DR. CHRISTOPHER GARLAND REVELEY (NPI# 1144206723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144206723 |
| Entity Type | Individual |
| Full Name | DR. CHRISTOPHER GARLAND REVELEY |
| Credential | M.D. |
| Practice Address |
665 Freeland Court Estes Park CO 80517-9610 |
| Mailing Address |
665 Freeland Ct Estes Park CO 80517-9610 |
| Practice Telephone | 8608521064 |
| Mailing Telephone | 8018791102 |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2016-09-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LA0401X |
Anesthesiology Specialization: Addiction Medicine |
DR.0048439 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | MEDICARE ID: 005551204 | 870571510-03 | 01 |
| Street Address |
665 FREELAND COURT |
| City | ESTES PARK |
| State | CO |
| Zip Code | 80517-9610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346863123 | Action Potential Health and Wellness | Counselor | 157 W Elkhorn Ave, Estes Park, CO 80517 | 2020-05-27 |
| 1861959355 | Dr. Kenneth J. Mcdonald, Psy.d., LLC | Clinic/Center | 356 East Elkhorn Ave., Estes Park, CO 80517 | 2019-02-21 |
| 1992274856 | Park Hospital District | Clinic/Center | 420 Steamer Drive, Estes Park, CO 80517 | 2018-11-20 |
| 1912353145 | Deedra Ivie | Counselor | 880 Macgregor Ave., Estes Park, CO 80517 | 2016-05-06 |
| 1487029112 | Brandon Angus | Dentist | 131 Stanley Ave Ste 201, Estes Park, CO 80517 | 2015-12-07 |
| 1013284199 | Aspen Grove Counseling, LLC | Counselor | 356 E Elkhorn Ave, Suite 9, Estes Park, CO 80517 | 2011-11-17 |
| 1114227758 | Susan Jane Steele | Acupuncturist | 349 Mountain Ave, Berthoud, CO 80517 | 2010-10-29 |
| 1962716613 | Wendy Sarutzki | Acupuncturist | 191 West Riverside Drive, Unit B, Estes Park, CO 80517 | 2010-08-04 |
| 1518156918 | Lynn A. Harris, Psy.d., P.C. | Psychologist | 356 East Elkhorn Ave, Estes Park, CO 80517 | 2007-10-22 |
| 1821201856 | Cynthia Sisson | Physical Therapist | 555 Prospect Avenue, Estes Park, CO 80517 | 2007-05-07 |
| Find all providers in zip 80517 | ||||
| Taxonomy Code | 207LA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Addiction Medicine |
| An anesthesiologist who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164949855 | Allpria Healthcare Centers, P.C. | Anesthesiology | 1400 S Potomac St Ste 150, Aurora, CO 80012-4541 | 2017-08-24 |
| 1346692233 | Addiction Healing Alliance | Anesthesiology | 14991 E Hampden Ave, Suite 165, Aurora, CO 80014-3983 | 2016-07-05 |
| City | ESTES PARK |
| Zip Code | 80517 |
Please comment or provide details below to improve the information on DR. CHRISTOPHER GARLAND REVELEY.
| 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.