GRAND MESA SPINE AND SPORT, LLC (NPI# 1316333115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316333115 |
| Entity Type | Organization |
| Organization Name | GRAND MESA SPINE AND SPORT, LLC |
| Other Organization Name | COLORADO INJURY AND PAIN SPECIALISTS |
| Practice Address |
201 W Park Dr Grand Junction CO 81505-1469 |
| Mailing Address |
7071 W Central Ave Toledo OH 43617-2700 |
| Practice Telephone | 9702420162 |
| Practice Fax Number | 9702421097 |
| Mailing Telephone | 4198431370 |
| Mailing Fax Number | 4198438402 |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2015-04-28 |
| Authorized Official Name | LEILANI HARMON (BILLING DIRECTOR) |
| Authorized Official Telephone | 4198431370 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| COLORADO INJURY AND PAIN SPECIALISTS | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952789059 | Grand Mesa Spine and Sport, LLC | Durable Medical Equipment & Medical Supplies | 201 W Park Dr, Grand Junction, CO 81505-1469 | 2015-05-11 |
| Street Address |
201 W PARK DR |
| City | GRAND JUNCTION |
| State | CO |
| Zip Code | 81505-1469 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366490666 | Charles J Daniel Jr. | Podiatrist | 201 W Park Dr, Grand Junction, CO 81505-1469 | 2006-05-05 |
| 1114418167 | Jeffrey Laray Gale | Physical Therapist | 201 W Park Dr, Grand Junction, CO 81505-1469 | 2018-05-25 |
| 1952789059 | Grand Mesa Spine and Sport, LLC | Durable Medical Equipment & Medical Supplies | 201 W Park Dr, Grand Junction, CO 81505-1469 | 2015-05-11 |
| 1942691902 | Redlands Mesa Surgery Center | Nurse Anesthetist, Certified Registered | 201 W Park Dr, Suite 102, Grand Junction, CO 81505-1469 | 2015-02-12 |
| 1235568981 | Redlands Mesa Surgery Center LLC | Clinic/Center | 201 W Park Dr, Grand Junction, CO 81505-1469 | 2013-11-04 |
| 1992143176 | Anna Elisabeth Moore | Podiatrist | 201 W Park Dr, Grand Junction, CO 81505-1469 | 2013-06-10 |
| 1912261652 | Joseph Dahlin | Podiatrist | 201 W Park Dr, Grand Junction, CO 81505-1469 | 2012-06-27 |
| 1720207863 | Grand Valley Foot & Ankle Center PC | Podiatrist | 201 W Park Dr, Grand Junction, CO 81505-1469 | 2007-04-25 |
| 1356390991 | John M Feild | Podiatrist | 201 W Park Dr, Grand Junction, CO 81505-1469 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255954061 | The Center At Foresight, LLC | Skilled Nursing Facility | 2594 Patterson Road, Grand Junction, CO 81505 | 2020-05-27 |
| 1457864845 | Haley Shae Oberst | Physician Assistant | 604 25 Rd, Grand Junction, CO 81505 | 2017-11-08 |
| 1780107896 | Robert Rogers | Registered Nurse | 2351 G Rd., Community Hospital, Grand Junction, CO 81505 | 2017-07-20 |
| 1952834871 | Carol Joy Graham | Counselor | 585 25 1/2 Rd. Sp 175, Grand Junction, CO 81505 | 2017-04-07 |
| 1356894059 | Amel Med, LLC | Anesthesiology | 2460 Patterson Rd #4, Grand Junction, CO 81505 | 2016-07-28 |
| 1528479649 | Adam Neff | Specialist/Technologist | 2188 I Road, Grand Junction, CO 81505 | 2014-05-12 |
| 1689003766 | Canyon View Asc, LLC | Clinic/Center | 2373 G Road, Suite 180, Grand Junction, CO 81505 | 2013-11-08 |
| 1700220993 | Grand Mesa Spine and Sport LLC | Pain Medicine | 201 West Park Dr, Grand Junction, CO 81505 | 2013-04-18 |
| 1295026409 | Nuclear Care Partners, LLC | Case Management | 631 24 1/2 Road, Suite C, Grand Junction, CO 81505 | 2011-04-21 |
| 1265734883 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 630 24 Rd, Grand Junction, CO 81505 | 2010-12-02 |
| Find all providers in zip 81505 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942691902 | Redlands Mesa Surgery Center | Nurse Anesthetist, Certified Registered | 201 W Park Dr, Suite 102, Grand Junction, CO 81505-1469 | 2015-02-12 |
| 1609120070 | Ecgj Anesthesia LLC | Nurse Anesthetist, Certified Registered | 1035 Wellington Ave, Grand Junction, CO 81501-8122 | 2012-11-06 |
| 1467500116 | John Earl Taylor | Nurse Anesthetist, Certified Registered | 2121 North Ave, Grand Junction, CO 81501-6428 | 2007-01-08 |
| 1902903545 | Michael Bradley Buxton | Nurse Anesthetist, Certified Registered | 2121 North Ave, Grand Junction, CO 81501-6428 | 2006-09-17 |
| 1942319983 | Christopher G Mroz | Nurse Anesthetist, Certified Registered | 2121 North Ave, Grand Junction, CO 81501-6428 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154979342 | Crna Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 7447 E Berry Ave Ste 100, Greenwood Village, CO 80111-2103 | 2019-08-30 |
| 1700390523 | Rocky Mountain Mobile Anesthesia Solutions, LLC | Nurse Anesthetist, Certified Registered | 300 Center Dr Ste G225, Superior, CO 80027-8625 | 2017-12-01 |
| 1790229193 | Freelance Anesthesia Colorado LLC | Nurse Anesthetist, Certified Registered | 18801 E Mainstreet Ste 150, Parker, CO 80134-3477 | 2016-12-05 |
| 1558803577 | Cheryl Botsford | Nurse Anesthetist, Certified Registered | 1899 Denver West Dr Apt 1423, Golden, CO 80401-3137 | 2016-11-08 |
| 1699225201 | Carlye Spaulding | Nurse Anesthetist, Certified Registered | 4680 Mariposa Ln, Cascade, CO 80809-1807 | 2016-10-06 |
| 1336507847 | Kyle Tipton | Nurse Anesthetist, Certified Registered | 4741 Eagleridge Circle, 206, Pueblo, CO 81008 | 2016-01-29 |
| 1750769295 | Advanced Specialty Anesthesia Colorado, LLC | Nurse Anesthetist, Certified Registered | 15121 East Mississippi, Aurora, CO 80012 | 2015-05-18 |
| 1669863627 | Ashley Brooke Billings | Nurse Anesthetist, Certified Registered | 11886 Cattle Ln, Parker, CO 80134-3065 | 2015-02-12 |
| 1154712511 | Katherine Faye Shulman | Nurse Anesthetist, Certified Registered | 6968 W Nova Dr, Littleton, CO 80128 | 2015-02-06 |
| 1245620830 | Tori Taylor | Nurse Anesthetist, Certified Registered | 112 W D St Ste 210-a, Pueblo, CO 81003-3461 | 2015-02-03 |
| Find all providers with the same taxonomy | ||||
| City | GRAND JUNCTION |
| Zip Code | 81505 |
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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.