NPIMap

Individual provider Active NPI

Pamela Ann Taylor, M.D.

  • Cardiovascular Disease Physician
  • Colorado Springs, CO
National Provider Identifier
1972508505
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
30681 Issued in CO
Practice address
6011 E Woodmen Rd
Ste 120
Colorado Springs, CO 80923-2603
Phone
(719) 776-8500
Fax
(719) 634-1448
NPI assigned
Jun 20, 2005
Sex
Female
Sole proprietor
No

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Owned or controlled facilities with NPI records 18

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 18

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051117000894 CO Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9335168442 Reassigns benefits to 1 organization

All facility ownership & control disclosures 17

Medicare enrollment files

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Health Center at Rio GrandeColorado Springs, CO, CCN 061850 Federally qualified health center Corporate Director Feb 1, 2019
Health Center at 350 Printers ParkwayColorado Springs, CO, CCN 061877 Federally qualified health center Corporate Director Feb 1, 2019
Health Center at DivideDivide, CO, CCN 061879 Federally qualified health center Corporate Director Feb 1, 2019
Health Center at WahsatchColorado Springs, CO, CCN 061833 Federally qualified health center Corporate Director Feb 1, 2019
Health Center at FountainFountain, CO, CCN 061895 Federally qualified health center Corporate Director Feb 1, 2019
Health Center at Myron StrattonColorado Springs, CO, CCN 061904 Federally qualified health center Corporate Director Feb 1, 2019
Health Center at UnionColorado Springs, CO, CCN 061903 Federally qualified health center Corporate Director Feb 1, 2019
Lane Family Health CenterColorado Springs, CO, CCN 061892 Federally qualified health center Corporate Director Feb 1, 2019
Logan Health Center at Myron StrattonColorado Springs, CO, CCN 061914 Federally qualified health center Corporate Director Feb 1, 2019
Pediatric Health CenterColorado Springs, CO, CCN 061917 Federally qualified health center Corporate Director Feb 1, 2019
Health Center at Academy Suite 3500Colorado Springs, CO, CCN 061940 Federally qualified health center Corporate Director Feb 1, 2019
Health Center at LimonLimon, CO, CCN 061881 Federally qualified health center Corporate Director Jan 1, 2019
Dental Center at FlaglerFlagler, CO, CCN 061882 Federally qualified health center Corporate Director Feb 1, 2019
Health Center at StrasburgStrasburg, CO, CCN 061883 Federally qualified health center Corporate Director Feb 1, 2019
Convenient Care CenterColorado Springs, CO, CCN 061948 Federally qualified health center Corporate Director Feb 1, 2019
Health Center at 340 Printers ParkwayColorado Springs, CO, CCN 061979 Federally qualified health center Corporate Director Feb 1, 2019
Downtown Health CenterColorado Springs, CO, CCN 061032 Federally qualified health center Corporate Director Feb 1, 2019

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DR.0030681COMDInternal Medicine Physician
30681COMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CS Cardiology Newco LLC Cardiovascular Disease CurrentSince Oct 15, 2023 Accepting new patients
CS Cardiology Newco LLC Cardiovascular Disease CurrentSince Oct 15, 2023 Accepting new patients
CS Cardiology Newco LLC Cardiovascular Disease Current Accepting new patients
Cardiodiagnostics of Colorado Springs, Inc. Past Accepting new patients
Peak Vista Community Health Centers PastSince Feb 1, 2019 Accepting new patients
CTMD LLC Dba Parkside Heart Care Past Accepting new patients
Parkside Cardiology LLC Cardiovascular Disease Past Accepting new patients
Uch-MHS Past Accepting new patients

Locations

1625 Medical Center Pt
Ste 210
Colorado Springs, CO 80907
Phone (708) 289-4757

2222 N Nevada Ave
Ste 4007
Colorado Springs, CO 80907
Phone (719) 634-6671

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X DR.0030681 CO
Cardiovascular Disease Physician 207RC0000X 30681 CO Primary

Addresses

NPPES NPI Registry

Primary practice location

6011 E Woodmen Rd
Ste 120
Colorado Springs, CO 80923-2603

Mailing address

6011 E Woodmen Rd
Ste 120
Colorado Springs, CO 80923-2603
Phone (719) 776-8500

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
P01025201OtherCOMCR RAILROAD
01306810MedicaidCO

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 20, 2021.

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1972508505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6011 E WOODMEN RD",
            "address_2": "STE 120",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809232603",
            "telephone_number": "719-776-8500",
            "fax_number": "719-634-1448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6011 E WOODMEN RD",
            "address_2": "STE 120",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809232603",
            "telephone_number": "719-776-8500",
            "fax_number": "719-634-1448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "PAMELA",
        "middle_name": "ANN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-20",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "DR.0030681",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CO",
            "license": "30681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCR RAILROAD",
            "identifier": "P01025201",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01306810",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.