OrganizationActive
Pueblo Ear Nose & Throat Specialist
NPI 1306175484 · Otolaryngology Physician · Pueblo, CO
Provider details
- NPI number
- 1306175484
- Entity type
- Organization
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Charlene Hickson, Owner(719) 566-1277
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1218 Pueblo Blvd Way
Pueblo, CO 81005-1507
Phone: (719) 566-1277
Fax: (719) 566-1257
Street-level locationGet directions
Mailing address
1218 Pueblo Blvd Way
Pueblo, CO 81005-1507
Registry dates
- Enumerated
- 2009-12-18
- Last updated
- 2013-04-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.