COLORADO CYBERKNIFE LLC (NPI# 1003046905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003046905 |
| Entity Type | Organization |
| Organization Name | COLORADO CYBERKNIFE LLC |
| Practice Address |
120 Old Laramie Trl E Lafayette CO 80026-7012 |
| Practice Telephone | 3039269800 |
| Practice Fax Number | 3039269801 |
| Mailing Telephone | 3039269800 |
| Mailing Fax Number | 3039269801 |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2010-10-18 |
| Authorized Official Name | CHARLES KELLEY SIMPSON (OWNER) |
| Authorized Official Telephone | 3039269800 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QX0203X |
Clinic/Center Specialization: Oncology, Radiation |
Ambulatory Health Care Facilities |
| Street Address |
120 OLD LARAMIE TRL E |
| City | LAFAYETTE |
| State | CO |
| Zip Code | 80026-7012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942278361 | Centennial Radiation Oncology, P.C. | Radiology | 120 Old Laramie Trl E, Lafayette, CO 80026-7012 | 2006-03-10 |
| 1841621406 | Creekside Specialty Physicians LLC | Specialist | 120 Old Laramie Trl E, Lafayette, CO 80026-7012 | 2013-12-09 |
| 1043507353 | Poudre Vallley Rental Company LLC | Clinic/Center | 120 Old Laramie Trl E, Lafayette, CO 80026-7012 | 2011-07-07 |
| 1346534658 | Banner Oncology Services | Clinic/Center | 120 Old Laramie Trl E, Lafayette, CO 80026-7012 | 2011-06-03 |
| 1275765802 | Matthew P Orourke | Clinic/Center | 120 Old Laramie Trl E, Lafayette, CO 80026-7012 | 2009-08-16 |
| 1912137811 | Creekside Cancer Care LLC | Clinic/Center | 120 Old Laramie Trl E, Lafayette, CO 80026-7012 | 2009-07-27 |
| 1699922005 | Alpine Radiation Oncology Services, Pllc | Clinic/Center | 120 Old Laramie Trl E, Lafayette, CO 80026-7012 | 2008-08-27 |
| 1902098361 | Ck Leasing Physician Services LLC | Radiology | 120 Old Laramie Trl E, Lafayette, CO 80026-7012 | 2007-08-09 |
| 1871527754 | Charles Kelley Simpson | Radiology | 120 Old Laramie Trl E, Lafayette, CO 80026-7012 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528671690 | Julia Michele Colton | Occupational Therapist | 110 S. Roosevelt Ave, Lafayette, CO 80026 | 2020-08-28 |
| 1265045900 | Amber M. Roter | Social Worker | 588 N Us-287 Co, Suite 200, Lafayette, CO 80026 | 2020-08-24 |
| 1669008314 | Dr. Sunda Friedman Tebockhorst Psychologicl Services, Ltd | Clinic/Center | 588 N Hwy 287, Suite 200, Lafayette, CO 80026 | 2020-03-13 |
| 1659918910 | Emily Nicole Pearson | Behavior Technician | 961 Sandstone Circle, Lafayette, CO 80026 | 2019-12-05 |
| 1790320612 | Gs Campus Asc, LLC | Clinic/Center | Lafayette Surgery Center, 340 Exempla Circle, Suite #400, Lafayette, CO 80026 | 2019-11-14 |
| 1639711864 | Martina Christina Holzach | Student in an Organized Health Care Education/Training Program | 1455 Dixon Ave, Suite #300, Lafayette, CO 80026 | 2019-10-09 |
| 1104474055 | 2nd Star Counseling | Clinic/Center | 260 S. Public Rd, Lafayette, CO 80026 | 2019-09-03 |
| 1912460015 | Premier Eye Surgery Center of Colorado, LLC | Clinic/Center | 1050 W. South Boulder Road, Lafayette, CO 80026 | 2019-04-08 |
| 1144704883 | Nikole J Randolph | Nutritionist | 2770 Dagny Way Suite 210, Lafayette, CO 80026 | 2018-09-19 |
| 1609388842 | Claro Scientific Laboratories Corp | Clinical Medical Laboratory | 1408 Horizon Ave Ste 101, Lafayette, CO 80026 | 2017-10-27 |
| Find all providers in zip 80026 | ||||
| Taxonomy Code | 261QX0203X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Oncology, Radiation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043507353 | Poudre Vallley Rental Company LLC | Clinic/Center | 120 Old Laramie Trl E, Lafayette, CO 80026-7012 | 2011-07-07 |
| 1275765802 | Matthew P Orourke | Clinic/Center | 120 Old Laramie Trl E, Lafayette, CO 80026-7012 | 2009-08-16 |
| 1912137811 | Creekside Cancer Care LLC | Clinic/Center | 120 Old Laramie Trl E, Lafayette, CO 80026-7012 | 2009-07-27 |
| 1699922005 | Alpine Radiation Oncology Services, Pllc | Clinic/Center | 120 Old Laramie Trl E, Lafayette, CO 80026-7012 | 2008-08-27 |
| 1508935552 | Greater Lafayette Health Services | Clinic/Center | 1425 Unity Pl, Lafayette, IN 47905-5756 | 2006-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043355571 | Radiation Therapy Center of Thornton, L.p. | Clinic/Center | 9441 Huron Street, Thornton, CO 80260 | 2007-02-21 |
| 1184283103 | Poudre Valley Health Care Inc. | Clinic/Center | 2121 E Harmony Rd Unit 160, Fort Collins, CO 80528-3413 | 2019-06-12 |
| 1821302001 | Banner Oncology Services | Clinic/Center | 1801 16th St, Greeley, CO 80631-5154 | 2010-07-30 |
| 1730492612 | Banner Oncology Services | Clinic/Center | 2050 Boise Ave, Suite B, Loveland, CO 80538-5036 | 2010-07-20 |
| 1215170600 | Colorado Cybermed, Pllc | Clinic/Center | 10463 Park Meadows Dr, Suite 114, Lone Tree, CO 80124-5316 | 2009-04-14 |
| 1831331511 | Alpine Rs LLC | Clinic/Center | 905 Alpine Ave, Boulder, CO 80304-3305 | 2009-03-27 |
| 1386886067 | Alpine Cancer Care LLC | Clinic/Center | 905 Alpine Ave, Boulder, CO 80304-3305 | 2009-03-27 |
| 1902046576 | Denver Cyberknife, LLC | Clinic/Center | 10463 Park Meadows Dr, Suite 114, Lone Tree, CO 80124-5316 | 2009-02-23 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.