DEPARTMENT OF VETERANS AFFAIRS (NPI# 1093849200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093849200 |
| Entity Type | Organization |
| Organization Name | DEPARTMENT OF VETERANS AFFAIRS |
| Practice Address |
1055 Clermont St 11b, Ambulatory Care Denver CO 80220-3808 |
| Practice Telephone | 3033998020 |
| Practice Fax Number | 3033935064 |
| Mailing Telephone | 3033998020 |
| Mailing Fax Number | 3033935064 |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. THOMAS MEYER (ASSOCIATE CHIEF OF STAFF) |
| Authorized Official Telephone | 3033998020 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QV0200X |
Clinic/Center Specialization: VA |
19578 | CO | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124464086 | Department of Veterans Affairs | Clinic/Center | 25 N Spruce St Ste 207, Colorado Springs, CO 80905-1450 | 2013-05-20 |
| 1962740662 | Department of Veterans Affairs | Military Hospital | 437 E Mohave Rd, Tucson, AZ 85705-3627 | 2013-01-30 |
| 1770839540 | Department of Veterans Affairs | Psychiatric Hospital | 2349 W Shaw Butte Dr, Phoenix, AZ 85029-3434 | 2012-07-31 |
| 1255617676 | Department of Veterans Affairs | Military Hospital | 3022 Heritage Creek Oaks, Houston, TX 77008-6156 | 2011-10-31 |
| 1750687414 | Department of Veterans Affairs | Clinic/Center | Casia 10, San Juan, PR 00926-0926 | 2011-01-28 |
| 1740580828 | Department of Veterans Affairs | General Acute Care Hospital | 23809 E Silsby Rd, Beachwood, OH 44122-1271 | 2010-10-23 |
| 1306170295 | Department of Veterans Affairs | Clinic/Center | 99 River Rd, Lincoln, ME 04457-4012 | 2009-09-24 |
| 1033358239 | Department of Veterans Affairs | Military Hospital | 5782 W Cortaro Crossing Dr, Tucson, AZ 85742-8128 | 2009-02-11 |
| 1194976274 | Department of Veterans Affairs | Community/Behavioral Health | 3372 State Route 11, Malone, NY 12953-4712 | 2008-10-07 |
| 1053560540 | Department of Veterans Affairs | General Acute Care Hospital | 2002 Holcombe Blvd # 112c, Houston, TX 77030-4211 | 2008-09-09 |
| Street Address |
1055 CLERMONT ST 11B, AMBULATORY CARE |
| City | DENVER |
| State | CO |
| Zip Code | 80220-3808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316942188 | Suzanne J Kasim | Pharmacist | 1055 Clermont St, Hbpc, Building 4, Denver, CO 80220-3808 | 2005-06-16 |
| 1447814298 | Mary Klukkert | Nurse Practitioner | 1055 Clermont St, Denver, CO 80220-3808 | 2019-04-26 |
| 1710454970 | Abigail Norouzinia | Psychologist | 1055 Clermont St, Denver, CO 80220-3808 | 2018-10-25 |
| 1003393018 | Erin Kathleen Poindexter | Psychologist | 1055 Clermont St, Denver, CO 80220-3808 | 2018-07-23 |
| 1083106579 | Emilia Worthey | Social Worker | 1055 Clermont St, Denver, CO 80220-3808 | 2018-05-31 |
| 1659862431 | Ankurpreet Singh Gill | Student in an Organized Health Care Education/Training Program | 1055 Clermont St, Denver, CO 80220-3808 | 2018-05-28 |
| 1891284964 | Denver Vamc | Psychiatric Residential Treatment Facility | 1055 Clermont St, Denver, CO 80220 | 2018-05-04 |
| 1578050084 | Jason Alan Kacmarski | Clinical Neuropsychologist | 1055 Clermont St, Denver, CO 80220-3808 | 2018-04-19 |
