CENTENNIAL MEDICAL SERVICES LLC (NPI# 1144644600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144644600 |
| Entity Type | Organization |
| Organization Name | CENTENNIAL MEDICAL SERVICES LLC |
| Practice Address |
10634 Amesbury Way Highlands Ranch CO 80126-8043 |
| Mailing Address |
14100 E Arapahoe Rd B110 Centennial CO 80112-4028 |
| Practice Telephone | 7208707446 |
| Practice Fax Number | 7208707460 |
| Mailing Telephone | 7208707446 |
| Mailing Fax Number | 7208707460 |
| Enumeration Date | 2014-02-04 |
| Last Update Date | 2014-02-04 |
| Authorized Official Name | TRACY SCHENBECK (OWNER) |
| Authorized Official Telephone | 7208707446 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
10634 AMESBURY WAY |
| City | HIGHLANDS RANCH |
| State | CO |
| Zip Code | 80126-8043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851866180 | Pediaclinic LLC | Pediatrics | 9555 South University Blvd, Unit B-2, Highlands Ranch, CO 80126 | 2018-10-13 |
| 1083126775 | Speech and Song for Extraordinary Kids, LLC | Speech-Language Pathologist | 8628 S. Forrest Drive, Highlands Ranch, CO 80126 | 2017-11-02 |
| 1629597042 | Great Play of Highlands Ranch | Community/Behavioral Health | 5690 E County Line Pl, Unit D, Highlands Ranch, CO 80126 | 2017-09-18 |
| 1174048003 | Uyen Hoang Le | Pharmacist | 9786 S Bexley Dr, Littleton, CO 80126 | 2017-08-11 |
| 1154841054 | Stephen Andrew Valente | Social Worker | 2465 Lansdowne Ct., Highlands Ranch, CO 80126 | 2017-06-21 |
| 1477080620 | Francine Elizabeth Becker | Counselor | 3011 Wyecliff Way, Highlands Ranch, CO 80126 | 2017-05-18 |
| 1851835789 | Xiaoyan Zhang | Nurse Practitioner | 9152 Kenwoo Ct, Highlands Ranch, CO 80126 | 2016-12-12 |
| 1942654207 | Shruti Gupta | Family Medicine | 9331 S. Colorado Blvd, Suite 200, Highlands Ranch, CO 80126 | 2016-04-22 |
| 1295194017 | Chad Waxman | Psychologist | 10674 Cherrington Street, Highlands Ranch, CO 80126 | 2016-02-22 |
| 1053726331 | Karenfowler Smith | Social Worker | 10640 S. Wildhurst Circle, Highlands Ranch, CO 80126 | 2014-06-25 |
| Find all providers in zip 80126 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275789984 | Jessica Sorensen | Physician Assistant | 206 W County Line Rd Ste 340, Highlands Ranch, CO 80129-2321 | 2008-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033737366 | Wound Solutions Inc | Physician Assistant | 130 Old Laramie Trl Ste 100, Lafayette, CO 80026-7014 | 2020-07-13 |
| 1295396513 | Joseph D Timmermeyer | Physician Assistant | 324 Fossil Dr, Johnstown, CO 80534-7452 | 2019-06-26 |
| 1356805626 | Heather Free | Physician Assistant | 3653 N Josephine St, Denver, CO 80205-3545 | 2019-01-30 |
| 1255804910 | Jessie P Larson | Physician Assistant | 7847 Downing St, Denver, CO 80229-5961 | 2019-01-05 |
| 1710453543 | Lindsay Marie Bergman | Physician Assistant | 1140 Edwards Village II, B-105, Edwards, CO 81632 | 2018-10-19 |
| 1225533136 | Rafael Eduardo Castillo | Physician Assistant | 6200 Habitat Dr Apt 2052, Boulder, CO 80301-3235 | 2018-03-25 |
| 1972026276 | Sophia Jane Wagner | Physician Assistant | 2643 Patterson Rd Ste 403, Grand Junction, CO 81506-1937 | 2017-07-19 |
| 1326588732 | Elise Nicole Van Etten | Physician Assistant | 13123 E 16th Ave # 323, Anschutz Medical Campus, Aurora, CO 80045-7106 | 2017-03-03 |
| 1336691914 | Patrick Craig Ford | Physician Assistant | 6500 29th St Ste 106, Greeley, CO 80634-8386 | 2016-10-28 |
| 1942751904 | 5280 Surgical Assisting Professional LLC | Physician Assistant | 10233 Bluffmont Dr, Lone Tree, CO 80124-5559 | 2016-10-14 |
| Find all providers with the same taxonomy | ||||
| City | HIGHLANDS RANCH |
| Zip Code | 80126 |
Please comment or provide details below to improve the information on CENTENNIAL MEDICAL SERVICES LLC.
| 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.