ROBERT M REVEILLE (NPI# 1013949783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013949783 |
| Entity Type | Individual |
| Full Name | ROBERT M REVEILLE |
| Credential | M.D. |
| Practice Address |
7000 W Colfax Ave Ste B Lakewood CO 80214-5434 |
| Mailing Address |
10403 W Colfax Ave Ste 630 Lakewood CO 80215-3812 |
| Practice Telephone | 3035739951 |
| Practice Fax Number | 3035731013 |
| Mailing Telephone | 3032051090 |
| Mailing Fax Number | 3032051120 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2010-06-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
26945 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | RAILROAD MEDICARE | 100009430 | 01 |
| CO | 01269455 | 05 |
| Street Address |
7000 W COLFAX AVE STE B |
| City | LAKEWOOD |
| State | CO |
| Zip Code | 80214-5434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437188679 | Waymon C Lattimore | Internal Medicine | 7000 W Colfax Ave Ste B, Lakewood, CO 80214-5434 | 2006-07-01 |
| 1568501997 | Scott H Mackenzie | Internal Medicine | 7000 W Colfax Ave Ste B, Lakewood, CO 80214-5434 | 2007-02-05 |
| 1811922339 | Rajesh Jain | Internal Medicine | 7000 W Colfax Ave Ste B, Lakewood, CO 80214-5434 | 2006-07-12 |
| 1548292238 | Richard J Roller | Internal Medicine | 7000 W Colfax Ave Ste B, Lakewood, CO 80214-5434 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982266128 | Audra Perez | Social Worker | 1750 Pierce Street Suite C, Lakewood, CO 80214 | 2019-07-08 |
| 1508347758 | Robin Noel Mackin | Speech-Language Pathologist | 2401 Lamar Street, Edgewater, CO 80214 | 2018-08-26 |
| 1932636065 | Tamika Thomas | Counselor | 950 Wadsworth Blvd Ste 203, Lakewood, CO 80214 | 2017-05-19 |
| 1902353568 | Holly Carpenter | Counselor | 1410 Vance St, Lakewood, CO 80214 | 2016-09-01 |
| 1285094672 | Danijela Jankovic | Dentist | 7611 W.colfax Avenue, Suite D, Lakewood, CO 80214 | 2016-02-29 |
| 1053784207 | Dale Kim | Dentist | 1921 Sheridan Blvd Unit F, Edgewater, CO 80214 | 2015-11-10 |
| 1164890604 | Kingston Dialysis LLC | Clinic/Center | 1750 Pierce St Ste A, Lakewood, CO 80214 | 2015-09-14 |
| 1558747923 | Hv Lakewood | Optometrist | 6695 W. Colfax Ave., Lakewood, CO 80214 | 2015-08-07 |
| 1265879498 | Diana M Arvizo | Occupational Therapy Assistant | 1685 Eaton St., Lakewood, CO 80214 | 2013-05-29 |
| 1528332731 | Jennifer Anderson | Physical Therapist | 5354 W 25th Ave, Edgewater, CO 80214 | 2012-03-06 |
| Find all providers in zip 80214 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932372729 | Herbert Brahm Radack | Internal Medicine | 6 Silverwoods Dr, Lakewood, NJ 08701-7515 | 2008-04-11 |
| 1194742676 | Maritza Proano | Internal Medicine | 1536 Cole Blvd., # 4-250, Lakewood, CO 80401 | 2006-07-17 |
| 1437188679 | Waymon C Lattimore | Internal Medicine | 7000 W Colfax Ave Ste B, Lakewood, CO 80214-5434 | 2006-07-01 |
| 1851338941 | Conrad A. Cox | Internal Medicine | 5750 Downey Ave Ste 303, Attention: Antoinette M. Cox, Lakewood, CA 90712-1477 | 2006-05-31 |
| 1023338654 | Andrew Steffes Korson | Internal Medicine | 7000 W Colfax Ave, Lakewood, CO 80214-5433 | 2010-06-05 |
| 1942465653 | Mandeep Singh Bhamra | Internal Medicine | 13952 Denver West Pkwy, Building 53 #100, Lakewood, CO 80401-3141 | 2008-07-22 |
| 1205968369 | Conrad A. Cox, M.d . Inc. | Internal Medicine | 5750 Downey Ave Ste 303, Lakewood, CA 90712-1477 | 2007-03-12 |
| 1619009677 | Prohealth Partners, A Medical Group | Internal Medicine | 5750 Downey Ave Ste 303, Lakewood, CA 90712-1477 | 2007-03-12 |
| 1568501997 | Scott H Mackenzie | Internal Medicine | 7000 W Colfax Ave Ste B, Lakewood, CO 80214-5434 | 2007-02-05 |
| 1275620304 | Augustin Attwell | Internal Medicine | 7000 W Colfax Ave, Lakewood, CO 80214-5433 | 2006-10-09 |
| Find all providers in LAKEWOOD | ||||
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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.