NPIMap

Organization Active NPI

Choa MD PC

Doing business as Childhood Hematology Oncology Associates

  • Pediatric Hematology & Oncology Physician
  • Colorado Springs, CO
National Provider Identifier
1851464523
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X
Legal business name
CHOA MD PC
Doing business as
Childhood Hematology Oncology Associates
Practice address
320 E Fontanero St
Suite 308
Colorado Springs, CO 80907-7529
Phone
(303) 986-9504
Fax
(719) 574-4974
NPI assigned
Nov 17, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Bruce A Cook, MD
Title
President
Phone
(719) 471-2462

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080P0207X CO Primary

Addresses

Primary practice location

320 E Fontanero St
Suite 308
Colorado Springs, CO 80907-7529

Mailing address

320 E Fontanero St
Suite 308
Colorado Springs, CO 80907-7529
Phone (719) 471-2462

Other identifiers 3

IdentifierTypeStateIssuer
1497767578OtherCOTHOMAS J SMITH MD
1497775142OtherCONPI BRUCE A COOK MD
1417959107OtherCONPI STEPHEN R PALMER MD

Other names 1

  • CHILDHOOD HEMATOLOGY ONCOLOGY ASSOCIATES Doing business as

National Provider Directory

National Provider Directory

Locations

Dept 1913
Denver, CO 80291

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851464523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 E FONTANERO ST",
            "address_2": "SUITE 308",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809077529",
            "telephone_number": "719-471-2462",
            "fax_number": "719-574-4974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E FONTANERO ST",
            "address_2": "SUITE 308",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809077529",
            "telephone_number": "303-986-9504",
            "fax_number": "719-574-4974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-471-2462",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0207X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THOMAS J SMITH MD",
            "identifier": "1497767578",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI BRUCE A COOK MD",
            "identifier": "1497775142",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI STEPHEN R PALMER MD",
            "identifier": "1417959107",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHILDHOOD HEMATOLOGY ONCOLOGY ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.