3 G Medical Consultants, LLC
Organization Active NPI Family Medicine Physician · Colorado Springs, CO
NPI 1831611086 · NPPES record last updated Sep 8, 2017
Key facts
- NPI
- 1831611086
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- DR.0052572 (CO)
- Legal business name
- 3 G MEDICAL CONSULTANTS, LLC
- Practice address
- 417 Security Blvd
Colorado Springs, CO 80911-1728 - Phone
- (719) 368-6628
- Fax
- (719) 368-6629
- NPI assigned
- Jul 10, 2017
- Organization subpart
- No
Authorized official
- Name
- Rodney R Muhammad, DO
- Title
- Owner
- Phone
- (719) 368-6628
Practitioners 2
-
Tracey Putz, FNP-BC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20171107002039 | CO | Part B Supplier - Clinic/Group Practice | 4880950856 |
Receives reassigned benefits from 2 practitioners Practice locations: Colorado Springs, CO |
National Provider Directory
Locations
685 Citadel Dr E
Ste 505
Colorado Springs, CO 80909
Phone (719) 265-4412
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | |||
| Family Medicine Physician |
207Q00000X | DR.0052572 | CO | Yes |
Addresses
Primary practice location
417 Security Blvd
Colorado Springs, CO 80911-1728
Mailing address
417 Security Blvd
Colorado Springs, CO 80911-1728
Phone (719) 368-6628
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05321875 | Medicaid | CO |
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All providers in Colorado Springs, CO · Family Medicine Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.