National Provider Identifier Database

PARKSIDE CARDIOLOGY LLC
Cardiovascular Disease

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.


Contact Information

PARKSIDE CARDIOLOGY LLC
215 PARKSIDE DRIVE
COLORADO SPRINGS, CO80910
Phone: 719-471-1775
Fax: 719-632-6055
Website:
Specialty Taxonomy Code
* Cardiovascular Disease 207RC0000X

* Indicates primary specialty

NPI Profile & details for PARKSIDE CARDIOLOGY LLC

NPI Number 1316029069
Legal business name
LBN
PARKSIDE CARDIOLOGY LLC
Authorized official VALERIE CHAVEZ-VELASQUEZ - (FRONT OFFICE)
Entity Organization
Organization subpart No
Enumeration date 10/20/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • CO Medicaid: 01280569
  • CO Medicaid: 01294461
  • CO Medicaid: 01306810
  • CO Medicaid: 01359846
  • CO Medicaid: 20058837
  • CO Medicaid: 31380328

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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