CHILDREN'S CLINIC OF PUEBLO, PC
NPI 1962553172
Pediatrics in Pueblo, CO

NPI Status: Active since January 15, 2007

Contact Information

1600 N GRAND AVE
SUITE 240
PUEBLO, CO
ZIP 81003
Phone: (719) 295-2305
Fax: (719) 295-2320

Get Directions Write a Review

  • Organization
  • Pediatrics

About CHILDREN'S CLINIC OF PUEBLO, PC

This page provides the complete NPI Profile along with additional information for Children's Clinic Of Pueblo, Pc, a pediatrician established in Pueblo, Colorado operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1962553172 assigned on January 2007. The practitioner's primary taxonomy code is 208000000X with license number 36942 (CO). The provider is registered as an organization and their NPI record was last updated 14 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Loraine L. Carroll M.d. (Physician)

NPI
1962553172
Provider Name
CHILDREN'S CLINIC OF PUEBLO, PC
Entity Type
Organization
Location Address
1600 N GRAND AVE SUITE 240 PUEBLO, CO 81003
Location Phone
(719) 295-2305
Location Fax
(719) 295-2320
Mailing Address
1600 N GRAND AVE SUITE 240 PUEBLO, CO 81003
Mailing Phone
(719) 295-2305
Mailing Fax
(719) 295-2320
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-15-2007
Last Update Date
12-09-2011
Code Navigator

A pediatrician like Children's Clinic Of Pueblo, Pc is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
License No.
36942
License State
CO
Taxonomy Description
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LORAINE L. CARROLL M.D.

Authorized Official Title
PHYSICIAN
Authorized Official Phone
(719) 295-2305

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
49708864MEDICAID (05)CO 
CH636086OTHER (01)BCBS

Reviews for CHILDREN'S CLINIC OF PUEBLO, PC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1962553172
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
291221056114
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 2 + 2 + 1 + 0 + 5 + 6 + 1 + 1 + 4 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1962553172 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

CARL W ADAMS MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

1600 N GRAND AVE
SUITE 500
PUEBLO, CO
ZIP 81003

(719) 545-0663

GREGORY W BERENS MD

Family Medicine

1600 N GRAND AVE
SUITE 310
PUEBLO, CO
ZIP 81003

(719) 542-0072

HARRY R KEEFE MD

Family Medicine

1600 N GRAND AVE
STE 310
PUEBLO, CO
ZIP 81003

(719) 542-0072

NANCY S CHUCH MD

Family Medicine

1600 N GRAND AVE
STE 310
PUEBLO, CO
ZIP 81003

(719) 542-0072

DR. LORAINE LYNN CARROLL M.D.

Pediatrics

1600 N GRAND AVE
SUITE 240
PUEBLO, CO
ZIP 81003

(719) 296-2305

GORDON DAVID MURLEY M.D.

Surgery

1600 N GRAND AVE
STE 430
PUEBLO, CO
ZIP 81003

(719) 545-8240

BRUCE MICHAEL JOHNSON M.D.

Surgery

1600 N GRAND AVE
STE 510
PUEBLO, CO
ZIP 81003

(719) 566-3535

MICHAEL LEE KING M.D.

Surgery

1600 N GRAND AVE
STE 510
PUEBLO, CO
ZIP 81003

(719) 566-3535

CENTENNIAL SURGICAL ASSOCIATES,PLLC

Surgery

1600 N GRAND AVE
STE 510
PUEBLO, CO
ZIP 81003

(719) 566-3535

BRENDA KAE CARVER-TORRES FNP-C

Nurse Practitioner

1600 N GRAND AVE
SUITE 440
PUEBLO, CO
ZIP 81003

(719) 543-3500

ASHAKIRAN J SUNKU M.D.

Psychiatry & Neurology

(Neurology with Special Qualifications in Child Neurology)

1600 N GRAND AVE
SUITE: 110
PUEBLO, CO
ZIP 81003

(719) 546-9500

DR. NAGASWARA RAO YARLAGADDA MD

Pediatrics

1600 N GRAND AVE
#240
PUEBLO, CO
ZIP 81003

(719) 295-2305

SALLY M BERRYMAN MD

Obstetrics & Gynecology

(Obstetrics)

1600 N GRAND AVE
SUITE 400
PUEBLO, CO
ZIP 81003

(719) 543-4000

DR. MICHAEL O. GROWNEY MD, FACOG

Obstetrics & Gynecology

1600 N GRAND AVE
SUITE 400
PUEBLO, CO
ZIP 81003

(719) 543-4000

STEPHEN A. SMITH, MD, PC

Psychiatry & Neurology

(Neurology)

1600 N GRAND AVE
SUITE 120
PUEBLO, CO
ZIP 81003

(719) 545-9292

SUNSHINE MEDICAL GROUP PLLC

Internal Medicine

1600 N GRAND AVE
SUITE 120
PUEBLO, CO
ZIP 81003

(719) 545-9292

ASHAKIRAN J. SUNKU, M.D., LLC

Psychiatry & Neurology

(Neurology)

1600 N GRAND AVE
SUITE: 110
PUEBLO, CO
ZIP 81003

(719) 546-9500

CARLA JEAN JACKSON-HOWARD ACNP-BC

Nurse Practitioner

(Acute Care)

1600 N GRAND AVE
STE 530
PUEBLO, CO
ZIP 81003

(719) 595-7790

ANESTHESIA MANAGEMENT SERVICES, LLC

Nurse Anesthetist, Certified Registered

1600 N GRAND AVE
SUITE 420
PUEBLO, CO
ZIP 81003

(719) 546-2500

MR. HISMAN H PERCIVAL MD

Surgery

1600 N GRAND AVE
SUITE 430
PUEBLO, CO
ZIP 81003

(719) 545-8240

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962553172, enumerated as an "organization" on January 15, 2007.

The provider is located at 1600 N GRAND AVE SUITE 240 PUEBLO, CO 81003 and the phone number is (719) 295-2305.

Pediatrics with taxonomy code 208000000X.

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.