Internal Medicine of North Springs, P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

41419 Issued in CO

Legal business name

INTERNAL MEDICINE OF NORTH SPRINGS, P.C.

Practice address

1910 Vindicator Dr
Suite 105
Colorado Springs, CO 80919-3623

Phone

(719) 260-8630

Fax

(719) 260-8635

NPI assigned

Jun 8, 2006

Last updated

Jun 21, 2018By 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

Mr. Wojciech K Kosek, PH. D.

Title

Secretary of the Corporation

Phone

(719) 260-8630

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1952341752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 VINDICATOR DR",
            "address_2": "SUITE 105",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809193623",
            "telephone_number": "719-260-8630",
            "fax_number": "719-260-8635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 VINDICATOR DR",
            "address_2": "SUITE 105",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809193623",
            "telephone_number": "719-260-8630",
            "fax_number": "719-260-8635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE OF NORTH SPRINGS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "KOSEK",
        "authorized_official_first_name": "WOJCIECH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "SECRETARY OF THE CORPORATION",
        "authorized_official_telephone_number": "719-260-8630",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PH. D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "41419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "99954273",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.