PLATINUM MEDICAL LLC (NPI# 1285767772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285767772 |
| Entity Type | Organization |
| Organization Name | PLATINUM MEDICAL LLC |
| Practice Address |
2758 S Knoxville Way Denver CO 80227-3858 |
| Mailing Address |
Po Box 100130 Denver CO 80250-0130 |
| Practice Telephone | 3037773788 |
| Practice Fax Number | 3039407773 |
| Mailing Telephone | 3037773788 |
| Mailing Fax Number | 3037773788 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2008-02-08 |
| Authorized Official Name | MR. BRENT L CASS (OWNER) |
| Authorized Official Telephone | 3037773788 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
2006-2 | CO | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | NE MEDICAID | 10025480400 | 01 |
| CO | 88624382 | 05 |
| Street Address |
2758 S KNOXVILLE WAY |
| City | DENVER |
| State | CO |
| Zip Code | 80227-3858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326541947 | Caroline Nicole Desjardins | Counselor | 2460 W 26th Ave Bldg C Ste 217, Denver, CO 80227 | 2018-03-09 |
| 1689024986 | Ethan Daniel Light | Audiologist | 10881 W. Asbury Ave., Suite 110, Lakewood, CO 80227 | 2016-06-16 |
| 1124476098 | Rachel Patterson | Nurse Practitioner | 3190 S Wadsworth Blvd Ste 250, Lakewood, CO 80227 | 2016-06-01 |
| 1326425901 | Lisa Myers | Social Worker | 2050 S Kipling St, Lakewood, CO 80227 | 2015-05-02 |
| 1497174619 | Pamela Ann Gunn | Registered Nurse | 10631 W. Vassar Place, Lakewood, CO 80227 | 2014-04-15 |
| 1336588912 | Ashlie Bell | Social Worker | 3333 S Wadsworth Blvd Ste 160, Lakewood, CO 80227 | 2013-06-18 |
| 1326336678 | Anna C Ferman | Registered Nurse | 10035 W Dartmouth Ave C207, Lakewood, CO 80227 | 2011-07-20 |
| 1124353701 | Katherine Ream Palomino | Nurse Anesthetist, Certified Registered | 3333 S. Wadsworth Blvd, #d-100, Lakewood, CO 80227 | 2009-10-15 |
| 1457502205 | National Institute for Change, P.C. | Community/Behavioral Health | 3225 S Wadsworth Blvd, Unit T, Lakewood, CO 80227 | 2008-10-09 |
| 1952565996 | Children's Dental Center | Dentist | 2323 South Wadsworth Blvd, Suite #104, Lakewood, CO 80227 | 2008-07-17 |
| Find all providers in zip 80227 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
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| 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.