GERALD STEELE KIDD III (NPI# 1265552210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265552210 |
| Entity Type | Individual |
| Full Name | GERALD STEELE KIDD III |
| Credential | PA-C |
| Practice Address |
13952 Denver West Pkwy Ste 100 Lakewood CO 80401-3141 |
| Mailing Address |
382 S Arthur Ave Louisville CO 80027-3094 |
| Practice Telephone | 3036045000 |
| Practice Fax Number | 7208900364 |
| Mailing Telephone | 3036045000 |
| Mailing Fax Number | 7208900364 |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2020-03-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA.0004075 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
689 | AK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 90056868 | 05 |
| Street Address |
13952 DENVER WEST PKWY STE 100 |
| City | LAKEWOOD |
| State | CO |
| Zip Code | 80401-3141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609812668 | Jon David Allison | Physician Assistant | 13952 Denver West Pkwy Ste 100, Lakewood, CO 80401-3141 | 2006-06-20 |
| 1629320742 | Denver West Endoscopy Center, LLC | Clinic/Center | 13952 Denver West Pkwy Ste 100, Lakewood, CO 80401-3141 | 2012-10-12 |
| 1003163486 | Matthew Seto | Internal Medicine | 13952 Denver West Pkwy Ste 100, Lakewood, CO 80401-3141 | 2012-08-05 |
| 1235387358 | Taimur Khan | Internal Medicine | 13952 Denver West Pkwy Ste 100, Lakewood, CO 80401-3141 | 2008-09-03 |
| 1336364041 | Rohan Courtney Clarke | Internal Medicine | 13952 Denver West Pkwy Ste 100, Lakewood, CO 80401-3141 | 2007-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093315152 | Ruth Lucia Settak | Social Worker | 17301 W. Colfax Ave., Ste 200, Golden, CO 80401 | 2020-10-28 |
| 1811457088 | Evening Elegance LLC | Prosthetic/Orthotic Supplier | 14500 W Colfax Ave Unit 246, Lakewood, CO 80401 | 2019-03-22 |
| 1255853826 | Angela Kathryn Brickman | Behavior Technician | 714 Ridgeside Drive, Golden, CO 80401 | 2017-07-14 |
| 1710408240 | Catherine Camacho | Psychologist | 913 Arapahoe St, Golden, CO 80401 | 2017-07-06 |
| 1710420492 | Colorado Complete Urgent Care Physicians LLC | Clinic/Center | 17101 S Golden Rd., Golden, CO 80401 | 2016-11-29 |
| 1366991051 | Britta Marie Olson | Physical Therapist | 600 Golden Ridge Rd, Suite 130, Golden, CO 80401 | 2016-09-23 |
| 1003284209 | Maria Alta Mcvey | Dental Hygienist | 2305 Jackson St., Golden, CO 80401 | 2015-09-04 |
| 1548644479 | Christine Rodriguez | Dental Hygienist | 2305 Jackson Street, Golden, CO 80401 | 2015-07-09 |
| 1508285776 | Colorado Pain Practice, Pllc | Anesthesiology | 755 Heritage Road, Suite 100, Golden, CO 80401 | 2014-04-15 |
| 1942644844 | Golden Kids Dental | Dentist | 2421 Ford St., Golden, CO 80401 | 2013-04-22 |
| Find all providers in zip 80401 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457804973 | Rachael Anne Ruscitto | Physician Assistant | 2298 Woodward Ave, Lakewood, OH 44107-5561 | 2016-08-02 |
| 1588047518 | Geoffrey Slater | Physician Assistant | 285 Zang St Apt 2834, Lakewood, CO 80228-1032 | 2015-07-08 |
| 1225466824 | Joseph Beren | Physician Assistant | 150 James St Ste 204, Lakewood, NJ 08701-4101 | 2013-10-17 |
| 1184962649 | Rodger Howard Steinem | Physician Assistant | 5501 W Mississippi Ave, Lakewood, CO 80226-4811 | 2013-01-17 |
| 1942569553 | Maria Elena Arredondo | Physician Assistant | 5712 Coldbrook Ave, Lakewood, CA 90713-1442 | 2012-05-16 |
| 1730496886 | Johnna Jaynstein | Physician Assistant | 13300 W 6th Ave, Campus Box 44, Lakewood, CO 80228-1213 | 2010-09-10 |
| 1881878635 | Christian Angelo Cruz | Physician Assistant | 2529 Greentop St, Lakewood, CA 90712-3609 | 2007-12-28 |
| 1649499054 | Shinobu Inoue | Physician Assistant | 6210 75th St W Ste A200, Lakewood, WA 98499-8110 | 2007-04-24 |
| 1134257603 | Michele Lee Saul-langford | Physician Assistant | 2425 Carson St., #22, Lakewood, CA 90712 | 2007-02-28 |
| 1407930456 | Jon Derik Mortensen | Physician Assistant | 10510 Gravelly Lake Dr., Community Health Care - Lakewood Clinic, Lakewood, WA 98499 | 2006-10-25 |
| Find all providers in LAKEWOOD | ||||
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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.