TRAUMA AND EMERGENCY SUBSPECIALTY SURGEONS PLLC (NPI# 1225588221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225588221 |
| Entity Type | Organization |
| Organization Name | TRAUMA AND EMERGENCY SUBSPECIALTY SURGEONS PLLC |
| Practice Address |
1745 Shea Center Dr Suite 400 Highlands Ranch CO 80129-1537 |
| Practice Telephone | 3037741974 |
| Mailing Telephone | 3037741974 |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2016-10-13 |
| Authorized Official Name | MR. BRIAN J WILLOUGHBY (SOLE OWNER) |
| Authorized Official Telephone | 3033205700 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers | ||
| Y | 204E00000X | Oral & Maxillofacial Surgery | 40115 | CO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740543933 | Trauma and Emergency Subspecialty Surgeons Pllc | Oral & Maxillofacial Surgery | 1745 Shea Center Dr, Suite 400, Highlands Ranch, CO 80129-1537 | 2012-06-21 |
| Street Address |
1745 SHEA CENTER DR SUITE 400 |
| City | HIGHLANDS RANCH |
| State | CO |
| Zip Code | 80129-1537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790243251 | Sonia Kristine Nelson | Counselor | 1745 Shea Center Dr, Highlands Ranch, CO 80129 | 2019-03-04 |
| 1649663907 | Julie Bahl | Counselor | 1745 Shea Center Dr, 4th Floor, Highlands Ranch, CO 80129-1537 | 2015-03-11 |
| 1972906030 | Julie Sheehan | Social Worker | 1745 Shea Center Dr, Floor 4, Highlands Ranch, CO 80129-1537 | 2014-10-03 |
| 1235532748 | Proactive Counseling Services, Inc | Social Worker | 1745 Shea Center Dr, Floor 4, Highlands Ranch, CO 80129-1537 | 2014-09-29 |
| 1063824936 | Sharla Stephens | Marriage & Family Therapist | 1745 Shea Center Dr, Fourth Floor, Highlands Ranch, CO 80129-1537 | 2014-05-27 |
| 1689913584 | Beverly Heredia | Counselor | 1745 Shea Center Dr, Suite 400, Highlands Ranch, CO 80129-1537 | 2013-02-12 |
| 1740543933 | Trauma and Emergency Subspecialty Surgeons Pllc | Oral & Maxillofacial Surgery | 1745 Shea Center Dr, Suite 400, Highlands Ranch, CO 80129-1537 | 2012-06-21 |
| 1639322274 | Alice Keshmeshian | Counselor | 1745 Shea Center Dr, 4th Floor, Highlands Ranch, CO 80129-1537 | 2008-10-28 |
| 1174621361 | Asap Health Solutions | Nursing Care | 1745 Shea Center Dr, Suite 400, Highlands Ranch, CO 80129-1537 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548874027 | Sarah Elizabeth Gerken | Occupational Therapist | 9375 Roadrunner Street, Highlands Ranch, CO 80129 | 2020-09-02 |
| 1952928863 | Juliana Le | Nurse Practitioner | 9088 S. Ridgeline Blvd, Highlands Ranch, CO 80129 | 2020-06-26 |
| 1376046367 | Richard F Shriner | Counselor | 1745 Shea Center Dr.. Ste. 421, Highlands Ranch, CO 80129 | 2018-03-15 |
| 1285145144 | Antonella Valencia | Specialist/Technologist | 8362 Erickson Blvd Apt 9304, Littleton, CO 80129 | 2017-10-18 |
| 1306384763 | Amy Neer | Physical Therapist | 9139 South Ridgeline Rd, Highlands Ranch, CO 80129 | 2017-02-06 |
| 1235673443 | Kathryn Lohrman | Physical Therapist | 1265 Sergeant Jon Stiles Drive, Suite D, Highlands Ranch, CO 80129 | 2016-12-06 |
| 1790237626 | Erica Elizabeth Alonzo | Physician Assistant | 9497 Wolfe Ct, Highlands Ranch, CO 80129 | 2016-10-26 |
| 1689129181 | Casey Elizabeth Bauer | Specialist/Technologist | 10504 Colby Canyon Dr, Highlands Ranch, CO 80129 | 2016-08-25 |
| 1558769539 | Kari Barton Md LLC | Clinic/Center | 9088 South Ridgeline Blve., Ste. #201, Highlands Ranch, CO 80129 | 2014-12-08 |
| 1710386461 | Linda L Williams Md PC | Community/Behavioral Health | 9088 S Ridgeline Blvd, Highlands Ranch, CO 80129 | 2014-08-19 |
| Find all providers in zip 80129 | ||||
| Taxonomy Code | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740543933 | Trauma and Emergency Subspecialty Surgeons Pllc | Oral & Maxillofacial Surgery | 1745 Shea Center Dr, Suite 400, Highlands Ranch, CO 80129-1537 | 2012-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588271126 | Saddle Rock Oral and Facial Reconstructive Surgery Pllc | Oral & Maxillofacial Surgery | 7380 S. Gartrell Rd, Aurora, CO 80016 | 2020-09-28 |
| 1689916611 | Ben Adam Charles Bailey | Oral & Maxillofacial Surgery | 3691 Parker Blvd Ste 200, Pueblo, CO 81008-2278 | 2013-03-16 |
| 1952677973 | Colorado Surgical Arts | Oral & Maxillofacial Surgery | 2900 S. Peoria Street, Unit D, Aurora, CO 80014 | 2012-03-23 |
| 1275831208 | Kamran Dastoury | Oral & Maxillofacial Surgery | 2290 Kipling St Unit 2, Lakewood, CO 80215-1546 | 2011-02-28 |
| 1215190145 | Michael S Kunkel | Oral & Maxillofacial Surgery | 3475 Briargate Blvd, Suite 102, Colorado Springs, CO 80920 | 2008-07-10 |
| 1740494467 | Norman Philip Payea II | Oral & Maxillofacial Surgery | 8805 West Fourteenth Avenue, Suite 316 Lakewood Medical Center, Lakewood, CO 80215-4848 | 2007-05-10 |
| 1902931835 | Steven F. Reck, Dds, PC | Oral & Maxillofacial Surgery | 1201 Paseo Del Norte, Pueblo, CO 81008-2611 | 2007-02-22 |
| 1548342629 | Barry S Keogh | Oral & Maxillofacial Surgery | 14991 E Hampden Ave #260, Aurora, CO 80014 | 2006-10-19 |
| 1033204094 | Michael Derrick Moody | Oral & Maxillofacial Surgery | 9990 W 26th Ave, Suite 100, Lakewood, CO 80215-1581 | 2006-10-04 |
| 1629085196 | Glenn Eric Herrmann | Oral & Maxillofacial Surgery | 130 Old Laramie Trl E Bldg 4, Lafayette, CO 80026-7014 | 2006-08-01 |
| Find all providers with the same taxonomy | ||||
| City | HIGHLANDS RANCH |
| Zip Code | 80129 |
Please comment or provide details below to improve the information on TRAUMA AND EMERGENCY SUBSPECIALTY SURGEONS PLLC.
| 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.