Active NPI
Southern Colorado Emergency Specialists
- Specialist
- Pueblo, CO
National Provider Identifier
1801829072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- SOUTHERN COLORADO EMERGENCY SPECIALISTS
- Practice address
- 1008 Minnequa Ave
Pueblo, CO 81004-3733 - Phone
- (719) 560-5656
- Fax
- (719) 560-4715
- NPI assigned
- Jul 9, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Walter C West, MD
- Title
- Ceo
- Phone
- (719) 538-8100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
1008 Minnequa Ave
Pueblo, CO 81004-3733
Mailing address
445 E Cheyenne Mountain Blvd Ste C
PMB 406
Colorado Springs, CO 80906-4570
Phone (719) 538-8100
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2370237 | Other | CO | AETNA |
| 17229260 | Medicaid | CO | |
| SO641446 | Other | CO | BLUE CROSS |
| CH4783 | Other | CO | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1801829072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "445 E CHEYENNE MOUNTAIN BLVD STE C",
"address_2": "PMB 406",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809064570",
"telephone_number": "719-538-8100",
"fax_number": "719-538-8003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1008 MINNEQUA AVE",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810043733",
"telephone_number": "719-560-5656",
"fax_number": "719-560-4715"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHERN COLORADO EMERGENCY SPECIALISTS",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-09",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "WEST",
"authorized_official_first_name": "WALTER",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "719-538-8100",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2370237",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "17229260",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "SO641446",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CH4783",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pueblo, CO
- Southern Colorado Counseling and Wellness. PLLC
- Southern Colorado Crna Associates Inc
- Southern Colorado Dental Anesthesiology
- Southern Colorado Dermatology Clinic PC
- Southern Colorado Emergency Medical Associates
- Southern Colorado ENT & Allergy LLC
- Southern Colorado Eye Care Associates PC
- Southern Colorado Family Medicine
- Southern Colorado Health & Rehab
- Southern Colorado Health & Rehab
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.