MEDICARE: DR. PAMELA WALLACE CASSON M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	41888	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851388367
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAMELA WALLACE CASSON M.D.

Provider Business Mailing Address
First Line	:	1465 KELLY JOHNSON BLVD
Second Line	:	SUITE 220
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80920-3955
Country	:	US
Telephone Number	:	719-265-1050
Fax Number	:	719-265-2503

Provider Business Practice Location Address
First Line	:	1465 KELLY JOHNSON BLVD
Second Line	:	SUITE 220
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80920-3955
Country	:	US
Telephone Number	:	719-265-1050
Fax Number	:	719-265-2503

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/29/2005
Last Update Date	:	02/11/2010

Similar Medicare Providers

1740276179 — DR. DWIGHT A. ROBERTSON M.D.
Practice Location Address:

1465 KELLY JOHNSON BLVD , SUITE 310
COLORADO SPRINGS, CO
80920-3955

Practice Phone: 719-535-8900
Practice Fax: 719-535-8986

1164585147 — KARI BETH ANDERSON LCSW
Practice Location Address:

1465 KELLY JOHNSON BLVD , STE. 360
COLORADO SPRINGS, CO
80920-3955

Practice Phone: 719-302-2886
Practice Fax: 719-631-7008

1154441350 — DR. JAMES THOMAS VANCAMP OD
Practice Location Address:

1465 KELLY JOHNSON BLVD , STE 110
COLORADO SPRINGS, CO
80920-3955

Practice Phone: 719-598-6000
Practice Fax: 719-559-0136

1417161589 — INTEGRITY FAMILY HEALTHCARE PC
Practice Location Address:

1465 KELLY JOHNSON BLVD , SUITE 100
COLORADO SPRINGS, CO
80920-3955

Practice Phone: 719-572-0951
Practice Fax: 719-572-0955

1477742526 — PIKES PEAK INTERNAL MEDICINE ASSOCIATES, L.L.C.
Practice Location Address:

1465 KELLY JOHNSON BLVD , SUITE 310
COLORADO SPRINGS, CO
80920-3955

Practice Phone: 719-535-8900
Practice Fax:

1477794428 — PAMELA W. CASSON, MD, PC
Practice Location Address:

1465 KELLY JOHNSON BLVD , SUITE 220
COLORADO SPRINGS, CO
80920-3955

Practice Phone: 719-265-1050
Practice Fax: 719-265-2503

Directions to “ DR. PAMELA WALLACE CASSON M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.