DR. TYLER M LEWARK (NPI# 1073620993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073620993 |
| Entity Type | Individual |
| Full Name | DR. TYLER M LEWARK |
| Credential | M.D. |
| Practice Address |
1400 S Potomac St Suite 240 Aurora CO 80012-4541 |
| Mailing Address |
4900 S Monaco St Suite 210 Denver CO 80237-3486 |
| Practice Telephone | 3037508600 |
| Practice Fax Number | 3037437800 |
| Mailing Telephone | 3037508600 |
| Mailing Fax Number | 3037437800 |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2019-10-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 36897 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 08580821 | 05 | |
| CO | 12105864 | 05 | |
| WY | 1073620993 | 05 |
| Street Address |
1400 S POTOMAC ST SUITE 240 |
| City | AURORA |
| State | CO |
| Zip Code | 80012-4541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336137405 | Michelle S Hartman | Advanced Practice Midwife | 1400 S Potomac St, #225, Aurora, CO 80012-4514 | 2005-10-12 |
| 1104373489 | Surgone, PC | Surgery | 1400 S Potomac St, Suite 120, Aurora, CO 80012-4528 | 2016-09-05 |
| 1053772392 | Grant W. Robbins | Physician Assistant | 1400 S Potomac St, #150, Aurora, CO 80012-4528 | 2016-03-15 |
| 1093123002 | Nathan Wells | Audiologist | 1400 S Potomac St, #240, Aurora, CO 80012-4528 | 2014-07-23 |
| 1437494978 | Christa Michelle Sanford | Advanced Practice Midwife | 1400 S Potomac St, #225, Aurora, CO 80012-4528 | 2012-12-11 |
| 1023336815 | Sz-min Harley | Obstetrics & Gynecology | 1400 S Potomac St, #220, Aurora, CO 80012-4528 | 2010-05-04 |
| 1932425923 | William Marshall Chisholm | Family Medicine | 1400 S Potomac St, #150, Aurora, CO 80012-4528 | 2010-04-15 |
| 1124259114 | Stefanie J Throlson | Nurse Practitioner | 1400 S Potomac St, #210, Aurora, CO 80012-4528 | 2009-08-07 |
| 1598995276 | Kristin A Burden | Physician Assistant | 1400 S Potomac St, #300, Aurora, CO 80012-4528 | 2009-07-16 |
| 1437325016 | Susan L. Miget | Nurse Practitioner | 1400 S Potomac St, #150, Aurora, CO 80012-4528 | 2008-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225650765 | Veronica Kabuika | Specialist/Technologist, Other | 6792 E Tennessee Ave, Suite 645, Denver, CO 80012 | 2020-05-07 |
| 1811547631 | Aurora Dental and Orthodontics Pllc | Dentist | 15000 E Mississippi Ave, Aurora, CO 80012 | 2019-09-13 |
| 1306362108 | Melynda Barrios | Massage Therapist | 11912 E Nevada Cir, Aurora, CO 80012 | 2017-08-14 |
| 1851815633 | Gabriela Alejandra Perez-saenz | Audiologist | 1550 S. Potomac St. #305, Aurora, CO 80012 | 2017-08-02 |
| 1568991511 | Iora Health Colorado, P.C. | Internal Medicine | 1080 S. Sable Blvd., Aurora, CO 80012 | 2017-06-05 |
| 1275069734 | Sandra Pacheco | Case Manager/Care Coordinator | 10782 E Alameda Avenue, Aurora, CO 80012 | 2017-05-03 |
| 1578002010 | Green Taxi Corporation | Taxi | 10 S Havana St #103, Aurora, CO 80012 | 2017-02-16 |
| 1104372713 | Moss LLC | Non-emergency Medical Transport (VAN) | 950 S Cimmaron Way Unit K-201, Aurora, CO 80012 | 2016-09-01 |
| 1023461647 | Thompson Sowash | Optometrist | 13955 E Mississippi, Aurora, CO 80012 | 2016-07-19 |
| 1598117731 | Act of Kindness LLC | Respite Care | 1010 S Joliet Street Suite #101, Aurora, CO 80012 | 2016-07-12 |
| Find all providers in zip 80012 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811376593 | Lauren Sowa | Otolaryngology | 12631 E 17th Ave # Ms 205, Aurora, CO 80045-2527 | 2015-05-27 |
| 1447576343 | .brook Kim Mcconnell | Otolaryngology | 12631 E 17th Ave Ste B205, Aurora, CO 80045-2527 | 2010-04-16 |
| 1831193572 | Donald R Carter | Otolaryngology | 1400 S Potomac St Ste 240, Aurora, CO 80012-4541 | 2005-06-10 |
| 1245866706 | Healthone Clinic Services - Otolaryngology Specialists LLC | Otolaryngology | 1400 S Potomac St Ste 240, Aurora, CO 80012-4541 | 2020-03-17 |
| 1154957611 | Healthone Clinic Services - Otolaryngology Specialists LLC | Otolaryngology | 1501 S Potomac St, Aurora, CO 80012-5411 | 2020-03-17 |
| 1073149704 | Healthone Clinic Services - Otolaryngology Specialists LLC | Otolaryngology | 1300 S Potomac St Ste 122, Aurora, CO 80012-4526 | 2020-03-13 |
| 1497136097 | Matthew Gropler | Otolaryngology | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2015-06-09 |
| 1972895845 | Ross Shockley | Otolaryngology | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2011-05-10 |
| 1538485701 | Geoffrey Roger Ferril | Otolaryngology | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2010-04-13 |
| 1700014875 | Julie Goddard | Otolaryngology | 12631 E 17th Ave, Ms B205, Aurora, CO 80045-2527 | 2009-06-29 |
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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.