DR. JONATHAN DATAR (NPI# 1316333016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316333016 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN DATAR |
| Credential | MD |
| Practice Address |
4700 Hale Pkwy Ste 340 Denver CO 80220-4024 |
| Mailing Address |
Po Box 17528 Denver CO 80217-0528 |
| Practice Telephone | 3037814485 |
| Practice Fax Number | 7202740064 |
| Mailing Telephone | 4056813393 |
| Mailing Fax Number | 4053846793 |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2020-07-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
036149619 | IL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10099 Ridgegate Pkwy Ste 480, Lone Tree, CO 801245537 | 7204414021 | 7203601195 |
| Street Address |
4700 HALE PKWY STE 340 |
| City | DENVER |
| State | CO |
| Zip Code | 80220-4024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134160898 | Eric Harvey Leder | Internal Medicine | 4700 Hale Pkwy Ste 340, Denver, CO 80220-4024 | 2006-06-10 |
| 1083190599 | Mackenzie Courtney | Nurse Practitioner | 4700 Hale Pkwy Ste 340, Denver, CO 80220 | 2018-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053876748 | Woody Dental Pllc | Dentist | 5989 E Colfax Avenue, Denver, CO 80220 | 2019-02-06 |
| 1366961930 | Maita Angelica Thams | Case Manager/Care Coordinator | 4455 E. 12th Ave, Denver, CO 80220 | 2017-09-14 |
| 1962943837 | Rocky Mountain Therapy Ltd | Clinic/Center | 883 Jersey St, Denver, CO 80220 | 2017-03-13 |
| 1578019188 | Alfredo Guzman | Pharmacist | 1055 Cleremont, Denver, CO 80220 | 2016-09-01 |
| 1265802144 | Joseph Parker Morse | Case Manager/Care Coordinator | 4455 East 12th Avenue, Denver, CO 80220 | 2015-10-05 |
| 1104296789 | Eric Poissant | Physical Therapist | 4700 East Hale Parkway, #550, Denver, CO 80220 | 2015-09-25 |
| 1104292085 | Casey Lucarelli | Student in an Organized Health Care Education/Training Program | 4455 E. 12th Av., Mhcd, Denver, CO 80220 | 2015-08-14 |
| 1124414081 | Domenic Michael Terenzi | Hospitalist | 8001 E 11th Ave Unit 5210, Denver, CO 80220 | 2015-04-07 |
| 1730598566 | Jessica Nichole Heck | Pharmacist | 1055 Clermont Street (119), Denver Va Medical Center- Echcs, Denver, CO 80220 | 2014-08-06 |
| 1063840171 | Kellie Ann Douglas | Nurse Practitioner | 4545 E 9th Ave Ste 260, Denver, CO 80220 | 2013-10-29 |
| Find all providers in zip 80220 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902377179 | Para Health, LLC | Psychiatry & Neurology | 1091 E Bayaud Ave Apt W2604, Denver, CO 80209-2783 | 2018-12-16 |
| 1558715516 | Tara Celeste Carlisle | Psychiatry & Neurology | 3055 Roslyn St Unit 120, Denver, CO 80238-3324 | 2016-04-15 |
| 1346679826 | Michael A. Ament, M.d., Pllc | Psychiatry & Neurology | 4622 W Moncrieff Pl, Denver, CO 80212-1604 | 2013-11-05 |
| 1235484684 | Cherry Creek Neurology | Psychiatry & Neurology | 1720 S. Bellaire St. Ste 200, Denver, CO 80222 | 2012-07-20 |
| 1043538085 | Susan Patrice Anzalone | Psychiatry & Neurology | 1873 S Bellaire St Ste 620, Denver, CO 80222-4353 | 2010-05-15 |
| 1710140017 | Lawrence P Scibilia | Psychiatry & Neurology | 1660 S Albion St Ste 425, Denver, CO 80222 | 2008-07-07 |
| 1023207941 | Neurovision PC | Psychiatry & Neurology | 3480 S Galena St, 4b, Denver, CO 80231-5504 | 2007-10-16 |
| 1063567477 | Advanced Neurological Evaluation and Treatment Center PC | Psychiatry & Neurology | 1721 E 19th Ave Ste 510, Denver, CO 80218-1243 | 2007-01-24 |
| 1639227564 | David Seymour Madison | Psychiatry & Neurology | 2525 So Downing, Porter Hosp, Denver, CO 80210 | 2007-01-08 |
| 1215019609 | Justin Suk Joo Moon | Psychiatry & Neurology | 950 E Harvard Ave Ste 570, Denver, CO 80210 | 2006-10-19 |
| 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.