NPIMap

Individual provider Active NPI

Autumn M. Stowe-Quain, M.D.

  • Obstetrics & Gynecology Physician
  • Colorado Springs, CO
National Provider Identifier
1730340456
Registry record updated Dec 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
51129 Issued in CO
Practice address
6705 Rangewood Dr
Colorado Springs, CO 80918-7300
Phone
(719) 599-7331
Fax
(719) 390-1333
NPI assigned
Jun 25, 2008
Last updated
Dec 30, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Obstetrics & Gynecology Physician 207V00000X 51129 CO Primary

Addresses

Primary practice location

6705 Rangewood Dr
Colorado Springs, CO 80918-7300

Mailing address

6705 Rangewood Dr
Colorado Springs, CO 80918-7300
Phone (719) 599-7331

Other identifiers 1

IdentifierTypeStateIssuer
20006276MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180112001021 CO Practitioner - Obstetrics/Gynecology 4284908666 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Arizona College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians

Practice addresses (Care Compare)

4404 Barranca LN
Unit 101
Castle Rock, CO 80104-7419
Phone (720) 733-5260

6705 Rangewood Dr
Colorado Springs, CO 80918-7300
Phone (719) 599-7331

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
51129COMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Poudre Valley Medical Group, LLC Current Accepting new patients
Poudre Valley Medical Group, LLC Obstetrics & Gynecology CurrentSince Feb 1, 2018 Accepting new patients
Uch-MHS Past Accepting new patients
Uch-MHS Past Accepting new patients

Locations

6705 Rangewood Dr
Colorado Springs, CO 80918
Phone (719) 364-0900

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419897600000",
    "number": "1730340456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6705 RANGEWOOD DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809187300",
            "telephone_number": "719-599-7331",
            "fax_number": "719-390-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6705 RANGEWOOD DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809187300",
            "telephone_number": "719-599-7331",
            "fax_number": "719-390-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOWE-QUAIN",
        "first_name": "AUTUMN",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-25",
        "last_updated": "2014-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CO",
            "license": "51129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20006276",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.