KYLE ROBERT CHRISTOPHERSON (NPI# 1184036105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184036105 |
| Entity Type | Individual |
| Full Name | KYLE ROBERT CHRISTOPHERSON |
| Credential | MD |
| Practice Address |
300 W Ottley Ave Fruita CO 81521-2118 |
| Mailing Address |
Po Box 4433 Grand Junction CO 81502-4433 |
| Practice Telephone | 9702702259 |
| Practice Fax Number | 9708580798 |
| Mailing Telephone | 9702541686 |
| Mailing Fax Number | 9702541687 |
| Enumeration Date | 2014-05-26 |
| Last Update Date | 2019-08-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
62042 | CO | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | NM | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NPI | 1184036105 | 01 |
| Street Address |
300 W OTTLEY AVE |
| City | FRUITA |
| State | CO |
| Zip Code | 81521-2118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861496697 | Lower Valley Hospital Association | Assisted Living Facility | 300 W Ottley Ave, Fruita, CO 81521-2118 | 2005-06-09 |
| 1457959181 | Lower Valley Hospital Association | Pain Medicine | 300 W Ottley Ave, -practice Location Npi Only-, Fruita, CO 81521 | 2020-10-14 |
| 1669093613 | Jill Wohlgemuth | Occupational Therapist | 300 W Ottley Ave, Fruita, CO 81521-2118 | 2020-04-30 |
| 1093350845 | Lower Valley Hospital Association | Durable Medical Equipment & Medical Supplies | 300 W Ottley Ave, Fruita, CO 81521-2118 | 2019-11-14 |
| 1487299483 | Valley View Hospital Association | Internal Medicine | 300 W Ottley Ave, Fruita, CO 81521-2118 | 2019-11-13 |
| 1467977850 | Mary Ellen Anderson | Physical Therapist | 300 W Ottley Ave, Fruita, CO 81521-2118 | 2017-08-07 |
| 1477099562 | Chelsea Mae Hejl | Nurse Practitioner | 300 W Ottley Ave, Fruita, CO 81521-2118 | 2017-01-12 |
| 1083163612 | Nikos Peter Hollis | Nurse Practitioner | 300 W Ottley Ave, Fruita, CO 81521-2118 | 2016-09-23 |
| 1861948358 | Lower Valley Hospital Association | General Acute Care Hospital | 300 W Ottley Ave, Fruita, CO 81521 | 2016-08-25 |
| 1902270440 | Lower Valley Hospital Association | Physical Medicine & Rehabilitation | 300 W Ottley Ave, -practice Location Npi Only-, Fruita, CO 81521-3308 | 2015-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669070306 | Lower Valley Hospital Association | Psychiatry & Neurology | 551 Kokopelli Blvd Unit G, -practice Location Npi Only-, Fruita, CO 81521 | 2020-10-14 |
| 1215535943 | Lower Valley Hospital Association | Clinic/Center | 576 Kokopelli Blvd Unit F, -practice Location Npi Only-, Fruita, CO 81521 | 2020-10-14 |
| 1851883284 | Rivers End Dental | Clinic/Center | 532 Raptor Road, Unit B, Fruita, CO 81521 | 2018-06-01 |
| 1427404789 | Path-co, LLC | Day Training, Developmentally Disabled Services | 113 Elderberry Drive, Fruita, CO 81521 | 2016-05-05 |
| 1043518822 | Jonathan E Blaha | Chiropractor | 212 E. Aspen Ave, Fruita, CO 81521 | 2011-03-03 |
| 1881916401 | Diana L Wright | Physician Assistant | 456 Kokopelli Blvd, Suite B, Fruita, CO 81521 | 2010-02-23 |
| 1881878759 | Elizabeth Arena Rook | Internal Medicine | 576 Kokopelli Blvd Unit D-e, Fruita, CO 81521 | 2007-12-27 |
| 1073715348 | Milton Bret Mixon | Speech-Language Pathologist | 551 Kokopelli Blvd Unit B, Fruita, CO 81521 | 2007-05-31 |
| 1306063748 | Scott Douglas Lybrook | Dentist | 551 Kokopelli Blvd, Suite A, Fruita, CO 81521 | 2007-04-19 |
| 1316060684 | Carol Bell Lybrook | Dentist | 551 Kokopelli Ave.,suite A, Fruita, CO 81521 | 2007-04-09 |
| Find all providers in zip 81521 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811507924 | Portercare Adventist Health System | Anesthesiology | 2535 S Downing St Ste 180, Denver, CO 80210-5863 | 2020-08-04 |
| 1942819578 | Catholic Health Initiatives Colorado | Anesthesiology | 11700 W 2nd Pl Ste 225, Lakewood, CO 80228-1707 | 2020-07-29 |
| 1407481740 | Colorado Pain Practice, LLC | Anesthesiology | 1355 S Colorado Blvd Ste 700, Denver, CO 80222-3325 | 2020-03-06 |
| 1699300376 | Colorado Pain Practice, LLC | Anesthesiology | 1189 S Perry St Ste 230, Castle Rock, CO 80104-1959 | 2020-03-03 |
| 1225553050 | Colorado Health Providers LLC | Anesthesiology | 3810 N. Grant Ave, Loveland, CO 80538-8412 | 2017-08-14 |
| 1487179214 | Colorado Health Providers LLC | Anesthesiology | 7251 W 20th St Unit N, Greeley, CO 80634-4626 | 2017-08-14 |
| 1154846939 | Colorado Pain Practice, Pllc | Anesthesiology | 2696 S Colorado Blvd Ste 100, Denver, CO 80222 | 2017-08-14 |
| 1669998498 | Colorado Health Providers LLC | Anesthesiology | 3000 Center Green Dr Ste 120, Boulder, CO 80301-2364 | 2017-08-14 |
| 1104365451 | Martin J Verhey M.d. LLC | Anesthesiology | 380 Paisley Dr, Colorado Springs, CO 80906-8251 | 2017-02-20 |
| 1336509694 | The Pain Remedy Institute | Anesthesiology | 14991 E Hampden Ave Ste 165, Aurora, CO 80014-3980 | 2016-02-29 |
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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.