COLORADO EAR, NOSE & THROAT PC (NPI# 1316274517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316274517 |
Entity Type | Organization |
Organization Name | COLORADO EAR, NOSE & THROAT PC |
Practice Address |
156 Colorado Ave Montrose CO 81401-3678 |
Practice Telephone | 9702496968 |
Practice Fax Number | 9702404729 |
Mailing Telephone | 9702496968 |
Mailing Fax Number | 9702404729 |
Enumeration Date | 2009-11-09 |
Last Update Date | 2009-11-09 |
Authorized Official Name | DR. PATRICK EDWARD HENDERSON (OWNER) |
Authorized Official Telephone | 9702496968 |
Authorized Official Credential | D.O. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
31899 | CO | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CO | 01318997 | 05 |
Street Address |
156 COLORADO AVE |
City | MONTROSE |
State | CO |
Zip Code | 81401-3678 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164581799 | Shirley Anne Harvey | Social Worker | 156 Colorado Ave, Montrose, CO 81401-3629 | 2006-12-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679183008 | Gregory Lee Reynolds Jr. | Pharmacist | 16750 South Townsend, Pharmacy, Montrose, CO 81401 | 2020-07-31 |
1780232215 | River Valley Family Health Centers | Pharmacy | 1010 S Rio Grande, Montrose, CO 81401 | 2019-08-28 |
1750938585 | Thomas J Harker | Pharmacist | 1010 Rio Grande, Montrose, CO 81401 | 2019-08-26 |
1548821317 | Terri Elizabeth Middleton-huntley | Registered Nurse | Center for Mental Health-crisis Walk-in Clinic, 300 N. Cascade, Montrose, CO 81401 | 2019-06-24 |
1427515121 | Holly L Speaks | Counselor | 225 S Nevada Ave, Montrose, CO 81401 | 2019-02-28 |
1922521541 | Lisa M Perez | Nurse Practitioner | 725 S 4th Street, 9702407734, CO 81401 | 2017-07-25 |
1104355015 | Judy Carol Fletcher | Registered Nurse | 1800 Pavillion Dr, Montrose, CO 81401 | 2017-06-06 |
1588106405 | Lindsay Rae Greenfield | Registered Nurse | 816 S 5th St Ste B, Montrose, CO 81401 | 2016-11-09 |
1679957393 | Denise Wallen | Registered Nurse | 1845 S. Townsend Ave., Montrose, CO 81401 | 2015-07-13 |
1649538810 | Deborah Thompson | Acupuncturist | 200 So Townsend, Ste. E, Montrose, CO 81401 | 2012-04-25 |
Find all providers in zip 81401 |
Taxonomy Code | 207YS0123X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
Specialization | Facial Plastic Surgery |
An otolaryngologist who specializes in facial plastic surgery. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate was, but is no longer issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477107373 | Rtfprs, Pllc | Otolaryngology | 3150 E 3rd Ave Ste 200, Denver, CO 80206-5246 | 2019-07-29 |
1326496068 | Victoria King | Otolaryngology | 113 Latigo Ln Ste D, Canon City, CO 81212-8115 | 2016-06-02 |
1578976627 | Jessica Lynn Specht | Otolaryngology | 9960 Sky Ridge Ave, Lone Tree, CO 80124-5644 | 2014-06-06 |
1508982216 | Ear Nose & Throat Associates of Northern Colorado PC | Otolaryngology | 2121 E Harmony Rd Suite 350, Fort Collins, CO 80528-3404 | 2007-03-22 |
1558374926 | Victoria Van Beuren King | Otolaryngology | 113 Latigo Ln, Canon City, CO 81212-8114 | 2006-08-15 |
1942273479 | Maria Sherrilyn Dellota | Otolaryngology | 1006 Centre Ave, Fort Collins, CO 80526-1849 | 2006-02-07 |
1932101490 | Mario J Imola | Otolaryngology | 3600 S Logan St, Suite 100, Englewood, CO 80113-3766 | 2005-08-15 |
1275539843 | Kevin Clifford Cavanaugh | Otolaryngology | 1325 Dry Creek Dr, Suite 103, Longmont, CO 80503-7731 | 2005-06-28 |
1811331721 | Richard W. Thompson | Otolaryngology | 9399 Crown Crest Blvd, Parker, CO 80138-8506 | 2013-04-22 |
1093030926 | Catherine Weng | Otolaryngology | 403 Summit Blvd, Ste 204, Broomfield, CO 80021-8252 | 2010-04-04 |
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.