Unknown Individual – Gastroenterology Physician, NPI 1730112343
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Loading map...
Provider Addresses for Unknown Individual
1600, North Grand Avenue, Mineral Palace, Pueblo, Pueblo County, Colorado, 81003, United States
SUITE 440
PUEBLO, CO 810032700
Phone: (719) 543-3500
Fax: (719) 543-3504
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 81003)
Loading plans...
Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CO | |
| Family Practice | CO | |
| - | CO | |
| - | KS | |
| Family Practice | CO | |
| Nurse Practitioner | CO | |
| - | CO | |
| Nurse Practitioner | CO | |
| Nurse Practitioner | CO | |
| Physical Medicine And Rehabilitation, Sports Medicine | CO |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.