ALEXANDRA THERIAULT, MD, PC


Address: 1420 W Canal Ct, #50, Littleton, CO 80120-5655
Phone: 3037952030

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
APEX DERMATOLOGY GROUP PC Doing Business As Name - Organization

Office Location

Street Address 1420 W CANAL CT
#50
City LITTLETON
State CO
Zip Code 80120-5655

Providers in the same location

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
Find all providers in the same location

Providers in the same zip code

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 Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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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Competitor

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City LITTLETON
Zip Code 80120

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Dataset Information

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.

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