Pediatric Cardiology Associates

Primary specialty

Pediatric Cardiology PhysicianTaxonomy code 2080P0202X

Legal business name

PEDIATRIC CARDIOLOGY ASSOCIATES

Practice address

1725 E Boulder Street
Suite 202
Colorado Springs, CO 80909

Phone

(719) 634-8984

Fax

(719) 634-7807

NPI assigned

Oct 13, 2006

Last updated

Jul 8, 2010By 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

Ms. Kim McSparren

Title

Billing Supervisor

Phone

(719) 634-8984

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pediatric Cardiology Associates LLP Other name

Locations

Practitioners 1

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.

• Mark C Duster, MD

  • Pediatric Cardiology Physician
  • Colorado Springs, CO
  • NPI 1902903198
  NPD (past)

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278547200000",
    "number": "1982794798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 E BOULDER STREET",
            "address_2": "SUITE 202",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80909",
            "telephone_number": "719-634-8984",
            "fax_number": "719-634-7807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 E BOULDER STREET",
            "address_2": "SUITE 202",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80909",
            "telephone_number": "719-634-8984",
            "fax_number": "719-634-7807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC CARDIOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2010-07-08",
        "status": "A",
        "authorized_official_last_name": "MCSPARREN",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "719-634-8984",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04016192",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Cardiology Associates LLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Richard T Pedersen, OD
• Sarah M Pedersen
• Robert Pederson
• Pediatric & Family Psychiatry LLC
• Pediatric Associates, PC
• Pediatric Endocrine Associates, P.C.
• Pediatric Gastroenterology of Colorado Springs
• Pediatric Holistic Wellness
• Pediatric Neurology and Epilepsy Specialists, PLLC
• Pediatric Psychology Services of Colorado (Exploration Kids Therapy)

• Pediatric Cardiology Physician in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Pediatric Cardiology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; 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.