COLORADO IOM, LLC (NPI# 1023582707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023582707 |
| Entity Type | Organization |
| Organization Name | COLORADO IOM, LLC |
| Practice Address |
8200 S Quebec St Ste A3-423 Centennial CO 80112-4411 |
| Practice Telephone | 7204527771 |
| Enumeration Date | 2019-01-16 |
| Last Update Date | 2019-01-16 |
| Authorized Official Name | LIZETTE MORIN (MDMS NPI COMPLIANCE OFFICER) |
| Authorized Official Telephone | 2105982800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 204R00000X | Electrodiagnostic Medicine | Allopathic & Osteopathic Physicians | ||
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians | ||
| N | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
Technologists, Technicians & Other Technical Service Providers | ||
| Y | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Colorado IOM, LLC | 7535 East Hampden Ave, Suite 400, Denver, CO 80231 |
| Street Address |
8200 S QUEBEC ST STE A3-423 |
| City | CENTENNIAL |
| State | CO |
| Zip Code | 80112-4411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750921177 | Natalie Jo Stevenson | Social Worker | 12835 E Arapahoe Rd., Tower 2, Suite 400, Centennial, CO 80112 | 2020-01-14 |
| 1033757109 | Sauder Psychology, Inc | Psychologist | 9085 E. Mineral Cir, Suite 235, Centennial, CO 80112 | 2019-12-19 |
| 1588213581 | Myappstorebiz | Special Hospital | 13033 E Adam Aircraft Circle B 53, Englewood, CO 80112 | 2019-09-11 |
| 1669930319 | Linked To Craig 501c3 | Dentist | 9085 E. Mineral Circle, Suite 350, Centennial, CO 80112 | 2019-03-12 |
| 1528538311 | Cherish Mitchell | Behavior Technician | 12660 E Briarwood Ave, Suite 207, Centennial, CO 80112 | 2018-12-05 |
| 1144706920 | Margaret Mary Froehlke | Homemaker | 6278 E Jamison Dr, Centennial, CO 80112 | 2018-07-16 |
| 1376038240 | Elizabeth Ann Dickason | Physician Assistant | 9094 East Mineral Avenue, #100, Englewood, CO 80112 | 2018-06-24 |
| 1770075467 | Dry Creek Surgery Center, LLC | Clinic/Center | 125 Inverness Dr E Ste 150, Englewood, CO 80112 | 2018-05-30 |
| 1639669476 | Uchealth Ambulatory Surgery Centers | Clinic/Center | 175 Inverness Drive West, Englewood, CO 80112 | 2018-05-17 |
| 1427545227 | Patterns Behavioral Services Colorado Inc | Assistant Behavior Analyst | 7600 E Arapahoe Rd Ste 211, Centennial, CO 80112 | 2018-04-17 |
| Find all providers in zip 80112 | ||||
| Taxonomy Code | 2084N0600X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Clinical Neurophysiology |
| Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275131021 | Denver Neurological Clinic Professional LLC | Psychiatry & Neurology | 9980 Park Meadows Dr Ste 100, Lone Tree, CO 80124-8404 | 2020-10-14 |
| 1144779380 | 5280 Iom Pro, LLC | Psychiatry & Neurology | 1700 Bassett St Unit 1021, Denver, CO 80202-1921 | 2016-09-29 |
| 1407143043 | Alma Yum | Psychiatry & Neurology | 660 Bannock St # Mc4000, Denver, CO 80204-4506 | 2011-07-04 |
| 1942526835 | South Denver Neuromonitoring | Psychiatry & Neurology | 190 Jasmine St, Denver, CO 80220-5913 | 2010-04-16 |
| 1114165081 | Rjb Spine, LLC | Psychiatry & Neurology | 775 Capilano Ct, Castle Rock, CO 80108-3486 | 2009-01-29 |
| 1710123179 | Rocky Mountain Monitoring and Assist, LLC | Psychiatry & Neurology | 8500 Park Meadows Dr Ste 210, Lone Tree, CO 80124-2744 | 2009-01-06 |
| 1417102666 | Lawrence Lynch Mcreynolds | Psychiatry & Neurology | 7137 County Road 5, Ridgway, CO 81432-9734 | 2008-12-01 |
| 1134220288 | Kristen C Barner | Psychiatry & Neurology | 1813 Fairacres Dr, Greeley, CO 80631-5376 | 2006-09-25 |
| 1316557473 | Alexander Monroe Wolf | Psychiatry & Neurology | 950 E Harvard Ave, Denver, CO 80210-7009 | 2020-08-04 |
| 1487282992 | Neurology Institute of Colorado, Pllc | Psychiatry & Neurology | 433 Summit Blvd Unit 201, Broomfield, CO 80021-8299 | 2020-03-30 |
| Find all providers with the same taxonomy | ||||
| City | CENTENNIAL |
| Zip Code | 80112 |
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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.