CANON CITY OBGYN PC – Obstetrics & Gynecology Physician, NPI 1376686691

CANON CITY OBGYN PC is a healthcare provider. based in Canon city, Colorado. specializing in Obstetrics & Gynecology Physician. The organization holds a License No. 30880 (CO). The NPI Number for CANON CITY OBGYN PC is 1376686691

Main info

Organization
Name
CANON CITY OBGYN PC
NPI
1376686691
Phone
(719) 275-5261
Address
1335 PHAY AVE
Authorized Official
DR. PELHAM PORTER STAPLES III OWNER PRESIDENT M.D.
Enumeration Date
15 February 2007
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for CANON CITY OBGYN PC

  • 1335 PHAY AVE

    STE C

    CANON CITY, CO 812122334

    Phone: (719) 275-5261

    Fax: (719) 275-1687

    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 81212)

Loading plans...

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.

Frequently asked questions

How do payers reference CANON CITY OBGYN PC?
For CANON CITY OBGYN PC, use NPI 1376686691 as the unique 10-digit identifier.
Active or inactive — what applies to CANON CITY OBGYN PC?
You should see CANON CITY OBGYN PC as active in CMS-hosted NPPES data.
How would a patient describe CANON CITY OBGYN PC's focus?
For CANON CITY OBGYN PC, the primary taxonomy reads as Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Where in Colorado is CANON CITY OBGYN PC registered?
Use Canon City, Colorado as the headline location for CANON CITY OBGYN PC here.
When was this NPI issued?
Enumeration for CANON CITY OBGYN PC is noted as February 15, 2007 where the registry provides it.

Similar Providers

ANNA M KELLY (MD)

Obstetrics & Gynecology Physician
1338 Phay Ave Bldg D
NPI: 1205826385

DR. KATHRYN MARIE ZAMBONI-CUTTER

Obstetrics & Gynecology Physician
1338 PHAY AVE BLDG D OB
NPI: 1205897501

DR. JOHN SLOAN I HEAVRIN (M.D.)

Obstetrics & Gynecology Physician
7780 S Broadway
NPI: 1346298742

BRENT DELEATH SHELTON (M.D.)

Obstetrics & Gynecology Physician
1338 Phay Ave Bldg D
NPI: 1306877287

KIMBERLY M DEVORE (DO)

Obstetrics & Gynecology Physician
590 Court Street
NPI: 1770681785

MOLLIE T MILLER

Obstetrics & Gynecology Physician
1339 PHAY AVE
NPI: 1053638064

COURTNEY A LOCKHART (MD, PHD)

Obstetrics & Gynecology Physician
2525 S MICHIGAN AVE
NPI: 1952689259
4430 MISSOURI AVE
NPI: 1326301474

GARY WU (M.D.)

Obstetrics & Gynecology Physician
3563 TELEGRAPH TRL
NPI: 1992182455