Organization Active NPI

Practitioner House Calls LLC

  • Family Medicine Physician
  • Colorado Springs, CO
National Provider Identifier
1891833836
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
CO19454 Issued in CO
Legal business name
PRACTITIONER HOUSE CALLS LLC
Practice address
1645 Fairoak Dr
Colorado Springs, CO 80918-3332
Phone
(719) 598-7825
Fax
(719) 637-2539
NPI assigned
Feb 2, 2007
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
Richard A McCreery, DONPI 1992727390
Title
President
Phone
(719) 598-7825

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X CO19454 CO Primary

Addresses

Primary practice location

1645 Fairoak Dr
Colorado Springs, CO 80918-3332

Mailing address

1645 Fairoak Dr
Colorado Springs, CO 80918-3332
Phone (719) 598-7825

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891833836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 FAIROAK DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809183332",
            "telephone_number": "719-598-7825",
            "fax_number": "719-637-2539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 FAIROAK DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809183332",
            "telephone_number": "719-598-7825",
            "fax_number": "719-637-2539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRACTITIONER HOUSE CALLS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCREERY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-598-7825",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "CO19454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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.