ENT Clinic of Pueblo, P.C.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

ENT CLINIC OF PUEBLO, P.C.

Practice address

1304 N Grand Ave
Pueblo, CO 81003-2718

Phone

(719) 544-3752

Fax

(719) 542-1794

NPI assigned

Apr 5, 2010

Organization subpart

No

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

Authorized official

Name

Julie Ann Newburg, MD

Title

Owner/Provider

Phone

(714) 544-3752

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1270425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270512000000",
    "number": "1710202593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 N GRAND AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810032718",
            "telephone_number": "719-544-3752",
            "fax_number": "719-542-1794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 N GRAND AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810032718",
            "telephone_number": "719-544-3752",
            "fax_number": "719-542-1794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENT CLINIC OF PUEBLO, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-05",
        "last_updated": "2010-04-06",
        "status": "A",
        "authorized_official_last_name": "NEWBURG",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "714-544-3752",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "52280322",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamie Lyn Engel
• Lori Enghaus
• Stephanie Engler
• Enhanced Recovery, LLC
• ENT Clinic of Pueblo Prof LLC
• Josephine Clair Erickson, CRNA
• Diane M Ernewein, PT
• Breanne Escobar
• Jessica Escobar
• Jessica Escobedo

• Otolaryngology Physician in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Otolaryngology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.