NPIMap

Organization Active NPI

Gerald a. Hamstra, D.O., P.C.

  • Family Medicine Physician
  • Colorado Springs, CO
National Provider Identifier
1821262841
Registry record updated Sep 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
17495 Issued in CO
Legal business name
GERALD A. HAMSTRA, D.O., P.C.
Practice address
4775 Jamestown Dr
Colorado Springs, CO 80918-2725
Phone
(719) 574-7849
Fax
(719) 574-3776
NPI assigned
Apr 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2011

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

Authorized official

Name
Dr. Gerald A Hamstra, D.O.NPI 1124020417
Title
President
Phone
(719) 574-7849

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 17495 CO Primary

Addresses

Primary practice location

4775 Jamestown Dr
Colorado Springs, CO 80918-2725

Mailing address

PO Box 25819
Colorado Springs, CO 80936-5819
Phone (719) 574-7849

Other identifiers 2

IdentifierTypeStateIssuer
01174952MedicaidCO
014042929OtherRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316390400000",
    "number": "1821262841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25819",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809365819",
            "telephone_number": "719-574-7849",
            "fax_number": "719-574-3776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4775 JAMESTOWN DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809182725",
            "telephone_number": "719-574-7849",
            "fax_number": "719-574-3776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERALD A. HAMSTRA, D.O., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2011-09-19",
        "status": "A",
        "authorized_official_last_name": "HAMSTRA",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-574-7849",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "17495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01174952",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "014042929",
            "state": null
        }
    ],
    "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 Sep 19, 2011; 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.