DENVER NEUROLOGICAL CLINIC PROFESSIONAL LLC (NPI# 1275131021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275131021 |
| Entity Type | Organization |
| Organization Name | DENVER NEUROLOGICAL CLINIC PROFESSIONAL LLC |
| Practice Address |
9980 Park Meadows Dr Ste 100 Lone Tree CO 80124-8404 |
| Mailing Address |
950 E Harvard Ave Ste 570 Denver CO 80210-7003 |
| Practice Telephone | 3037159024 |
| Practice Fax Number | 3037155020 |
| Mailing Telephone | 3037159024 |
| Mailing Fax Number | 3037155020 |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2020-10-14 |
| Authorized Official Name | ADAM JONATHEN WOLFF (AO) |
| Authorized Official Telephone | 3037159024 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 9000166943 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578744017 | Denver Neurological Clinic Professional LLC | Psychiatry & Neurology | 950 E Harvard Ave, Suite 570, Denver, CO 80210-7009 | 2007-11-26 |
| Street Address |
9980 PARK MEADOWS DR STE 100 |
| City | LONE TREE |
| State | CO |
| Zip Code | 80124-8404 |
| 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 | 2084N0600X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Clinical Neurophysiology |
| Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710123179 | Rocky Mountain Monitoring and Assist, LLC | Psychiatry & Neurology | 8500 Park Meadows Dr Ste 210, Lone Tree, CO 80124-2744 | 2009-01-06 |
| 1558789495 | Willcoll, LLC | Psychiatry & Neurology | 9695 S Yosemite St, #377, Lone Tree, CO 80124-2888 | 2014-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144779380 | 5280 Iom Pro, LLC | Psychiatry & Neurology | 1700 Bassett St Unit 1021, Denver, CO 80202-1921 | 2016-09-29 |
| 1407143043 | Alma Yum | Psychiatry & Neurology | 660 Bannock St # Mc4000, Denver, CO 80204-4506 | 2011-07-04 |
| 1942526835 | South Denver Neuromonitoring | Psychiatry & Neurology | 190 Jasmine St, Denver, CO 80220-5913 | 2010-04-16 |
| 1114165081 | Rjb Spine, LLC | Psychiatry & Neurology | 775 Capilano Ct, Castle Rock, CO 80108-3486 | 2009-01-29 |
| 1417102666 | Lawrence Lynch Mcreynolds | Psychiatry & Neurology | 7137 County Road 5, Ridgway, CO 81432-9734 | 2008-12-01 |
| 1134220288 | Kristen C Barner | Psychiatry & Neurology | 1813 Fairacres Dr, Greeley, CO 80631-5376 | 2006-09-25 |
| 1316557473 | Alexander Monroe Wolf | Psychiatry & Neurology | 950 E Harvard Ave, Denver, CO 80210-7009 | 2020-08-04 |
| 1487282992 | Neurology Institute of Colorado, Pllc | Psychiatry & Neurology | 433 Summit Blvd Unit 201, Broomfield, CO 80021-8299 | 2020-03-30 |
| 1730719071 | Neuro Care Specialists | Psychiatry & Neurology | 3295 Blake St Apt 304, Denver, CO 80205-2469 | 2020-01-24 |
| 1902225675 | Lesley Claire Kaye | Psychiatry & Neurology | 1635 Aurora Ct Fl 4, Aurora, CO 80045-2541 | 2014-04-10 |
| 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.