Printers Park OBGYN, a Professional, LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

PRINTERS PARK OBGYN, A PROFESSIONAL, LLC

Practice address

175 S Union Blvd
Suite 220
Colorado Springs, CO 80910-3147

Phone

(719) 634-1532

Fax

(719) 634-1715

NPI assigned

Jun 22, 2006

Last updated

Sep 21, 2010By 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

Ms. Susan M Ogden, CMM

Title

Certified Medical Manager

Phone

(719) 634-1532

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285027200000",
    "number": "1881630309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 S UNION BLVD",
            "address_2": "SUITE 220",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809103147",
            "telephone_number": "719-634-1532",
            "fax_number": "719-634-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 S UNION BLVD",
            "address_2": "SUITE 220",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809103147",
            "telephone_number": "719-634-1532",
            "fax_number": "719-634-1715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINTERS PARK OBGYN, A PROFESSIONAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2010-09-21",
        "status": "A",
        "authorized_official_last_name": "OGDEN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CERTIFIED MEDICAL MANAGER",
        "authorized_official_telephone_number": "719-634-1532",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CMM"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04018677",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP ANTHEM BCBS NUMBER",
            "identifier": "PRU3708",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Primrose Medical Supply, LLC
• Marissa Irene Prince, PHD
• Stanley Prince
• Sanaia Ali Pringle-Smith
• Wendy Kay Prins, MT
• Printers Parkway Pharmacy, LLC (Printers Parkway Pharmacy)
• Brian Lawrence Printz, PH.D.
• Mary J Prinz, LCSW
• Priority Care Transport LLC
• Dusti Prioux

• Obstetrics & Gynecology Physician in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Obstetrics & Gynecology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2010; 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.