Individual provider Active NPI

Gary Andrew Tarshis, M.D.

  • Family Medicine Physician
  • Colorado Springs, CO
National Provider Identifier
1861436503
Registry record updated Sep 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
29971 Issued in CO
Practice address
2141 N Academy Circle
Colorado Springs, CO 80909-1672
Phone
(719) 597-4200
Fax
(719) 597-4495
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X
Family Medicine Physician 207Q00000X 29971 CO Primary

Addresses

Primary practice location

2141 N Academy Circle
Colorado Springs, CO 80909-1672

Mailing address

2141 N Academy Circle
Colorado Springs, CO 80909-1672
Phone (719) 597-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040405000236 CO Practitioner - Family Practice 8224021514 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
29971COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Delta Waves, Inc. CurrentSince Feb 1, 2019 Accepting new patients
Eastern Plains Medical Clinic of Calhan Family Medicine Past Accepting new patients
Delta Waves of Woodland Park Inc PastSince Feb 1, 2019 Accepting new patients
Boykin Chiropractic Office PC Past Accepting new patients

Locations

5835 Lehman Dr
Ste 101
Colorado Springs, CO 80918
Phone (719) 262-9283

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346716800000",
    "number": "1861436503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2141 N ACADEMY CIRCLE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809091672",
            "telephone_number": "719-597-4200",
            "fax_number": "719-597-4495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2141 N ACADEMY CIRCLE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809091672",
            "telephone_number": "719-597-4200",
            "fax_number": "719-597-4495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARSHIS",
        "first_name": "GARY",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2012-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "29971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.