Amy S. Maroldo, M.D., LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

28328 Issued in CO

Legal business name

AMY S. MAROLDO, M.D., LLC

Practice address

175 S Union Blvd
Suite 305
Colorado Springs, CO 80910-3126

Phone

(719) 365-6881

Fax

(719) 365-6877

NPI assigned

Feb 7, 2007

Last updated

Mar 26, 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. Amy Susan Maroldo, M.D.NPI 1174663140

Title

Managing Member

Phone

(719) 963-4170

Specialties & licenses 1

Addresses

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.

• Amy Susan Maroldo, MD

  • Family Medicine Physician
  • Colorado Springs, CO
  • NPI 1174663140
  Authorized official Same address or phone

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395792000000",
    "number": "1861532111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4419 CENTENNIAL BLVD",
            "address_2": "#244",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809073771",
            "telephone_number": "719-963-4170",
            "fax_number": "719-548-0338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 S UNION BLVD",
            "address_2": "SUITE 305",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809103126",
            "telephone_number": "719-365-6881",
            "fax_number": "719-365-6877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY S. MAROLDO, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2014-03-26",
        "status": "A",
        "authorized_official_last_name": "MAROLDO",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "SUSAN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "719-963-4170",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "28328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amparo Rodriguez, LPC, LLC
• Ampersand Wellness LLC
• Amsden Chiropractic LLC
• Jeffrey J Amsden, D.C.
• Raiana Grace De Guzman Amurao
• Amy Shandy Speech Language Pathologist (The Shandy Clinic)
• Amy Shandy Speech Language Pathology (The Shandy Clinic)
• Amy Shandy, Speech-Language Pathologist, LLC (The Shandy Clinic)
• Amy Shandy, Speech-Language Pathologist, LLC (The Shandy Clinic)
• Amy Shandy, Speech-Language Pathologist, LLC (The Shandy Clinic)

• Family Medicine Physician in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.