NPIMap

Organization Active NPI

CTMD LLC Dba Parkside Heart Care

Doing business as Parkside Heart Care

  • Specialist
  • Colorado Springs, CO
National Provider Identifier
1902172786
Registry record updated Jul 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
28056 Issued in CO
Legal business name
CTMD LLC DBA PARKSIDE HEART CARE
Doing business as
Parkside Heart Care
Practice address
455 E Pikes Peak Ave
Suite 100
Colorado Springs, CO 80903-3672
Phone
(719) 338-1324
NPI assigned
Mar 27, 2012
Last updated
Jul 17, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2013

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

Authorized official

Name
Dr. Christopher Norman Tulin, M.D.
Title
Owner
Phone
(719) 338-1324

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 28056 CO Primary

Addresses

Primary practice location

455 E Pikes Peak Ave
Suite 100
Colorado Springs, CO 80903-3672

Mailing address

1729 Alamo Ave
Colorado Springs, CO 80907-7307
Phone (719) 338-1324

Other names 1

  • Parkside Heart Care Doing business as

National Provider Directory

National Provider Directory

Locations

455 E Pikes Peak Ave
Ste 100
Colorado Springs, CO 80903
Phone (719) 471-1775

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374019200000",
    "number": "1902172786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1729 ALAMO AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809077307",
            "telephone_number": "719-338-1324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 E PIKES PEAK AVE",
            "address_2": "SUITE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809033672",
            "telephone_number": "719-338-1324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CTMD LLC DBA PARKSIDE HEART CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-27",
        "last_updated": "2013-07-17",
        "status": "A",
        "authorized_official_last_name": "TULIN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "NORMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-338-1324",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CO",
            "license": "28056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkside Heart Care",
            "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 Jul 17, 2013; 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.