Active NPI
Laura K. Pomerenke, MD, PC
- Surgery Physician
- Colorado Springs, CO
National Provider Identifier
1982660817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 34528
- Legal business name
- LAURA K. POMERENKE, MD, PC
- Practice address
- 3030 N Circle Dr
Suite 216
Colorado Springs, CO 80909-1177 - Phone
- (719) 471-3930
- Fax
- (719) 471-3543
- NPI assigned
- Apr 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Laura Kay Pomerenke, M.D.
- Title
- President
- Phone
- (719) 471-3930
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 34528 | CO | Primary |
Addresses
Primary practice location
3030 N Circle Dr
Suite 216
Colorado Springs, CO 80909-1177
Mailing address
3030 N Circle Dr
Suite 216
Colorado Springs, CO 80909-1177
Phone (719) 471-3930
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65156340 | Medicaid | CO | |
| 38270 | Other | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
3030 N Circle Dr
Ste 216
Colorado Springs, CO 80909
Phone (719) 471-3930
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Colorado Springs, CO
- NPI 1568643708
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1219708800000",
"number": "1982660817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3030 N CIRCLE DR",
"address_2": "SUITE 216",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809091177",
"telephone_number": "719-471-3930",
"fax_number": "719-471-3543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3030 N CIRCLE DR",
"address_2": "SUITE 216",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809091177",
"telephone_number": "719-471-3930",
"fax_number": "719-471-3543"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAURA K. POMERENKE, MD, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-20",
"last_updated": "2008-08-26",
"status": "A",
"authorized_official_last_name": "POMERENKE",
"authorized_official_first_name": "LAURA",
"authorized_official_middle_name": "KAY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "719-471-3930",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "CO",
"license": "34528",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "65156340",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "38270",
"state": null
}
],
"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 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.