COLORADO PERMANENTE MEDICAL GROUP, P.C. (NPI# 1346693371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346693371 |
| Entity Type | Organization |
| Organization Name | COLORADO PERMANENTE MEDICAL GROUP, P.C. |
| Other Organization Name | KAISER PERMANENTE ENGLEWOOD MEDICAL OFFICES |
| Practice Address |
2955 S Broadway Englewood CO 80113-1526 |
| Mailing Address |
10350 E Dakota Ave Denver CO 80247-1314 |
| Practice Telephone | 3033384545 |
| Mailing Telephone | 3033384545 |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2019-09-24 |
| Authorized Official Name | MATTHEW J SPLINTER (CPMG CFO) |
| Authorized Official Telephone | 3033447345 |
| Is Organization Subpart | Y |
| Parent Organization Name | COLORADO PERMANENTE MEDICAL GROUP, P.C. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | CO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 04710083 | 05 |
| Other Name | Type Code |
|---|---|
| Kaiser Permanente Englewood Medical Offices | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336775469 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 3920 N Union Blvd, Colorado Springs, CO 80907-4900 | 2020-03-20 |
| 1952937039 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 14701 E Exposition Ave, Aurora, CO 80012-2623 | 2020-03-20 |
| 1851927933 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 10240 Park Meadows Dr, Lone Tree, CO 80124-5425 | 2020-03-20 |
| 1669008744 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 8383 W Alameda Ave, Lakewood, CO 80226-3007 | 2020-03-20 |
| 1639641152 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 2625 W Pueblo Blvd, Pueblo, CO 80014-5833 | 2018-12-21 |
| 1083161152 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 226 Lusher Court, Ste 104, Frisco, CO 80443-7600 | 2016-09-07 |
| 1932655099 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 56 Edwards Village Blvd, Ste 208, Edwards, CO 81632-7802 | 2016-08-29 |
| 1487100541 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 215 S Parkside Dr, Ste 215, Colorado Springs, CO 80910-3131 | 2016-08-29 |
| 1205382363 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 1136 E Stuart St, Bldg 3, 2nd Floor, Fort Collins, CO 80525-1195 | 2016-08-29 |
| 1174079594 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 4318 Trail Boss Dr, Ste 100, Castle Rock, CO 80104-7512 | 2016-08-26 |
| Street Address |
2955 S BROADWAY |
| City | ENGLEWOOD |
| State | CO |
| Zip Code | 80113-1526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992738363 | Marija R.g. Dubrick | Family Medicine | 2955 S Broadway, Englewood, CO 80113-1526 | 2006-07-09 |
| 1619500246 | Brittany N Stephenson | Registered Nurse | 2955 S Broadway, Englewood, CO 80113-1526 | 2020-02-21 |
| 1134674534 | Kevin Smith | Registered Nurse | 2955 S Broadway, Englewood, CO 80113-1526 | 2016-08-16 |
| 1942689237 | Alexis Meis | Registered Nurse | 2955 S Broadway, Englewood, CO 80113-1526 | 2015-05-20 |
| 1770980260 | Andrea V Nuanes | Social Worker | 2955 S Broadway, Englewood, CO 80113-1526 | 2014-11-26 |
| 1447654116 | Suzanne Fish | Pharmacist | 2955 S Broadway, Englewood, CO 80113-1526 | 2014-10-09 |
| 1740692805 | Diana De Andrade | Registered Nurse | 2955 S Broadway, Englewood, CO 80113-1526 | 2014-05-23 |
| 1619387438 | Amy Semon | Registered Nurse | 2955 S Broadway, Englewood, CO 80113-1526 | 2014-05-01 |
| 1962833608 | Mary Watkins | Registered Nurse | 2955 S Broadway, Englewood, CO 80113-1526 | 2013-12-05 |
| 1124458179 | Rebecca Abraham | Dietitian, Registered | 2955 S Broadway, Englewood, CO 80113-1526 | 2013-11-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306339163 | Colorado Urgent Care Physicians, PC | Clinic/Center | 5102 South Broadway, Englewood, CO 80113 | 2018-06-07 |
| 1518489178 | High Five Home Care LLC. | In Home Supportive Care | 4055 S Broadway, Suite #102, Englewood, CO 80113 | 2017-07-14 |
| 1720518426 | Chelsea M Bega | Audiologist | 3439 S Lincoln St, Englewood, CO 80113 | 2017-06-14 |
| 1689110272 | Mary Frances Mckinley | Physical Therapy Assistant | 3460 S Downing Street, Englewood, CO 80113 | 2017-01-06 |
| 1295190585 | Kassandra Dominique Hill | Nurse's Aide | 3301 S Whaington St, Apt.109, Englewood, CO 80113 | 2015-12-31 |
| 1760862130 | Grenhart & Associates, LLC | Psychologist | 3601 S Clarkson Street, Suite 540, Englewood, CO 80113 | 2015-06-01 |
| 1669807392 | Jill C Tomaso | Occupational Therapist | 3218 South Logan Street, Englewood, CO 80113 | 2013-09-12 |
| 1255683868 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 3495 S University Blvd, Englewood, CO 80113 | 2012-10-05 |
| 1700137825 | Stanley Leon Hannah | General Practice | 5 Martin Lane, Cherry Hills Village, CO 80113 | 2012-09-28 |
| 1558623496 | Annelise Lorelei Dawson | Dermatology | 499 E Hampden Ave Ste 390, Englewood, CO 80113 | 2012-06-15 |
| Find all providers in zip 80113 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306339163 | Colorado Urgent Care Physicians, PC | Clinic/Center | 5102 South Broadway, Englewood, CO 80113 | 2018-06-07 |
| 1740729201 | Nancy Bilello L.ac., Inc. | Clinic/Center | 3460 S Sherman St, #201, Englewood, CO 80113-2681 | 2017-02-16 |
| 1124206396 | Prana Internal Medicine Pllc | Clinic/Center | 3292 S Bannock St, Englewood, CO 80110-2418 | 2008-02-09 |
| 1023043593 | Pascack Valley Hospital | Clinic/Center | 291 South Van Brunt St, The Childbirth Center, Englewood, NJ 07631 | 2006-07-12 |
| 1316571359 | Richard Phillips | Clinic/Center | 5 N Main St, