MR. DERRY ROBERT POLLOCK (NPI# 1134529704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134529704 |
Entity Type | Individual |
Full Name | MR. DERRY ROBERT POLLOCK |
Credential | MT(ASCP), CLS(NCA) |
Practice Address |
10555 West Jewell Ave Apt 19-203 Lakewood CO 80232-4835 |
Practice Telephone | 5753022407 |
Mailing Telephone | 5753022407 |
Enumeration Date | 2014-09-02 |
Last Update Date | 2014-09-02 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 246QM0706X |
Spec/Tech, Pathology Specialization: Medical Technologist |
Technologists, Technicians & Other Technical Service Providers |
Street Address |
10555 WEST JEWELL AVE APT 19-203 |
City | LAKEWOOD |
State | CO |
Zip Code | 80232-4835 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205453396 | Brittni Ann Reid | Chiropractor | 1360 S. Wadsworth Blvd, Suite #104, Lakewood, CO 80232 | 2020-07-06 |
1144711870 | Vanessa Rangel | Behavior Technician | 8237 W Mexico Ave Lakewood Co, Lakewood, CO 80232 | 2018-05-29 |
1265947683 | Kampwerth Chiropractic, LLC | Chiropractor | 6565 W. Jewell Ave, # 12a, Lakewood, CO 80232 | 2017-12-07 |
1912416660 | Michelle Lee Dixon | Occupational Therapist | 1622 S Owens St. Apt #288, Lakewood, CO 80232 | 2017-09-26 |
1144756537 | Virginia Night | Occupational Therapist | 1259 S Quail St, Lakewood, CO 80232 | 2017-05-04 |
1588195093 | Rocky Mountain Employment Services | Community/Behavioral Health | 6054 W Utah Ln, Lakewood, CO 80232 | 2017-03-26 |
1932584299 | Brian Cohn Bcba LLC | Behavioral Analyst | 1626 S Kline Ct, Lakewood, CO 80232 | 2015-07-28 |
1588044754 | Ignacia Genco | Acupuncturist | 6655 W. Jewell Ave Unit 201, Lakewood, CO 80232 | 2015-06-03 |
1992079172 | Michael Anthony Rooney | Counselor | 6655 West Jewell Ave, Suite #102, Lakewood, CO 80232 | 2012-03-06 |
1407165491 | Kelly Ann Garcia-brauch | Counselor | 1880 S Pierce St Ste 11, Lakewood, CO 80232 | 2010-09-24 |
Find all providers in zip 80232 |
Taxonomy Code | 246QM0706X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Spec/Tech, Pathology |
Specialization | Medical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679962948 | April Gene' Light | Spec/Tech, Pathology | 11071 Huron St Unit 1209, Northglenn, CO 80234-4369 | 2015-01-09 |
1124432372 | Rose Marie Specht | Spec/Tech, Pathology | 2944 Shelley Dr, Grand Junction, CO 81503-2356 | 2014-06-16 |
1033532064 | Van Nguyen | Spec/Tech, Pathology | 10225 E Girard Ave Apt J203, Denver, CO 80231-5098 | 2014-01-27 |
1851623458 | Garry Ketler | Spec/Tech, Pathology | 10 E Ilex Ct, Milliken, CO 80543-9112 | 2010-02-05 |
1285966366 | Angela Sabine Briggs | Spec/Tech, Pathology | 12285 Kalispell St, Brighton, CO 80603-6917 | 2010-02-01 |
1699908582 | Tania Ann Urenda | Spec/Tech, Pathology | 439 Gray Horse Cir, Woodland Park, CO 80863-8943 | 2009-08-26 |
1912150798 | Elizabeth Jean Kuras | Spec/Tech, Pathology | 644 Sage Cir, Highlands Ranch, CO 80126-2119 | 2008-10-24 |
1629224134 | Amy Beth Enderlin | Spec/Tech, Pathology | 343 Sherwood Trl, Breckenridge, CO 80424-8813 | 2008-08-15 |
1164616983 | Janice Cabellon | Spec/Tech, Pathology | 801 Englewood Pkwy, G306, Englewood, CO 80110-2345 | 2007-09-05 |
1659414712 | Christopher Dean Mele | Spec/Tech, Pathology | 56 Jacobson Pl Unit 1, 56 Jacobson Pl. #1, Leadville, CO 80461-3376 | 2007-02-15 |
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.