Active NPI
Kenneth Ginsburg, PA
- Medical Physician Assistant
- Colorado Springs, CO
National Provider Identifier
1760492599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 931
- Practice address
- 5955 Lehman Dr
Colorado Springs, CO 80918-3420 - Phone
- (719) 598-7151
- NPI assigned
- Aug 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 931 | CO | Primary |
Addresses
Primary practice location
5955 Lehman Dr
Colorado Springs, CO 80918-3420
Mailing address
5955 Lehman Dr
Colorado Springs, CO 80918-3420
Phone (719) 598-7151
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 48400271 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 931 | CO | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198108800000",
"number": "1760492599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5955 LEHMAN DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809183420",
"telephone_number": "719-598-7151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5955 LEHMAN DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809183420",
"telephone_number": "719-598-7151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GINSBURG",
"first_name": "KENNETH",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-08",
"last_updated": "2007-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CO",
"license": "931",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "48400271",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}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 Dec 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.