CALLAN BRODERICK (NPI# 1053732289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053732289 |
| Entity Type | Individual |
| Full Name | CALLAN BRODERICK |
| Practice Address |
5460 Ward Rd Suite 300 Arvada CO 80002-1825 |
| Practice Telephone | 3033517060 |
| Mailing Telephone | 3033517060 |
| Enumeration Date | 2013-12-13 |
| Last Update Date | 2013-12-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
5460 WARD RD SUITE 300 |
| City | ARVADA |
| State | CO |
| Zip Code | 80002-1825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639223555 | Dina Robke | Counselor | 5460 Ward Rd, Suite 320, Arvada, CO 80002-1825 | 2007-01-22 |
| 1629523535 | Arvada Therapy Solutions, LLC | Counselor | 5460 Ward Rd, Suite 110, Arvada, CO 80002-1825 | 2016-08-20 |
| 1811233463 | Tierone Billing | Specialist | 5460 Ward Rd, Suite 300, Arvada, CO 80002-1825 | 2012-12-28 |
| 1801025507 | Susan Forde-bunch PC | Social Worker | 5460 Ward Rd, Suite 210, Arvada, CO 80002-1825 | 2009-07-02 |
| 1811107634 | Karen Lynne Rash | Counselor | 5460 Ward Rd, Ste. 320, Arvada, CO 80002-1825 | 2007-05-23 |
| 1104046655 | John Edward Mcgovern | Social Worker | 5460 Ward Rd, Suite 125, Arvada, CO 80002-1825 | 2007-04-26 |
| 1114050614 | Sonja Bunke Holt | Psychologist | 5460 Ward Rd, Suite 130, Arvada, CO 80002-1825 | 2007-03-13 |
| 1114073384 | Elizabeth Ann Hall | Social Worker | 5460 Ward Rd, Suite 210, Arvada, CO 80002-1825 | 2007-01-28 |
| 1508910043 | Susan Forde-bunch | Social Worker | 5460 Ward Rd, Suite 210, Arvada, CO 80002-1825 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578036679 | Mountain Valley Mental Health, LLC | Nurse Practitioner | 5400 Ward Rd Building V, Suite 110, Arvada, CO 80002 | 2019-01-10 |
| 1013407865 | University of Colorado Hospital Authority | Clinic/Center | 9505 Ralston Rd., Arvada, CO 80002 | 2018-05-17 |
| 1023513793 | Kent Lamountdo Jones | Behavior Technician | Aspen Business Park 5400 Building II Suite G-101, Arvada, CO 80002 | 2018-03-26 |
| 1023536638 | Jennifer Rindt | Pharmacist | 5656 Ward Way Unit A, Arvada, CO 80002 | 2017-09-03 |
| 1396273884 | Rocky Mountain Physicians Group, PC | Clinic/Center | 9250 Ralston Rd, Arvada, CO 80002 | 2017-05-26 |
| 1164955852 | Wal-mart Stores, Inc. | Eyewear Supplier (Equipment, not the service) | 9400 Ralston Road, Arvada, CO 80002 | 2017-04-10 |
| 1003355173 | Ohana Service Agency | Foster Care Agency | 8600 Ralston Rd # L103, Arvada, CO 80002 | 2017-02-22 |
| 1053863738 | Parker Personal Care Homes, Inc. | Day Training, Developmentally Disabled Services | 6055 West 55th Place, Arvada, CO 80002 | 2016-10-28 |
| 1316397433 | Cortez Harvey | Counselor | 5275 Marshall St Ste 101, Arvada, CO 80002 | 2016-06-20 |
| 1013311216 | Peter J Dahlberg | Nurse Practitioner | 5400 Ward Rd Ste 110, Arvada, CO 80002 | 2014-10-16 |
| Find all providers in zip 80002 | ||||
| Taxonomy Code | 246ZE0600X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Electroneurodiagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376019679 | Taylor Kaufman | Specialist/Technologist, Other | 5460 Ward Rd Ste 220, Arvada, CO 80002-1818 | 2018-10-15 |
| 1366887754 | Sigea Technical Services, LLC | Specialist/Technologist, Other | 5460 Ward Rd., Suite 300, Arvada, CO 80002-1800 | 2013-04-30 |
| 1124369871 | Craig Campion | Specialist/Technologist, Other | 5460 Ward Rd Ste 300, Arvada, CO 80002-1800 | 2013-03-05 |
| 1609183854 | Stephanie M Kent Krouse | Specialist/Technologist, Other | 5460 Ward Rd. #300, Arvada, CO 80002-1800 | 2010-09-09 |
| 1629413778 | Aegis Professional Services | Specialist/Technologist, Other | 5460 Ward Rd Ste 300, Arvada, CO 80002-1800 | 2013-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073135794 | Denise Hostetler | Specialist/Technologist, Other | 1861 Castlewood Dr, Franktown, CO 80116-9009 | 2020-05-15 |
| 1447887898 | Altitude Neuromonitoring, LLC | Specialist/Technologist, Other | 236 E Rabbit Ct, Silverthorne, CO 80498-9209 | 2020-03-25 |
| 1518597855 | Intact Neuromonitoring, LLC | Specialist/Technologist, Other | 3295 Blake St Apt 304, Denver, CO 80205-2469 | 2020-01-24 |
| 1538635982 | Casey Ryko Jestrovich | Specialist/Technologist, Other | 2318 Hall Ave, Grand Junction, CO 81501-6234 | 2018-10-23 |
| 1598246282 | Multiverse Surgical, LLC | Specialist/Technologist, Other | 2085 Driver Ln, Erie, CO 80516-4707 | 2018-08-22 |
| 1003301979 | Spencer Pankratz | Specialist/Technologist, Other | 4600 S Ulster St Ste 125, Denver, CO 80237-2848 | 2018-06-24 |
| 1780174169 | Nervepro | Specialist/Technologist, Other | 79 County Road 4103, Granby, CO 80446 | 2018-05-11 |
| 1871000588 | Peak Neuro Monitoring LLC | Specialist/Technologist, Other | 4164 Austin Bluffs Pkwy Unit 603, Colorado Springs, CO 80918-2928 | 2018-01-03 |
| 1548792401 | Breanna Singleton | Specialist/Technologist, Other | 280 E 1st Ave Unit 727, Broomfield, CO 80038-2229 | 2017-03-30 |
| 1023559804 | Sean Michael Blumahrdt | Specialist/Technologist, Other | 13 South Tejon St, Ste 501, Colorado Springs, CO 80903 | 2017-03-14 |
| Find all providers with the same taxonomy | ||||
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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.