Provider Demographics
NPI:1881802965
Name:PEARCE, CHRISTY FRIDAY (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTY
Middle Name:FRIDAY
Last Name:PEARCE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6071 E. WOODMEN ROAD SUITE 440
Mailing Address - Street 2:SOUTHERN COLORADO MFM
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80923
Mailing Address - Country:US
Mailing Address - Phone:719-622-3442
Mailing Address - Fax:719-622-3400
Practice Address - Street 1:6071 E. WOODMEN ROAD SUITE 440
Practice Address - Street 2:SOUTHERN COLORADO MFM
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80923
Practice Address - Country:US
Practice Address - Phone:719-622-3442
Practice Address - Fax:719-622-3400
Is Sole Proprietor?:No
Enumeration Date:2007-05-20
Last Update Date:2017-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0000042980207V00000X
KY42637207V00000X
TNMD42980207VM0101X
CO0054697207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO04938704Medicaid