Future Hope Clinic LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

34024 Issued in CO

Legal business name

FUTURE HOPE CLINIC LLC

Practice address

3116 N Elizabeth St
Suite 202
Pueblo, CO 81008-1145

Phone

(719) 299-3012

Fax

(719) 299-3013

NPI assigned

Dec 4, 2013

Last updated

Sep 25, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Daniel A Driscoll, MD/PHDNPI 1689744591

Title

Owner

Phone

(719) 299-3012

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daniel Abram Driscoll, MD/PHD

  • Pediatrics Physician
  • Bisbee, AZ
  • NPI 1689744591
  NPD (past) Authorized official

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

{
    "created_epoch": "1386115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411603200000",
    "number": "1831520667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3116 N ELIZABETH ST",
            "address_2": "SUITE 202",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810081145",
            "telephone_number": "719-299-3012",
            "fax_number": "719-299-3013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3116 N ELIZABETH ST",
            "address_2": "SUITE 202",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810081145",
            "telephone_number": "719-299-3012",
            "fax_number": "719-299-3013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUTURE HOPE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-04",
        "last_updated": "2014-09-25",
        "status": "A",
        "authorized_official_last_name": "DRISCOLL",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-299-3012",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD/PHD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "34024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08658285",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Casey Anna Fuller, PHMNP-BC
• Robin Fuller
• Ariana E Fullmer
• Cassandra Holly Furlong, PNP, MS
• Amy Aileen Furney
• Karen Malott Gacnik, M.S. CCC-A
• Shaleena Gadlin
• Beatrice Gagliardi, RN NP
• Fred Gagliardi, MSW
• Thomas K Gaide, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; 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.