DAVID BACON (NPI# 1245446707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245446707 |
| Entity Type | Individual |
| Full Name | DAVID BACON |
| Credential | MD |
| Practice Address |
11000 E 45th Ave Denver CO 80239-3004 |
| Mailing Address |
491 Josephine St Denver CO 80206-4208 |
| Practice Telephone | 3034044022 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 24614 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 76079538 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841341203 | David Robert Bacon | Dentist | 1817 W Stadium Blvd, Ann Arbor, MI 48103-4577 | 2007-01-14 |
| 1164450797 | David S Bacon | Anesthesiology | 3643 N Roxboro Rd, Durham, NC 27704 | 2006-06-30 |
| Street Address |
11000 E 45TH AVE |
| City | DENVER |
| State | CO |
| Zip Code | 80239-3004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679569453 | David A. Biddle | Pathology | 11000 E 45th Ave, Denver, CO 80239-3004 | 2005-09-27 |
| 1003269432 | Gerad Hancock | Spec/Tech, Pathology | 11000 E 45th Ave, Denver, CO 80239-3004 | 2016-07-21 |
| 1649503095 | Sarah Anfinson | Spec/Tech, Pathology | 11000 E 45th Ave, Denver, CO 80239-3004 | 2009-09-16 |
| 1053568071 | Stephen Matthew Rohan | Pathology | 11000 E 45th Ave, Denver, CO 80239-3004 | 2008-08-21 |
| 1699934992 | Emily Jane Loyd | Pathology | 11000 E 45th Ave, Denver, CO 80239-3004 | 2008-06-03 |
| 1275723546 | Ellina K Hall | Pathology | 11000 E 45th Ave, Denver, CO 80239-3004 | 2007-08-01 |
| 1881804565 | Elizabeth A Moyle | Pathology | 11000 E 45th Ave, Denver, CO 80239-3004 | 2007-05-23 |
| 1568599587 | Teresa M Launder | Pathology | 11000 E 45th Ave, Denver, CO 80239-3004 | 2007-02-27 |
| 1174650113 | Vanitha Kumar | Pathology | 11000 E 45th Ave, Denver, CO 80239-3004 | 2007-02-27 |
| 1497882427 | Cheryl J Teuton | Pathology | 11000 E 45th Ave, Denver, CO 80239-3004 | 2007-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437799624 | Tiffanny Edelman | Behavior Technician | 12015 E. 46th Avenue Suite 680, Denver, CO 80239 | 2020-01-15 |
| 1427543586 | Magnolia Medical Company | Clinical Medical Laboratory | 10515 40th Avenue Suite 115, Denver, CO 80239 | 2018-06-29 |
| 1124477427 | Mallory Jean Crouch | Counselor | 3720 Revere St., Ste. B, Denver, CO 80239 | 2016-06-07 |
| 1659760841 | Ebony Leanne Williams | Home Health Aide | 14976 E 50th Dr, Denver, CO 80239 | 2015-01-12 |
| 1154686301 | Tuesday Nicole Hennessy | Optometrist | 4804 N Chambers Rd, Denver, CO 80239 | 2012-07-12 |
| 1225343379 | Denver Health and Hospital Authority | Clinic/Center | 12600 E. Albrook Drive, Denver, CO 80239 | 2010-08-13 |
| 1699902114 | James Gabel Kaferly IIi | Pediatrics | 12600 East Albrook Dr., Montbello Family Health Center Office, Denver, CO 80239 | 2009-06-11 |
| 1073733218 | Health One Home Health Care LLC. | Home Health | 4890 Ironton St, Unit H6, Denver, CO 80239 | 2007-04-30 |
| 1164578993 | Chelle Marie Lodge-guttery | Psychologist | 10900 Smith Rd., Denver, CO 80239 | 2007-01-26 |
| 1952327975 | Russell Wm Simpson | Internal Medicine | 4896 Chambers Rd., Denver, CO 80239 | 2006-07-14 |
| Find all providers in zip 80239 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689208035 | Balance Wellspace LLC | General Practice | 125 Rampart Way Ste 300, Denver, CO 80230-6429 | 2020-02-25 |
| 1376034793 | Lili Rasekh | General Practice | 6343 E Girard Pl Unit 235, Denver, CO 80222-7441 | 2018-05-21 |
| 1992168447 | Akiva M Thomas | General Practice | 970 South Oneida Street, Suite 6, Denver, CO 80224 | 2016-04-01 |
| 1225417199 | San Antonio Medical Center LLC | General Practice | 1701 S Federal Blvd, Unit D, Denver, CO 80219-4898 | 2015-05-26 |
| 1235518424 | Kindness Health Care LLC | General Practice | 455 S Hudson St Fl 3, Denver, CO 80246-1453 | 2015-05-21 |
| 1104212927 | Stephen Axelrod | General Practice | 2111 S Trenton Way, Suite 101, Denver, CO 80231-7012 | 2015-04-08 |
| 1972942092 | Gianna Luszko | General Practice | 1161 Washington St, Denver, CO 80203-5246 | 2013-06-21 |
| 1689927287 | Guardian Evaluation and Rehabilitation LLC | General Practice | 1 Broadway Ste A100, Denver, CO 80203-3959 | 2012-10-19 |
| 1962784413 | Robert Stout Pumphrey | General Practice | 2118 S Jackson St, Denver, CO 80210-4931 | 2011-09-11 |
| 1275814907 | Anne K Cosgriff | General Practice | 850 E Harvard Ave Ste#505, Denver, CO 80210-5073 | 2011-09-08 |
| Find all providers in DENVER | ||||
Please comment or provide details below to improve the information on DAVID BACON.
| 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.