyoming Physical Therapy PC
• Timothy W Wyse, MD
• Michael Wyskiel, APN
• William Humber Wysong, MA,LPC, EMDR II, TEP
• You Xu, M.D.
• Dominic Yacono
• Rachanee Renee Yaemsang, DNP, CNM, APRN
• Craig Yager, MD
• Theresa Marie Yakich, M.S., BCBA

• Primary Care Clinic/Center in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Primary Care Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2009; 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.