COLORADO CYBERMED, PLLC (NPI# 1215170600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215170600 |
| Entity Type | Organization |
| Organization Name | COLORADO CYBERMED, PLLC |
| Practice Address |
10463 Park Meadows Dr Suite 114 Lone Tree CO 80124-5316 |
| Practice Telephone | 3035322130 |
| Practice Fax Number | 3035322131 |
| Mailing Telephone | 3035322130 |
| Mailing Fax Number | 3035322131 |
| Enumeration Date | 2009-04-14 |
| Last Update Date | 2009-04-14 |
| Authorized Official Name | GREGG A DICKERSON (OWNER) |
| Authorized Official Telephone | 3035322130 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QX0203X |
Clinic/Center Specialization: Oncology, Radiation |
PENDING | CO | Ambulatory Health Care Facilities |
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
PENDING | CO | Ambulatory Health Care Facilities |
| Street Address |
10463 PARK MEADOWS DR SUITE 114 |
| City | LONE TREE |
| State | CO |
| Zip Code | 80124-5316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285618835 | Lee K Mcneely | Radiology | 10463 Park Meadows Dr, Suite 114, Lone Tree, CO 80124-5316 | 2005-12-06 |
| 1467828905 | 5280 Pediatric Dentistry | Dentist | 10463 Park Meadows Dr, Suite 206, Lone Tree, CO 80124-5316 | 2015-08-19 |
| 1902046576 | Denver Cyberknife, LLC | Clinic/Center | 10463 Park Meadows Dr, Suite 114, Lone Tree, CO 80124-5316 | 2009-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700413788 | Adam Avant | Student in an Organized Health Care Education/Training Program | Sky Ridge Medical Center 10099 Ridgegate Pkwy, Ste 200, Lonetree, CO 80124 | 2020-03-27 |
| 1265069546 | Nikhilesh Srinivasan | Student in an Organized Health Care Education/Training Program | 10099 Ridgegate Parkway, #200, Lone Tree, CO 80124 | 2020-03-25 |
| 1487281200 | Caden Nowak | Student in an Organized Health Care Education/Training Program | 10099 Ridgegate Parkway #200, Lone Tree, CO 80124 | 2020-03-23 |
| 1427618305 | University of Colorado Hospital Authority | Clinic/Center | 9548 Park Meadows Dr, Lone Tree, CO 80124 | 2019-06-13 |
| 1225505746 | Justin Sean Ashurst | Registered Nurse | 10240 Meadows Dr, Lone Tree, CO 80124 | 2018-11-02 |
| 1396257143 | University Physicians, Incorporated | Family Medicine | 9548 Park Meadows Drive, Lone Tree, CO 80124 | 2017-11-02 |
| 1861928236 | Jennifer Kouri | Student in an Organized Health Care Education/Training Program | 10099 Ridgegate Parkway Ste 120, Rvu/sky Ridge Tri Residency, Lone Tree, CO 80124 | 2017-05-04 |
| 1013443787 | Graham Litchman | Surgery | 1099 Ridgegate Parkway, Graduate Medical Education Office Suite 120, Lone Tree, CO 80124 | 2017-05-02 |
| 1609324466 | Amy Lim | Registered Nurse | 10101 Ridge Gate Pkwy, Lone Tree, CO 80124 | 2016-09-21 |
| 1770933251 | Richard Kenyon French Jr. | Optometrist | 8455 Park Meadows Center Blvd, Lenscrafters At Macy's, Littleton, CO 80124 | 2016-06-15 |
| Find all providers in zip 80124 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043351539 | Denver Metro Imaging, LLC | Clinic/Center | 8500 Park Meadows Drive, Suite 050, Lone Tree, CO 80124 | 2007-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699376038 | Penrad Imaging LLC | Clinic/Center | 2202 N Nevada Ave, Colorado Springs, CO 80907-6819 | 2020-11-03 |
| 1538760962 | Penrad Imaging LLC | Clinic/Center | 6011 E Woodmen Rd Ste 10, Colorado Springs, CO 80923-2603 | 2020-11-03 |
| 1275134611 | Penrad Imaging LLC | Clinic/Center | 1263 Lake Plaza Dr Ste 100, Colorado Springs, CO 80906-3510 | 2020-11-03 |
| 1851992291 | Penrad Imaging LLC | Clinic/Center | 4105 Briargate Pkwy Ste 115, Colorado Springs, CO 80920-3482 | 2020-11-03 |
| 1730780172 | Penrad Imaging LLC | Clinic/Center | 17230 Jackson Creek Pkwy Ste 100, Monument, CO 80132-7302 | 2020-11-03 |
| 1376159681 | Uchealth Imaging Services LLC | Clinic/Center | 5818 N. Nevada, Suite 100, Colorado Springs, CO 80918 | 2020-09-22 |
| 1457967838 | Yampa Valley Medical Center | Clinic/Center | 1100 Central Park Dr Ste 1100, Steamboat Springs, CO 80487-8818 | 2020-09-21 |
| 1629614904 | Hca-healthone, LLC | Clinic/Center | 400 Indiana St Ste 210, Golden, CO 80401-5044 | 2019-11-21 |
| 1609412980 | Hca-healthone, LLC | Clinic/Center | 14100 E Arapahoe Rd Ste 120, Centennial, CO 80112-4028 | 2019-11-21 |
| 1558918599 | Aspen Valley Hospital Clinics, Pllc | Clinic/Center | 1450 E Valley Rd Unit 201, Basalt, CO 81621-8352 | 2019-08-23 |
| 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.