ROCKY MOUNTAIN COSMETIC & RECONSTRUCTIVE SURGERY ASSOC, P.C. (NPI# 1245473586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245473586 |
| Entity Type | Organization |
| Organization Name | ROCKY MOUNTAIN COSMETIC & RECONSTRUCTIVE SURGERY ASSOC, P.C. |
| Practice Address |
3280 Wadsworth Blvd Suite 100 Wheat Ridge CO 80033-4628 |
| Practice Telephone | 3039853303 |
| Practice Fax Number | 3032323304 |
| Mailing Telephone | 3039853303 |
| Mailing Fax Number | 3032323304 |
| Enumeration Date | 2009-04-16 |
| Last Update Date | 2013-11-14 |
| Authorized Official Name | VIRGINIA L LILJESTRAND (OFFICE MANAGER) |
| Authorized Official Telephone | 3039853303 |
| Authorized Official Credential | MA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
3280 WADSWORTH BLVD SUITE 100 |
| City | WHEAT RIDGE |
| State | CO |
| Zip Code | 80033-4628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013937390 | Richard A Mouchantat | Specialist | 3280 Wadsworth Blvd, Suite 100, Wheat Ridge, CO 80033-4628 | 2006-07-20 |
| 1760653109 | Robert Furey | Physician Assistant | 3280 Wadsworth Blvd, Suite100, Wheat Ridge, CO 80033-4628 | 2008-03-13 |
| 1255502753 | Mouchantat Plastic Surgery PC | Specialist | 3280 Wadsworth Blvd, Suite 100, Wheat Ridge, CO 80033-4640 | 2008-03-12 |
| 1174706006 | Craig Anthony Reynolds | Specialist | 3280 Wadsworth Blvd, Suite 100, Wheat Ridge, CO 80033-4628 | 2007-12-13 |
| 1053438341 | Westside Hand Therapy | Occupational Therapy Assistant | 3280 Wadsworth Blvd, Suite 201, Wheat Ridge, CO 80033-4628 | 2007-03-23 |
| 1346253960 | Karen T Valish | Occupational Therapist | 3280 Wadsworth Blvd, Suite 201, Wheat Ridge, CO 80033-4628 | 2006-08-14 |
| 1861412058 | John M Pav | Specialist | 3280 Wadsworth Blvd, Suite 100, Wheat Ridge, CO 80033-4628 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154893915 | Bronwyn Hockersmith | Counselor | 3954 Yosemite St, Wheat Ridge, CO 80033 | 2018-12-18 |
| 1902392004 | Thousand Peaks Healthcare, Inc. | In Home Supportive Care | 4891 Independence St Ste 285, Wheat Ridge, CO 80033 | 2018-07-02 |
| 1528586120 | Front Range Family Resource Center | Marriage & Family Therapist | 5181 Ward St Ste 201, Wheat Ridge, CO 80033 | 2017-09-03 |
| 1962920918 | Dianna Lee Cordero | Counselor | 4931 Garrison St., Apt 104, Wheat Ridge, CO 80033 | 2017-08-30 |
| 1396261525 | Lauren Faye Petasne | Nurse Practitioner | 7100 W 44th Ave Ste 101a, Wheat Ridge, CO 80033 | 2017-08-18 |
| 1558802421 | Elizabeth Ann Huddleston | Nurse Practitioner | 3400 N Lutheran Pkwy, Wheat Ridge, CO 80033 | 2017-03-13 |
| 1053777045 | Richard Kerry Brandow | Counselor | 16625 W 50th Ave., Golden, CO 80033 | 2016-01-07 |
| 1831562131 | Eternal Life Care Centers, LLC | Assisted Living Facility | 4370 Ingalls Street, Wheat Ridge, CO 80033 | 2015-11-09 |
| 1740663483 | Real Care, Inc. | Private Vehicle | 10200 West 44th Ave, Suite 200, Wheat Ridge, CO 80033 | 2015-06-30 |
| 1508254848 | Pamela June Weitzel | Midwife | 3555 Lutheran Parkway Suite 210, Wheat Ridge, CO 80033 | 2015-01-08 |
| Find all providers in zip 80033 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710353388 | Cynthia Guy | Specialist | 4331 Marshall St, Wheat Ridge, CO 80033-5053 | 2015-08-18 |
| 1619985249 | Todd William Beatty | Specialist | 3895 Upham Street, Suite 201, Wheat Ridge, CO 80033-4651 | 2006-08-03 |
| 1013937390 | Richard A Mouchantat | Specialist | 3280 Wadsworth Blvd, Suite 100, Wheat Ridge, CO 80033-4628 | 2006-07-20 |
| 1306804216 | Sandra Lee Cranny | Specialist | 7833 W 38th Ave, Wheat Ridge, CO 80033-6109 | 2006-05-02 |
| 1558979914 | Katrina Dallarosa | Specialist | 4851 Independence St, Wheat Ridge, CO 80033-6715 | 2020-07-21 |
| 1326525353 | Kimberly J. Noxon | Specialist | 4851 Independence St, Wheat Ridge, CO 80033-6715 | 2018-07-23 |
| 1043757776 | Denver West Physical Medicine | Specialist | 12505 W 32nd Ave, Wheat Ridge, CO 80033-5254 | 2017-01-19 |
| 1508313875 | Brooke Jensen | Specialist | 3695 Kipling St, Wheat Ridge, CO 80033-5738 | 2016-09-05 |
| 1457704397 | Brent Geske | Specialist | 3810 Pierce St, Wheat Ridge, CO 80033-4940 | 2016-07-15 |
| 1164831764 | Kaytlyn Gilner | Specialist | 4851 Independence St, Suite 200, Wheat Ridge, CO 80033-6715 | 2014-08-07 |
| Find all providers in WHEAT RIDGE | ||||
| City | WHEAT RIDGE |
| Zip Code | 80033 |
Please comment or provide details below to improve the information on ROCKY MOUNTAIN COSMETIC & RECONSTRUCTIVE SURGERY ASSOC, P.C..
| 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.