AVICENNA MEDICAL SUPPLY (NPI# 1275869158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275869158 |
| Entity Type | Organization |
| Organization Name | AVICENNA MEDICAL SUPPLY |
| Practice Address |
4045 Wadsworth Blvd Unit # 308 Wheat Ridge CO 80033-4642 |
| Practice Telephone | 3033887114 |
| Mailing Telephone | 3033887114 |
| Enumeration Date | 2009-10-27 |
| Last Update Date | 2018-06-20 |
| Authorized Official Name | ROSTISLAV VAISMAN (PRESIDENT) |
| Authorized Official Telephone | 3033887114 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | ========= | CO | Suppliers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Avicenna Medical Supply ,LLC | 1148 Pulaski Hwy, Ste 115, Bear, DE 19701 |
| Street Address |
4045 WADSWORTH BLVD UNIT # 308 |
| City | WHEAT RIDGE |
| State | CO |
| Zip Code | 80033-4642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013915826 | Joseph P Scherber | Dentist | 4045 Wadsworth Blvd, Suite 103, Wheat Ridge, CO 80033-4642 | 2005-07-14 |
| 1356769228 | Jennifer Lynne Riegel | Physical Therapist | 4045 Wadsworth Blvd, Suite #10, Wheat Ridge, CO 80033-4642 | 2014-03-28 |
| 1922420389 | Christopher Coppedge | Massage Therapist | 4045 Wadsworth Blvd, Suite 270, Wheat Ridge, CO 80033-4642 | 2014-01-20 |
| 1225469729 | Shannon Merriman | Physical Therapist | 4045 Wadsworth Blvd, Wheat Ridge, CO 80033-4642 | 2013-12-09 |
| 1598107153 | John B Woodward IIi Md PC | Psychiatry & Neurology | 4045 Wadsworth Blvd, Suite 311, Wheat Ridge, CO 80033-4642 | 2013-07-24 |
| 1457606204 | Diana Elizabeth Maier | Community Health Worker | 4045 Wadsworth Blvd, Suite 20, Wheat Ridge, CO 80033-4642 | 2012-07-18 |
| 1831452242 | Alexandra Claire Reed | Counselor | 4045 Wadsworth Blvd, Suite 20, Wheat Ridge, CO 80033-4642 | 2012-06-20 |
| 1043504194 | Advanced Wound Care PC LLC | Physical Therapist | 4045 Wadsworth Blvd, Suite 10, Wheat Ridge, CO 80033-4642 | 2011-06-07 |
| 1699095190 | Mountainoccupationalmedicine LLC | Clinic/Center | 4045 Wadsworth Blvd, Suite #311, Wheat Ridge, CO 80033-4642 | 2010-06-07 |
| 1609032408 | Kacie Marie Harmon | Counselor | 4045 Wadsworth Blvd, Ste 70, Wheat Ridge, CO 80033-4642 | 2008-07-31 |
| Find all providers in the same location | ||||
| 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 | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790859684 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 7615 W 38th St Ste B111, Wheat Ridge, CO 80033 | 2006-11-20 |
| 1780690156 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 4401 Wadsworth Blvd, Wheat Ridge, CO 80033-3302 | 2006-07-31 |
| 1659307122 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 3400 Youngfield St, Wheat Ridge, CO 80033 | 2006-06-24 |
| 1740226364 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 3900 Wadsworth Blvd, Wheat Ridge, CO 80033-4615 | 2006-06-21 |
| 1962447888 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 5301 W 38th Ave, Wheat Ridge, CO 80212 | 2006-06-17 |
| 1487657292 | Mckinley Medical LLC | Durable Medical Equipment & Medical Supplies | 4080 Youngfield St, Wheat Ridge, CO 80033-3862 | 2005-05-24 |
| 1407283377 | Colorado Orthotic & Prosthetic Services Wr | Durable Medical Equipment & Medical Supplies | 3550 Lutheran Pkwy, Suite 205, Wheat Ridge, CO 80033-6017 | 2013-10-08 |
| 1114134244 | Henry A Beteta | Durable Medical Equipment & Medical Supplies | 7220 W 38th Ave, Wheat Ridge, CO 80033-4841 | 2007-05-17 |
| 1023222312 | Mountain States Hand and Physical Therapy, Inc | Durable Medical Equipment & Medical Supplies | 8550 W 38th Ave, Suite 106b, Wheat Ridge, CO 80033-4300 | 2007-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831797208 | Aerocare Holdings, Inc. | Durable Medical Equipment & Medical Supplies | 8216 Park Meadows Dr, Lone Tree, CO 80124-2746 | 2020-10-16 |
| 1346847159 | Access Medical Supply, Inc. | Durable Medical Equipment & Medical Supplies | 2600 S Parker Rd Ste 6-267b, Denver, CO 80014-1684 | 2020-10-05 |
| 1053925396 | Denver Regenerative Health Institute PC | Durable Medical Equipment & Medical Supplies | 6825 S Galena St Ste 200, Centennial, CO 80112-3630 | 2020-09-03 |
| 1174137731 | Wp&h,llc | Durable Medical Equipment & Medical Supplies | 1039 Elkton Dr, Colorado Springs, CO 80907-3539 | 2020-09-01 |
| 1952910499 | Select Physical Therapy of Colorado Springs Lp | Durable Medical Equipment & Medical Supplies | 5660 Barnes Road, Suite 116, Colorado Springs, CO 80917 | 2020-07-30 |
| 1295343101 | Select Physical Therapy of Colorado Springs Lp | Durable Medical Equipment & Medical Supplies | 5825 Delmonico Dr Ste 100, Colorado Springs, CO 80919-2243 | 2020-07-16 |
| 1063030138 | Reliable Medical Solutions, LLC | Durable Medical Equipment & Medical Supplies | 1227 Lake Plaza Dr Ste A, Colorado Springs, CO 80906-7402 | 2020-07-06 |
| 1316564578 | Hanger Prosthetics & Orthotics West Inc | Durable Medical Equipment & Medical Supplies | 9137 Ridgeline Blvd Ste 250, Highlands Ranch, CO 80129-2753 | 2020-07-02 |
| 1588287189 | Heather Bowman | Durable Medical Equipment & Medical Supplies | 2495 Red Hawk Ridge Dr, Castle Rock, CO 80109-3677 | 2020-05-19 |
| 1073136644 | Better Sleep Designs LLC | Durable Medical Equipment & Medical Supplies | 3333 S Wadsworth Blvd Unit 321, Lakewood, CO 80227-5142 | 2020-05-18 |
| Find all providers with the same taxonomy | ||||
| City | WHEAT RIDGE |
| Zip Code | 80033 |
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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.