Basic Information
Provider Information
NPI: 1821417767
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: NESS
FirstName: ERIC
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
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Mailing Information
Address1: 2695 ROCKY MOUNTAIN AVE STE 150
Address2:  
City: LOVELAND
State: CO
PostalCode: 805389071
CountryCode: US
TelephoneNumber: 9706244034
FaxNumber: 9704904347
Practice Location
Address1: 1400 E BOULDER ST STE 2508
Address2:  
City: COLORADO SPRINGS
State: CO
PostalCode: 809095533
CountryCode: US
TelephoneNumber: 7193656999
FaxNumber: 7193652837
Other Information
ProviderEnumerationDate: 04/08/2014
LastUpdateDate: 06/25/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/25/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X0101263301VAN Allopathic & Osteopathic PhysiciansAnesthesiology 
207L00000XDR.0066056COY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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