Gerald J Pise, MD, PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

17300 Issued in CO

Legal business name

GERALD J PISE, MD, PC

Practice address

1644 Medical Center PT
Colorado Springs, CO 80907-5760

Phone

(719) 633-2022

Fax

(719) 633-9473

NPI assigned

Oct 5, 2010

Organization subpart

No

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

Authorized official

Name

Kat O'Hearn

Title

Administrator

Phone

(719) 633-2022

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1286236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286236800000",
    "number": "1992014179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1644 MEDICAL CENTER PT",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809075760",
            "telephone_number": "719-633-2022",
            "fax_number": "719-633-9473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1644 MEDICAL CENTER PT",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809075760",
            "telephone_number": "719-633-2022",
            "fax_number": "719-633-9473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERALD J PISE, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-05",
        "last_updated": "2010-10-05",
        "status": "A",
        "authorized_official_last_name": "O'HEARN",
        "authorized_official_first_name": "KAT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "719-633-2022"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CO",
            "license": "17300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01173004",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Georgeoff
• Ruxandra Oana-Iulia Georgescu, DDS
• Benjamin David Gephardt
• Christina Geraci, MA, LPC
• Gerald a. Hamstra, D.O., P.C.
• Zaria Geralds
• Daniel Gerardo
• Shannon Beth Gerber, RN, MSN, NP-C
• Nicole Gerhauser
• Gail Ann Gerig

• Specialist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Specialist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.