PHOENIX NEUROMONITORING (NPI# 1013339795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013339795 |
| Entity Type | Organization |
| Organization Name | PHOENIX NEUROMONITORING |
| Practice Address |
10099 Ridgegate Pkwy Suite 480 Lone Tree CO 80124-5531 |
| Practice Telephone | 3038018136 |
| Enumeration Date | 2014-01-14 |
| Last Update Date | 2014-01-14 |
| Authorized Official Name | MRS. NATALIA REESE (OWNER) |
| Authorized Official Telephone | 3038018136 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246Z00000X | Specialist/Technologist, Other | Technologists, Technicians & Other Technical Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Phoenix Neuromonitoring, LLC | 6900 E. Belleview Ave., Suite 350, Greenwood Village, CO 80111 |
| Street Address |
10099 RIDGEGATE PKWY SUITE 480 |
| City | LONE TREE |
| State | CO |
| Zip Code | 80124-5531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205824182 | Lara M Lane | Obstetrics & Gynecology | 10099 Ridgegate Pkwy, #280, Lone Tree, CO 80124-5531 | 2005-10-13 |
| 1336763143 | Ob-gyn Affiliates | Obstetrics & Gynecology | 10099 Ridgegate Pkwy, Suite 260, Lone Tree, CO 80124-5522 | 2020-06-08 |
| 1689132177 | Monica Uppal | Student in an Organized Health Care Education/Training Program | 10099 Ridgegate Pkwy, Lone Tree, CO 80124-5531 | 2019-03-04 |
| 1497225841 | Autumn Spirit Pa, Inc | Neurological Surgery | 10099 Ridgegate Pkwy, Lone Tree, CO 80124-5531 | 2018-11-28 |
| 1104314616 | Lauren Disalvo | Student in an Organized Health Care Education/Training Program | 10099 Ridgegate Pkwy, Lone Tree, CO 80124-5531 | 2018-04-30 |
| 1518464247 | Leonid M Zukin | Student in an Organized Health Care Education/Training Program | 10099 Ridgegate Pkwy, Lone Tree, CO 80124-5531 | 2018-04-09 |
| 1649790189 | Jessica Tse | Student in an Organized Health Care Education/Training Program | 10099 Ridgegate Pkwy, Lone Tree, CO 80124-5531 | 2017-06-26 |
| 1528598059 | Gilberto Miranda | Psychiatry & Neurology | 10099 Ridgegate Pkwy, Lone Tree, CO 80124-5531 | 2017-06-18 |
| 1295264158 | Matthew Orobona | Surgery | 10099 Ridgegate Pkwy, Lone Tree, CO 80124-5531 | 2017-06-05 |
| 1841726932 | Sidra B Bhuller | Surgery | 10099 Ridgegate Pkwy, Suite 120, Lone Tree, CO 80124-5531 | 2017-05-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700413788 | Adam Avant | Student in an Organized Health Care Education/Training Program | Sky Ridge Medical Center 10099 Ridgegate Pkwy, Ste 200, Lonetree, CO 80124 | 2020-03-27 |
| 1265069546 | Nikhilesh Srinivasan | Student in an Organized Health Care Education/Training Program | 10099 Ridgegate Parkway, #200, Lone Tree, CO 80124 | 2020-03-25 |
| 1487281200 | Caden Nowak | Student in an Organized Health Care Education/Training Program | 10099 Ridgegate Parkway #200, Lone Tree, CO 80124 | 2020-03-23 |
| 1427618305 | University of Colorado Hospital Authority | Clinic/Center | 9548 Park Meadows Dr, Lone Tree, CO 80124 | 2019-06-13 |
| 1225505746 | Justin Sean Ashurst | Registered Nurse | 10240 Meadows Dr, Lone Tree, CO 80124 | 2018-11-02 |
| 1396257143 | University Physicians, Incorporated | Family Medicine | 9548 Park Meadows Drive, Lone Tree, CO 80124 | 2017-11-02 |
| 1861928236 | Jennifer Kouri | Student in an Organized Health Care Education/Training Program | 10099 Ridgegate Parkway Ste 120, Rvu/sky Ridge Tri Residency, Lone Tree, CO 80124 | 2017-05-04 |
| 1013443787 | Graham Litchman | Surgery | 1099 Ridgegate Parkway, Graduate Medical Education Office Suite 120, Lone Tree, CO 80124 | 2017-05-02 |
| 1609324466 | Amy Lim | Registered Nurse | 10101 Ridge Gate Pkwy, Lone Tree, CO 80124 | 2016-09-21 |
| 1770933251 | Richard Kenyon French Jr. | Optometrist | 8455 Park Meadows Center Blvd, Lenscrafters At Macy's, Littleton, CO 80124 | 2016-06-15 |
| Find all providers in zip 80124 | ||||
| Taxonomy Code | 246Z00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093772550 | James M Blatchford | Specialist/Technologist, Other | 9233 Park Meadows Dr, Suite 214, Lone Tree, CO 80124-5426 | 2006-04-27 |
| 1932305943 | Erica Secrist Crane | Specialist/Technologist, Other | 10103 Ridgegate Pkwy, Suite 306, Lone Tree, CO 80124-5520 | 2007-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528671799 | Level 1 Neuro, LLC | Specialist/Technologist, Other | 3141 W 19th Ave, Denver, CO 80204-1714 | 2020-08-27 |
| 1619504313 | Lyndie Dianne Morris | Specialist/Technologist, Other | 11845 Sunset Crater Dr, Peyton, CO 80831-7065 | 2020-03-24 |
| 1649714940 | Tyler Ubben | Specialist/Technologist, Other | 5650 E Tabor Dr, Castle Rock, CO 80104-9717 | 2016-12-06 |
| 1821531955 | Alexis Salinas | Specialist/Technologist, Other | 2429 W 25th Street Rd, Greeley, CO 80634-6954 | 2016-11-21 |
| 1265888465 | Jennifer Loehding | Specialist/Technologist, Other | 11181 W Crestline Dr, Littleton, CO 80127-1642 | 2016-05-06 |
| 1669842639 | Tirza Derflinger | Specialist/Technologist, Other | 150 Wells St Unit 1052, Erie, CO 80516-5544 | 2015-10-02 |
| 1194102996 | Chris Knott, Inc | Specialist/Technologist, Other | 1795 Jet Stream Dr, Suite 104, Colorado Springs, CO 80921-3907 | 2015-04-30 |
| 1144599937 | Lisa Szcypinski | Specialist/Technologist, Other | 965 S. Colorado Blvd., Suite 104, Denver, CO 80246 | 2011-12-22 |
| 1154603330 | Carissa Bollinger | Specialist/Technologist, Other | 2575 S Syracuse Way Apt I304, Denver, CO 80231-3840 | 2011-09-14 |
| 1225328651 | Aspirellc | Specialist/Technologist, Other | 10322 E. Berry Dr., Greenwood Village, CO 80111 | 2011-04-19 |
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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.