DAVID JONAS ARCHIBALD (NPI# 1104041326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104041326 |
| Entity Type | Individual |
| Full Name | DAVID JONAS ARCHIBALD |
| Credential | MD |
| Practice Address |
2352 Meadows Blvd Suite 290 Castle Rock CO 80109-8406 |
| Practice Telephone | 3032682222 |
| Mailing Telephone | 3032682222 |
| Enumeration Date | 2007-04-14 |
| Last Update Date | 2014-12-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Y00000X | Otolaryngology | MD60286714 | WA | Allopathic & Osteopathic Physicians |
| N | 207Y00000X | Otolaryngology | ME103522 | FL | Allopathic & Osteopathic Physicians |
| N | 207Y00000X | Otolaryngology | 49658 | MN | Allopathic & Osteopathic Physicians |
| Y | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
DR.0053492 | CO | Allopathic & Osteopathic Physicians |
| N | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
MD60286714 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 205455000 | 05 | |
| CO | 32778856 | 05 | |
| FL | BLUE CROSS BLUE SHIELD | 14F11 | 01 |
| FL | 003610900 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144459793 | David Michael Archibald | Optometrist | 401 W Main St Ste A, John Day, OR 97845-1075 | 2009-07-03 |
| 1023316692 | David Lee Archibald IIi | Social Worker | 200 Retreat Avenue, Hartford Hospital Psychiatry Dept, Hartford, CT 06106-3309 | 2011-03-07 |
| 1003985904 | David Scott Archibald | Physician Assistant | 500 Foothill Blvd, Salt Lake City, UT 84148-0001 | 2006-11-06 |
| 1003903055 | David William Archibald | Dentist | 156 Main St, Groveland, MA 01834-1311 | 2006-10-09 |
| 1821083361 | David Blaine Archibald | Physical Therapist | 3303 N University Ave, Provo, UT 84604-4438 | 2005-09-12 |
| Street Address |
2352 MEADOWS BLVD SUITE 290 |
| City | CASTLE ROCK |
| State | CO |
| Zip Code | 80109-8406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811960388 | Kristopher Larkin Hart | Dentist | 2352 Meadows Blvd, 205, Castle Rock, CO 80109-8406 | 2006-02-07 |
| 1356866735 | Maggie Brown | Physical Therapist | 2352 Meadows Blvd, Castle Rock, CO 80109-8406 | 2017-08-07 |
| 1003362187 | Surgone, PC | Surgery | 2352 Meadows Blvd, Suite 220, Castle Rock, CO 80109-8406 | 2016-08-29 |
| 1396191078 | Sonya L Hultman | Physical Therapist | 2352 Meadows Blvd, 155, Castle Rock, CO 80109-8406 | 2016-05-11 |
| 1477949170 | Dalew. Darby, Ph.d. Clinical and Health Psychology | Clinic/Center | 2352 Meadows Blvd, Suite 300, Castle Rock, CO 80109 | 2015-04-09 |
| 1285027573 | Performance Orthopedics | Orthopaedic Surgery | 2352 Meadows Blvd, Suite 300, Castle Rock, CO 80109-8406 | 2015-03-10 |
| 1477951911 | South Denver Ob/gyn, PC | Obstetrics & Gynecology | 2352 Meadows Blvd, Suite 255, Castle Rock, CO 80109-8406 | 2014-12-16 |
| 1376955245 | David Archibald Md PC | Otolaryngology | 2352 Meadows Blvd, Suite 290, Castle Rock, CO 80109-8406 | 2014-05-27 |
| 1679983407 | Amanda Bolton | Nurse Practitioner | 2352 Meadows Blvd, Ste 300, Castle Rock, CO 80109-8419 | 2014-05-01 |
| 1134545395 | Pediatrics 5280, PC | Pediatrics | 2352 Meadows Blvd, Suite 150, Castle Rock, CO 80109 | 2014-03-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831686674 | Castle Rock Surgicenter, LLC | Clinic/Center | 4700 Castleton Way Ste 101, Castle Rock, CO 80109 | 2018-04-17 |
| 1467957746 | Elevation Vision Od Pllc | Optometrist | 658 Genoa Way, Unit B, Castle Rock, CO 80109 | 2018-03-28 |
| 1700229242 | Clare Ingram French | Surgery | 2352 Meadows Blvd Ste 220, Castle Rock, CO 80109 | 2013-04-15 |
| 1467790956 | Celeste Clippinger | Physical Therapist | 3470 Dacoro Lane, Suite 105, Castle Rock, CO 80109 | 2013-01-18 |
| 1003175696 | Candice Jessica Geist | Obstetrics & Gynecology | 2352 Meadows Blvd Ste 255, Castle Rock, CO 80109 | 2012-05-16 |
| 1760756704 | Hilary Sauder | Occupational Therapist | 3427 Dinosaur St, Castle Rock, CO 80109 | 2012-03-07 |
| 1043503568 | James Daniel Jensen | Dermatology | 4350 Limelight Ave, Suite 205, Castle Rock, CO 80109 | 2011-05-17 |
| 1174712152 | Aaron Pierce Goodman | Dentist | 3993 Limelight Ave., E, Castle Rock, CO 80109 | 2007-10-16 |
| 1851437925 | Pamela Rose Kinder | Psychiatry & Neurology | 4350 Limelight Ave., Suite #250, Castle Rock, CO 80109 | 2007-01-29 |
| 1942228457 | Paul A Stone | Podiatrist | 2352 Meadows Blvd Ste 270, Castle Rock, CO 80109 | 2006-07-17 |
| Find all providers in zip 80109 | ||||
| Taxonomy Code | 207YS0123X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Facial Plastic Surgery |
| An otolaryngologist who specializes in facial plastic surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate was, but is no longer issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477107373 | Rtfprs, Pllc | Otolaryngology | 3150 E 3rd Ave Ste 200, Denver, CO 80206-5246 | 2019-07-29 |
| 1326496068 | Victoria King | Otolaryngology | 113 Latigo Ln Ste D, Canon City, CO 81212-8115 | 2016-06-02 |
| 1578976627 | Jessica Lynn Specht | Otolaryngology | 9960 Sky Ridge Ave, Lone Tree, CO 80124-5644 | 2014-06-06 |
| 1508982216 | Ear Nose & Throat Associates of Northern Colorado PC | Otolaryngology | 2121 E Harmony Rd Suite 350, Fort Collins, CO 80528-3404 | 2007-03-22 |
| 1558374926 | Victoria Van Beuren King | Otolaryngology | 113 Latigo Ln, Canon City, CO 81212-8114 | 2006-08-15 |
| 1942273479 | Maria Sherrilyn Dellota | Otolaryngology | 1006 Centre Ave, Fort Collins, CO 80526-1849 | 2006-02-07 |
| 1932101490 | Mario J Imola | Otolaryngology | 3600 S Logan St, Suite 100, Englewood, CO 80113-3766 | 2005-08-15 |
| 1275539843 | Kevin Clifford Cavanaugh | Otolaryngology | 1325 Dry Creek Dr, Suite 103, Longmont, CO 80503-7731 | 2005-06-28 |
| 1811331721 | Richard W. Thompson | Otolaryngology | 9399 Crown Crest Blvd, Parker, CO 80138-8506 | 2013-04-22 |
| 1093030926 | Catherine Weng | Otolaryngology | 403 Summit Blvd, Ste 204, Broomfield, CO 80021-8252 | 2010-04-04 |
| Find all providers with the same taxonomy | ||||
| City | CASTLE ROCK |
| Zip Code | 80109 |
Please comment or provide details below to improve the information on DAVID JONAS ARCHIBALD.
| 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.