PUEBLO EAR NOSE & THROAT SPECIALIST – Otolaryngology Physician, NPI 1306175484

PUEBLO EAR NOSE & THROAT SPECIALIST is a healthcare provider. based in Pueblo, Colorado. specializing in Otolaryngology Physician. The NPI Number for PUEBLO EAR NOSE & THROAT SPECIALIST is 1306175484

Main info

Organization
Name
PUEBLO EAR NOSE & THROAT SPECIALIST
NPI
1306175484
Phone
(719) 566-1277
Address
1218 PUEBLO BLVD WAY
Authorized Official
DR. CHARLENE HICKSON OWNER M.D.
Enumeration Date
18 December 2009
Last Update Date
16 April 2013
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:16State licenses:0Digital endpointsOther names

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Provider Addresses for PUEBLO EAR NOSE & THROAT SPECIALIST

  • Pueblo Boulevard Way, Pueblo, Pueblo County, Colorado, 81005, United States

    PUEBLO, CO 810051507

    Phone: (719) 566-1277

    Fax: (719) 566-1257

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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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 81005)

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Frequently asked questions

What NPI should I save for PUEBLO EAR NOSE & THROAT SPECIALIST?
Save NPI 1306175484 if you need a stable reference for PUEBLO EAR NOSE & THROAT SPECIALIST.
Is PUEBLO EAR NOSE & THROAT SPECIALIST currently active in the NPI registry?
CMS-published data lists PUEBLO EAR NOSE & THROAT SPECIALIST as an active registrant.
What field does PUEBLO EAR NOSE & THROAT SPECIALIST work in?
You can think of PUEBLO EAR NOSE & THROAT SPECIALIST as practicing within Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
What location shows for PUEBLO EAR NOSE & THROAT SPECIALIST?
We surface Pueblo, Colorado for PUEBLO EAR NOSE & THROAT SPECIALIST based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Organization.

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