MAGNOLIA MEDICAL COMPANY (NPI# 1043769862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043769862 |
| Entity Type | Organization |
| Organization Name | MAGNOLIA MEDICAL COMPANY |
| Practice Address |
1850 Race St Denver CO 80206 |
| Mailing Address |
1850 Race St Denver CO 80206-1116 |
| Practice Telephone | 3032095115 |
| Enumeration Date | 2016-09-22 |
| Last Update Date | 2018-07-09 |
| Authorized Official Name | PRADEEP RAJ RAI (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 3032095115 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 291U00000X | Clinical Medical Laboratory | 06D2121590 | CO | Laboratories |
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1300 S Potomac St Ste 104, Aurora, CO 800124526 | 3032095115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427543586 | Magnolia Medical Company | Clinical Medical Laboratory | 10515 40th Avenue Suite 115, Denver, CO 80239 | 2018-06-29 |
| 1114549367 | Magnolia Medical Company | Counselor | 2925 E Colfax Ave, Denver, CO 80206-1604 | 2020-05-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Magnolia Medical Company | 10515 East 40th Ave, Suite 115, Denver, CO 80239 |
| Street Address |
1850 RACE ST |
| City | DENVER |
| State | CO |
| Zip Code | 80206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184863631 | Pradeep Rai | Internal Medicine | 1850 Race St, Denver, CO 80206 | 2009-02-06 |
| 1669969309 | William Edward George | Counselor | 1850 Race St, Denver, CO 80206-1116 | 2018-04-18 |
| 1548774839 | Maureen Anne Dieterich | Counselor | 1850 Race St, Denver, CO 80206-1116 | 2017-11-22 |
| 1114467206 | Jennifer Albo-dilullo | Counselor | 1850 Race St, Denver, CO 80206-1116 | 2017-03-08 |
| 1811327000 | Caroline Cho | Physician Assistant | 1850 Race St, Denver, CO 80206 | 2013-11-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609495373 | Mindy Lieberman | Behavior Technician | 1151 Monroe St. #2, Denver, CO 80206 | 2020-04-13 |
| 1356992879 | Danielle Higgins | Counselor | 3003 E 3rd Ave # B-106, Denver, CO 80206 | 2019-09-25 |
| 1396224788 | Neuro Interpretive Services LLC | Clinic/Center | 700 Colorado Blvd Ste 668, Denver, CO 80206 | 2018-08-07 |
| 1578072252 | Ashleigh Rankin | Social Worker | 1890 Gaylord Street, Denver, CO 80206 | 2017-09-25 |
| 1407379092 | Todd C. Ognibene | Psychologist | 1544 York Street, Third Floor, Denver, CO 80206 | 2017-07-25 |
| 1104363811 | Zhanna Bayerman | In Home Supportive Care | 3222 E. 1st Ave, # 725, Denver, CO 80206 | 2017-01-20 |
| 1467995340 | Julie Huff | Massage Therapist | 155 Cook, 351, Denver, CO 80206 | 2016-11-28 |
| 1457807778 | Amrita Singh Comer | Nursing Care | 2111 Champa Street, Denver, CO 80206 | 2016-08-28 |
| 1245683952 | Emily Rose Popiel | Psychologist | 3107 East Colfax Avenue, Denver, CO 80206 | 2016-07-18 |
| 1689036998 | Emma Jean Maki-gianani | Counselor | 2925 E. Colfax, Denver, CO 80206 | 2016-03-25 |
| Find all providers in zip 80206 | ||||
| Taxonomy Code | 207RA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Addiction Medicine |
| An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376024968 | Urban Peaks Rehab, LLC | Internal Medicine | 1490 N Lafayette St, Denver, CO 80218-2339 | 2018-08-22 |
| 1184863631 | Pradeep Rai | Internal Medicine | 1850 Race St, Denver, CO 80206 | 2009-02-06 |
| 1770798449 | William Bryson Swafford | Internal Medicine | 1827 Gaylord St, Denver, CO 80206-1210 | 2007-05-14 |
| 1891822854 | Allan W Graham | Internal Medicine | 10350 E Dakota Ave, Denver, CO 80247-1314 | 2007-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831211069 | Franck Armand Belibi | Internal Medicine | 3191 S Vaughn Way, Suite 101, Aurora, CO 80014-3538 | 2007-04-06 |
| 1679059687 | Bupdoc LLC | Internal Medicine | 3220 N Academy Blvd Ste 3, Colorado Springs, CO 80917-5115 | 2018-07-12 |
| 1790190288 | Rocky Mountain Treatment Svcs Prof | Internal Medicine | 2928 W 10th St, Suite 102, Greeley, CO 80634-5426 | 2014-06-24 |
| 1639412414 | Reem M Hanna | Internal Medicine | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2013-03-31 |
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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.