CARLOS EDUARDO FUENMAYOR (NPI# 1316286008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316286008 |
| Entity Type | Individual |
| Full Name | CARLOS EDUARDO FUENMAYOR |
| Credential | CSA |
| Practice Address |
1673 S Flanders Way Aurora CO 80017-5509 |
| Mailing Address |
22154 E Euclid Dr Aurora CO 80016-2359 |
| Practice Telephone | 7207482888 |
| Mailing Telephone | 7203774160 |
| Enumeration Date | 2013-01-31 |
| Last Update Date | 2013-01-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
13-115 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1673 S FLANDERS WAY |
| City | AURORA |
| State | CO |
| Zip Code | 80017-5509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649305343 | Colorado Physician Surgical Asst Inc | Physician Assistant | 1673 S Flanders Way, Aurora, CO 80017-5509 | 2007-02-22 |
| 1508277070 | Mavis Lobo | Physician Assistant | 1673 S Flanders Way, Aurora, CO 80017-5509 | 2014-05-18 |
| 1942458179 | David Randell Bertsch | Contractor | 1673 S Flanders Way, Aurora, CO 80017-5509 | 2008-08-29 |
| 1285802983 | Colorado Physician Surgical Assistance | Technician, Other | 1673 S Flanders Way, Aurora, CO 80017 | 2008-02-15 |
| 1942411145 | Louie Duran | Specialist/Technologist, Other | 1673 S Flanders Way, Aurora, CO 80017-5509 | 2007-05-28 |
| 1881815900 | Bobby Lee Fox | Physician Assistant | 1673 S Flanders Way, Aurora, CO 80017-5509 | 2007-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912425133 | Jennifer Camp | Registered Nurse | 2500 South Parker Road, Parker, CO 80017 | 2017-09-08 |
| 1679002034 | Rukecha LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1425 S Ensenada St, Aurora, CO 80017 | 2017-06-08 |
| 1649714395 | Bruk Transportation LLC | Non-emergency Medical Transport (VAN) | 18091 E Kentucky Ave, Apt. 103, Aurora, CO 80017 | 2016-12-15 |
| 1477909604 | Agape Transit LLC | Non-emergency Medical Transport (VAN) | 1660 S Chambers Rd, Aurora, CO 80017 | 2016-05-06 |
| 1831552918 | Ayinalem Sima | Non-emergency Medical Transport (VAN) | 1720 S Quintero Way, Aurora, CO 80017 | 2016-04-05 |
| 1821450446 | Malayah Stamps | Technician, Other | 16202 E Alabama Dr, Aurora, CO 80017 | 2016-03-23 |
| 1033574330 | Melissa Rose Harmon | Student in an Organized Health Care Education/Training Program | 1234 Bell, Aurora, CO 80017 | 2015-12-31 |
| 1770951154 | Smooth Ride Services, LLC | Non-emergency Medical Transport (VAN) | 16492 E Wyoming Dr, Aurora, CO 80017 | 2015-09-02 |
| 1063893857 | Belew B Yigletu Sr. | Driver | 15330 E Center Ave # N204, Aurora, CO 80017 | 2015-06-17 |
| 1184058281 | Boomer Medical Supply | Durable Medical Equipment & Medical Supplies | 17935 East Florida Drive, Aurora, CO 80017 | 2013-08-26 |
| Find all providers in zip 80017 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780141895 | Wendy Mc Bui | Physician Assistant | 1530 S Florence Way Unit 312, Aurora, CO 80247 | 2019-02-25 |
| 1861902157 | Hannah Ellen Martin | Physician Assistant | Children's Hospital Colorado 13123 East 16th Avenue, Box 060, Aurora, CO 80045-0600 | 2017-10-02 |
| 1316316722 | Michaela Sutton | Physician Assistant | 2230 S Fraser St Unit 1, Aurora, CO 80014-4536 | 2015-09-16 |
| 1902248255 | Zachary Goren | Physician Assistant | 13650 E Mississippi Ave Ste 100, Aurora, CO 80012-3573 | 2013-07-26 |
| 1073853446 | Sarah Longyhore | Physician Assistant | 12631 E. 17th Avenue, Suite 6006, University of Colorado/anschutz Medical Campus, Aurora, CO 80045 | 2013-02-22 |
| 1235373721 | Emiliya Aminova | Physician Assistant | 2750 Tower Rd, Aurora, CO 80011-3501 | 2009-04-28 |
| 1942488200 | Ryan A Mooney | Physician Assistant | 13123 E 16th Ave Dept Of, Aurora, CO 80045-7106 | 2008-02-07 |
| 1366523128 | Arthur Sliwa | Physician Assistant | 2853 Kirk Rd, Aurora, IL 60502-6031 | 2006-10-18 |
| 1629094966 | Sharon Bahrych | Physician Assistant | 14707 E 2nd Ave Ste 150, Aurora, CO 80011-8914 | 2006-07-13 |
| 1821612805 | Elise Mackenzie Path | Physician Assistant | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2020-06-04 |
| Find all providers in AURORA | ||||
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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.