Organization Active NPI

Richard Harbison MDPC

Doing business as Colorado Medical Weight Loss Center

  • Internal Medicine Physician
  • Colorado Springs, CO
National Provider Identifier
1669656658
Registry record updated Jul 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
CO34303 Issued in CO
Legal business name
RICHARD HARBISON MDPC
Doing business as
Colorado Medical Weight Loss Center
Practice address
830 Tenderfoot Hill Rd
Suite 150
Colorado Springs, CO 80906-2314
Phone
(719) 590-9292
Fax
(719) 590-8636
NPI assigned
Dec 26, 2007
Last updated
Jul 28, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2010

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

Authorized official

Name
Mrs. Grace Harbison
Title
Manager
Phone
(719) 590-9292

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X CO34303 CO Primary

Addresses

Primary practice location

830 Tenderfoot Hill Rd
Suite 150
Colorado Springs, CO 80906-2314

Mailing address

PO Box 15497
Colorado Springs, CO 80935-5497
Phone (719) 473-4030

Other names 1

  • Colorado Medical Weight Loss Center Doing business as

National Provider Directory

National Provider Directory

Locations

2182 Holw BRK Dr
Colorado Springs, CO 80918
Phone (719) 590-9292

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280275200000",
    "number": "1669656658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15497",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809355497",
            "telephone_number": "719-473-4030",
            "fax_number": "719-590-8636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 TENDERFOOT HILL RD",
            "address_2": "SUITE 150",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809062314",
            "telephone_number": "719-590-9292",
            "fax_number": "719-590-8636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD HARBISON MDPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-26",
        "last_updated": "2010-07-28",
        "status": "A",
        "authorized_official_last_name": "HARBISON",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "719-590-9292",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "CO34303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colorado Medical Weight Loss Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 28, 2010; 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.