Parkside Ct Group Llc in Colorado Springs - Vascular Surgery
Parkside Ct Group Llc - NPI 1700839248
Parkside Ct Group Llc is a Vascular Surgery in Colorado Springs, Colorado. Parkside Ct Group Llc practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Parkside Ct Group Llc is 1700839248. The last update date is 2020-08-22.
Parkside Ct Group Llc's current location address is 215 Parkside Dr, Colorado Springs, Colorado. You can contact this provider via phone number 7194771033 and fax number 7194771037. The mailing address for Parkside Ct Group Llc is 215 Parkside Dr, Colorado Springs, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Parkside Ct Group Llc |
|---|---|
| Address | 215 Parkside Dr, Colorado Springs, Colorado |
| Phone Number | 7194771033 |
| Fax Number | 7194771037 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | M.D./MEMBE |
|---|---|
| Authorized Official Name | Crepps Thomas J. |
| Credentials | M.D. |
| Telephone Number | 7194771033 |
NPI Number Detail
| NPI Number | 1700839248 |
|---|---|
| Provider Enumeration Date | 2006-05-18 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 215 Parkside Dr |
|---|---|
| City | Colorado Springs |
| State | Colorado (CO) |
| Post Code | 809103135 |
| Phone Number | 7194771033 |
| Fax Number | 7194771037 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
| Licence No | 31124 |
|
Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 31124 | CO | PHYSICIAN LICENSE |
Post Comment/ Review Below
What is the unique identification code assigned to Parkside Ct Group Llc by the Centers for Medicare & Medicaid Services?
The Parkside Ct Group Llc has been issued the NPI (National Provider Identifier) 1700839248. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Parkside Ct Group Llc's facilities are situated?
The facilities of Parkside Ct Group Llc are physically located at the following address: 215 Parkside Dr, Colorado Springs, CO, 809103135.
What is the area of specialization for Parkside Ct Group Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Parkside Ct Group Llc is Vascular Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 2086S0129X.
On what date did the Centers for Medicare & Medicaid Services assign the 1700839248 to Parkside Ct Group Llc?
The Centers for Medicare & Medicaid Services assigned the 1700839248 to Parkside Ct Group Llc on 2006-05-18.
As of what date was the information pertaining to Parkside Ct Group Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Parkside Ct Group Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.
NPI Number: 1356344279
Address: Mount St. Mary's Hospital Laboratory, Lewiston, NY