| 1154828861 | Austin Brown | Podiatrist | 1055 Clermont St, Denver, CO 80220-3808 | 2018-04-09 |
| 1952804221 | Jennifer Lynn Vallejo | Social Worker | 1055 Clermont St, Denver, CO 80220-3808 | 2018-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053876748 | Woody Dental Pllc | Dentist | 5989 E Colfax Avenue, Denver, CO 80220 | 2019-02-06 |
| 1366961930 | Maita Angelica Thams | Case Manager/Care Coordinator | 4455 E. 12th Ave, Denver, CO 80220 | 2017-09-14 |
| 1962943837 | Rocky Mountain Therapy Ltd | Clinic/Center | 883 Jersey St, Denver, CO 80220 | 2017-03-13 |
| 1578019188 | Alfredo Guzman | Pharmacist | 1055 Cleremont, Denver, CO 80220 | 2016-09-01 |
| 1265802144 | Joseph Parker Morse | Case Manager/Care Coordinator | 4455 East 12th Avenue, Denver, CO 80220 | 2015-10-05 |
| 1104296789 | Eric Poissant | Physical Therapist | 4700 East Hale Parkway, #550, Denver, CO 80220 | 2015-09-25 |
| 1104292085 | Casey Lucarelli | Student in an Organized Health Care Education/Training Program | 4455 E. 12th Av., Mhcd, Denver, CO 80220 | 2015-08-14 |
| 1124414081 | Domenic Michael Terenzi | Hospitalist | 8001 E 11th Ave Unit 5210, Denver, CO 80220 | 2015-04-07 |
| 1730598566 | Jessica Nichole Heck | Pharmacist | 1055 Clermont Street (119), Denver Va Medical Center- Echcs, Denver, CO 80220 | 2014-08-06 |
| 1063840171 | Kellie Ann Douglas | Nurse Practitioner | 4545 E 9th Ave Ste 260, Denver, CO 80220 | 2013-10-29 |
| Find all providers in zip 80220 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104217520 | Denver Vamc | Clinic/Center | 3836 York Street, Denver, CO 80205-9998 | 2015-02-06 |
| 1497307516 | Denver Vamc | Clinic/Center | 4545 E 9th Ave Ste 10, Denver, CO 80220-3907 | 2019-07-09 |
| 1841475324 | Va Medical Center | Clinic/Center | 1055 Clermont St, Denver, CO 80220-3808 | 2008-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003431537 | Grand Junction Vamc | Clinic/Center | 482 28 Rd, Grand Junction, CO 81501-7936 | 2020-06-10 |
| 1063990737 | Cheyenne Vamc | Clinic/Center | 100 College Ave, Sterling, CO 80751-2345 | 2018-08-03 |
| 1902297328 | Grand Junction Vamc | Clinic/Center | 2425 South Grand Avenue, Suite 101, Glenwood Springs, CO 81601-4181 | 2015-02-06 |
| 1124464086 | Department of Veterans Affairs | Clinic/Center | 25 N Spruce St Ste 207, Colorado Springs, CO 80905-1450 | 2013-05-20 |
| 1043496169 | Grand Junction Vamc | Clinic/Center | 1111 W Victory Way Ste 116, Craig, CO 81625-2945 | 2008-01-18 |
| 1144268731 | Grand Junction Vamc | Clinic/Center | 154 Colorado Ave., Suite 100, Montrose, CO 81401-3600 | 2006-06-03 |
| 1992752877 | Denver Vamc | Clinic/Center | 1020 Johnson Road, Golden, CO 80401-6002 | 2006-05-27 |
| 1528013083 | Cheyenne Vamc | Clinic/Center | 2509 Research Blvd, Fort Collins, CO 80526-8108 | 2006-05-23 |
| 1073566527 | Albuquerque Vamc | Clinic/Center | 1970 E 3rd Ave, Ste 102, Durango, CO 81301-5056 | 2006-05-18 |
| 1578515631 | Denver Vamc | Clinic/Center | 3141 Centennial Blvd., Colorado Springs, CO 80907-9998 | 2006-05-17 |
| 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.