MSK MEDICAL LLC (NPI# 1275943201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275943201 |
| Entity Type | Organization |
| Organization Name | MSK MEDICAL LLC |
| Practice Address |
1 Broadway A-100 Denver CO 80203-3959 |
| Practice Telephone | 3034556345 |
| Practice Fax Number | 3034556343 |
| Mailing Telephone | 3034556345 |
| Mailing Fax Number | 3034556343 |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2014-04-29 |
| Authorized Official Name | W RAFER LEACH (OWNER) |
| Authorized Official Telephone | 3038708870 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
38790 | CO | Ambulatory Health Care Facilities |
| Street Address |
1 BROADWAY A-100 |
| City | DENVER |
| State | CO |
| Zip Code | 80203-3959 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700138617 | Abby Buzzell | Physician Assistant | 1 Broadway, 100a, Denver, CO 80203-3959 | 2012-10-03 |
| 1811135007 | Michael Brenan Camp | Physician Assistant | 1 Broadway, Building A, Suite 100, Denver, CO 80203-3959 | 2009-01-27 |
| 1568499515 | W Rafer Leach | Emergency Medicine | 1 Broadway, Bldg A, Suite 100, Denver, CO 80203-3959 | 2006-06-26 |
| 1528003662 | Denver Urgent Care Professional LLC | Emergency Medicine | 1 Broadway, Bldg A, Suite 100, Denver, CO 80203-3959 | 2006-06-20 |
| 1396719514 | Brent M Turner | Emergency Medicine | 1 Broadway, Suite A100, Denver, CO 80203-3959 | 2006-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821648999 | Sara Desiree Martin | Student in an Organized Health Care Education/Training Program | 948 Logan St #1, Denver, CO 80203 | 2019-09-19 |
| 1821581471 | Foot Tracks | Physical Therapist | 1120 N Lincoln St Ste 907, Denver, CO 80203 | 2018-06-08 |
| 1558870840 | Rene C. Katial | Registered Nurse | Suncrest Hospice, 777 E. Speer Blvd, Denver, CO 80203 | 2017-09-29 |
| 1295253946 | Katherine Longley | Counselor | 852 N Broadway Ste 200, Denver, CO 80203 | 2017-09-01 |
| 1679097125 | Alyssa Miller | Case Manager/Care Coordinator | 745 Sherman St, Denver, CO 80203 | 2017-07-26 |
| 1861922817 | Cara Jaffee | Nutritionist | 990 Logan St, Apt 701, Denver, CO 80203 | 2017-06-13 |
| 1285168583 | State of Colorado | Point of Service | 1575 Sherman Street, Cdhs, Denver, CO 80203 | 2017-04-13 |
| 1205388931 | Molly Dyer | Acupuncturist | 852 Broadway St., Ste. 200, Denver, CO 80203 | 2016-10-28 |
| 1164897997 | Jennifer Holt | Dietitian, Registered | 1935 Pearl St, Apt 3430, Denver, CO 80203 | 2015-12-04 |
| 1073985131 | Ashley Frances Nelson | Social Worker | 758 Sherman Street, Denver, CO 80203 | 2015-10-28 |
| Find all providers in zip 80203 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
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| 1346734159 | Hygge Birth and Baby, LLC | Clinic/Center | 8111 E Lowry Blvd Ste 230, Denver, CO 80230-7255 | 2018-06-15 |
| 1386163145 | Kaiser Foundation Health Plan of Colorado | Clinic/Center | 3537 N Brighton Blvd, Denver, CO 80216 | 2017-09-13 |
| 1578911947 | Granite Healthcare, Inc. | Clinic/Center | 6000 E Evans Ave Ste 3-111, Denver, CO 80222-5422 | 2016-05-26 |
| 1780039669 | Trucare Mtm LLC | Clinic/Center | 2283 S Monaco Pkwy Ste 101, Denver, CO 80222-5845 | 2016-04-28 |
| 1124435573 | Healthworks Med Group of Colorado P C | Clinic/Center | 1099 18th St Ste 1800, Denver, CO 80202-1918 | 2014-07-17 |
| 1790745800 | Denver Injury Evaluation & Treatment Center, Ltd. | Clinic/Center | 1325 S Colorado Blvd, Ste. B-206, Denver, CO 80222-3303 | 2006-03-23 |
| 1376536540 | 1st Allergy Asthma and Pediatrics Too, Inc. | Clinic/Center | 9191 Huron St, Denver, CO 80260-6842 | 2005-08-23 |
| 1538667340 | University Physicians Incorporated | Clinic/Center | 8111 E Lowry Blvd Ste 120, Denver, CO 80230 | 2018-01-26 |
| 1518375419 | Mental Health Center of Denver | Clinic/Center | 4141 E Dickenson Pl, Denver, CO 80222-6012 | 2014-07-24 |
| Find all providers in DENVER | ||||
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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.