ALEXANDRA THERIAULT, MD, PC (NPI# 1043382401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043382401 |
Entity Type | Organization |
Organization Name | ALEXANDRA THERIAULT, MD, PC |
Other Organization Name | APEX DERMATOLOGY GROUP PC |
Practice Address |
1420 W Canal Ct #50 Littleton CO 80120-5655 |
Practice Telephone | 3037952030 |
Practice Fax Number | 3037952153 |
Mailing Telephone | 3037952030 |
Mailing Fax Number | 3037952153 |
Enumeration Date | 2006-11-14 |
Last Update Date | 2010-02-23 |
Authorized Official Name | MRS. ALEXANDRA THERIOULT (OWNER/OFFICER) |
Authorized Official Telephone | 3037952030 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
APEX DERMATOLOGY GROUP PC | Doing Business As Name - Organization |
Street Address |
1420 W CANAL CT #50 |
City | LITTLETON |
State | CO |
Zip Code | 80120-5655 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770588402 | John D Aikin | Internal Medicine | 1420 W Canal Ct, Suite 10, Littleton, CO 80120 | 2005-06-17 |
1225579543 | Traci Dreesen | Physician Assistant | 1420 W Canal Ct, Suite 10, Littleton, CO 80120-5655 | 2017-03-20 |
1093105264 | Kirsten Christensen | Counselor | 1420 W Canal Ct, Ste. 60, Littleton, CO 80120-5655 | 2015-01-27 |
1831528058 | Cathryn Elizabeth Derman | Counselor | 1420 W Canal Ct, Ste 150, Littleton, CO 80120-5660 | 2013-11-07 |
1164760021 | Jennifer Hope Ross | Nutritionist | 1420 W Canal Ct, Suite 60, Littleton, CO 80120-5655 | 2013-01-27 |
1437366960 | Darrell L. Havener | Dentist | 1420 W Canal Ct, Suite 200, Littleton, CO 80120-5655 | 2007-05-16 |
1942382999 | Darrell L Haveners Jr Dds PC | Dentist | 1420 W Canal Ct, Suite 200, Littleton, CO 80120 | 2006-10-19 |
1609980713 | Alexandra Theriault | Dermatology | 1420 W Canal Ct, #50, Littleton, CO 80120-5655 | 2006-08-18 |
1568418432 | Leslie Ann Mazur | Physician Assistant | 1420 W Canal Ct, Suite 50, Littleton, CO 80120-5655 | 2006-05-25 |
1023003316 | William T Gipson | Internal Medicine | 1420 W Canal Ct, Ste 100, Littleton, CO 80120-5656 | 2005-09-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073156303 | Kelly Joy Brutsch | Counselor | 8191 Southpark Lane Suite 201, Littleton, CO 80120 | 2019-10-18 |
1902468309 | Infiniti Counseling, LLC | Clinic/Center | 4 W Dry Creek Circle, Littleton, CO 80120 | 2019-07-05 |
1437642642 | Brent Charles Mowery | Dentist | 209 W Littleton Blvd Ste B, Littleton, CO 80120 | 2018-06-12 |
1225525066 | Christopher Charles Miller | Counselor | 7851 S. Elati St., Suite 203, Littleton, CO 80120 | 2018-04-17 |
1417455890 | Cynthia Cline Mcrae | Counselor | 7921 Southpark Plaza, Grace Counseling, Suite 204, Littleton, CO 80120 | 2018-01-31 |
1780113175 | Janine Marie Lopez | Case Manager/Care Coordinator | 5500 S Sycamore, Littleton, CO 80120 | 2017-06-08 |
1952845588 | Hilary Sparrow Morris | Counselor | 991 Southpark Drive, #200, Cerescan, Littleton, CO 80120 | 2016-12-16 |
1760837132 | Supported Change,llc | Social Worker | 609 W Littleton Blvd Suite 201, Littleton, CO 80120 | 2016-05-04 |
1598123994 | Jarod Williams | Counselor | 8151 Southpark Ln Unit 250, Littleton, CO 80120 | 2016-02-01 |
1770948085 | Susan Jean Sylvester | Counselor | 609 West Littleton Blvd., Suite 201, Littleton, CO 80120 | 2015-12-31 |
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Taxonomy Code | 207N00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Dermatology |
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508177700 | Michelle Therese Chevalier | Dermatology | 1420 W Canal Ct Ste 50, Littleton, CO 80120-5656 | 2010-06-23 |
1922200997 | Marc Joel Sorkin | Dermatology | 6633 S Prescott Way, Littleton, CO 80120-3048 | 2007-06-01 |
1326185679 | William Howe | Dermatology | 2009 W Littleton Blvd, Suite 100, Littleton, CO 80120-2002 | 2007-01-30 |
1326194945 | Riley Greene | Dermatology | 2009 W Littleton Blvd # 100, Littleton, CO 80120-2024 | 2007-01-26 |
1427454016 | William R Howe Md Pllc | Dermatology | 2009 W Littleton Blvd, #100, Littleton, CO 80120-2002 | 2014-11-10 |
1457793283 | Tiffany Lee Tello | Dermatology | 1420 W Canal Ct Ste 50, Littleton, CO 80120 | 2013-07-22 |
1770609398 | Marcia L Dew | Dermatology | 5555 E Arapahoe Rd, Littleton, CO 80122-2312 | 2007-03-22 |
1306976162 | Natalia P Bealer | Dermatology | 5555 E Arapahoe Rd, Littleton, CO 80122-2312 | 2007-03-07 |
1871620815 | Arun L Pathy | Dermatology | 5555 E Arapahoe Rd, Littleton, CO 80122-2312 | 2007-02-27 |
1609980713 | Alexandra Theriault | Dermatology | 1420 W Canal Ct, #50, Littleton, CO 80120-5655 | 2006-08-18 |
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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.