ROOTS MEDICAL, LLC (NPI# 1063805752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063805752 |
| Entity Type | Organization |
| Organization Name | ROOTS MEDICAL, LLC |
| Practice Address |
6091 S Quebec St Suite 200 Centennial CO 80111 |
| Practice Telephone | 7203905148 |
| Practice Fax Number | 7207290108 |
| Mailing Telephone | 7203905148 |
| Mailing Fax Number | 7207290108 |
| Enumeration Date | 2015-03-05 |
| Last Update Date | 2018-03-15 |
| Authorized Official Name | MR. MATTHEW NORMAN DARK (OFFICE MANAGER) |
| Authorized Official Telephone | 7207290108 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Roots Medical, LLC | 6091 S Quebec Street, 200, Centennial, CO 80111 |
| Street Address |
6091 S QUEBEC ST SUITE 200 |
| City | CENTENNIAL |
| State | CO |
| Zip Code | 80111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447320783 | Nancy Hodgkins | Speech-Language Pathologist | 6091 S Quebec St, Suite 200, Centennial, CO 80111-4521 | 2006-11-08 |
| 1568739217 | Ann R Samson | Occupational Therapist | 6091 S Quebec St, Suite 200, Centennial, CO 80111-4521 | 2011-11-23 |
| 1275827255 | Norma Floreslovett | Speech-Language Pathologist | 6091 S Quebec St, Suite 200, Centennial, CO 80111-4521 | 2011-06-07 |
| 1952607004 | Melissa R Bell | Physical Therapist | 6091 S Quebec St, Suite 200, Centennial, CO 80111-4521 | 2011-02-08 |
| 1295049104 | Charles M Mccammon | Speech-Language Pathologist | 6091 S Quebec St, Suite 200, Centennial, CO 80111-4521 | 2010-08-03 |
| 1447483292 | Brenda J Smolky | Speech-Language Pathologist | 6091 S Quebec St, Suite 200, Centennial, CO 80111-4521 | 2009-08-27 |
| 1881833473 | Stephanie A Kelly | Physical Therapist | 6091 S Quebec St, Suite 200, Centennial, CO 80111-4521 | 2009-02-05 |
| 1821252412 | Jennifer A Blank | Speech-Language Pathologist | 6091 S Quebec St, Suite 200, Centennial, CO 80111-4521 | 2008-07-14 |
| 1629242458 | Erin K Honbarrier | Speech-Language Pathologist | 6091 S Quebec St, Suite 200, Centennial, CO 80111 | 2008-04-14 |
| 1386833507 | Erica Marie Bauer | Occupational Therapist | 6091 S Quebec St, Ste 200, Centennial, CO 80111-4521 | 2007-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922637552 | Aaron Joseph Rushing | Anesthesiologist Assistant | Us Anesthesia Partners of Colorado, Inc, 8000 E. Maplewood Ave., Suite 200, Greenwood Village, CO 80111 | 2020-04-06 |
| 1003381252 | Bing Xu | Non-emergency Medical Transport (VAN) | 9000 E Caley Way, Greenwood Village, CO 80111 | 2018-10-03 |
| 1669963146 | Deborah G. Aragon | Physician Assistant | 6229 S. Iola Wy, Englewood, CO 80111 | 2018-05-21 |
| 1902343718 | Jennifer Bielefeld | Registered Nurse | 6162 South Willow Dr., Suite 100, Greenwood Village, CO 80111 | 2017-01-31 |
| 1225589807 | Osama M Kassab | Chiropractor | 5690 Dtc Blvd Ste 140e, Greenwood Village, CO 80111 | 2016-10-19 |
| 1891242400 | Samantha Fiegel | Counselor | 6021 S Syracuse Way Ste 216, Greenwood Village, CO 80111 | 2016-09-01 |
| 1831644368 | Melissa Fischer Alconcel | Dentist | 8940 E. Crescent Parkway, Suite 370, Greenwood Village, CO 80111 | 2016-08-25 |
| 1245680263 | Carron Maclean | Counselor | 5310 Dtc Pkwy Ste A, Greenwood Village, CO 80111 | 2016-06-21 |
| 1326493792 | Insight Psychotherapy LLC | Counselor | 7350 E Progress Place, Suite 100, Greenwood Village, CO 80111 | 2016-05-04 |
| 1457705410 | Amy Flora | Occupational Therapist | 5750 Dtc Pkwy #170, Greenwood Village, CO 80111 | 2016-04-15 |
| Find all providers in zip 80111 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376140137 | Colorado Physician Partners, Pllc | Family Medicine | 7920 S University Blvd Ste 203, Centennial, CO 80122-5103 | 2020-10-05 |
| 1417565409 | New West Physicians, P.C. | Family Medicine | 14100 E Arapahoe Rd Ste 270, Centennial, CO 80112-4028 | 2020-07-16 |
| 1558993436 | 5900 Health LLC | Family Medicine | 7200 S Alton Way Ste B150, Centennial, CO 80112-2267 | 2020-02-07 |
| 1033695036 | Sara Elizabeth Roper | Family Medicine | 7960 S University Blvd Ste 203, Centennial, CO 80122-3167 | 2018-07-13 |
| 1255841490 | Portercare Adventist Health System | Family Medicine | 9100 E Mineral Cir Fl 2, Centennial, CO 80112-3401 | 2017-10-02 |
| 1902336514 | Trey Medical Enteprises, Inc. | Family Medicine | 15033 E Maplewood Dr., Centennial, CO 80016 | 2017-06-15 |
| 1811262975 | Inna Oleksandrivna Trey | Family Medicine | 7400 E Arapahoe Rd Ste 100, Centennial, CO 80112-1390 | 2012-03-21 |
| 1326310558 | Portercare Adventist Health System | Family Medicine | 6081 South Quebec St., Suite 110, Centennial, CO 80111 | 2012-02-03 |
| 1811149685 | Kirk Ernest Mitchell | Family Medicine | 6726 South Revere Prwy, Suite 180, Centennial, CO 80112 | 2008-10-10 |
| 1619005287 | Malcolm Roger Stewart Arnold | Family Medicine | 7400 South Tucson Way, Medical Section Raytheon Polar Services Co, Centennial, CO 80112-3938 | 2007-03-02 |
| Find all providers in CENTENNIAL | ||||
| City | CENTENNIAL |
| Zip Code | 80111 |
Please comment or provide details below to improve the information on ROOTS MEDICAL, LLC.
| 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.