Provider Demographics
NPI:1902903628
Name:ADVANTAGE INPATIENT MEDICAL SPECIALISTS, P.C.
Entity Type:Organization
Organization Name:ADVANTAGE INPATIENT MEDICAL SPECIALISTS, P.C.
Other - Org Name:AIMS
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DUANE
Authorized Official - Middle Name:R
Authorized Official - Last Name:SPAULDING
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:719-776-5060
Mailing Address - Street 1:PO BOX 7670
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80933-7670
Mailing Address - Country:US
Mailing Address - Phone:719-776-5060
Mailing Address - Fax:
Practice Address - Street 1:2222 N NEVADA AVE
Practice Address - Street 2:SUITE 1205
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80907-6819
Practice Address - Country:US
Practice Address - Phone:719-776-5060
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO49959352Medicaid
COC338108Medicare ID - Type UnspecifiedCORPORATE MEDICARE NUMBER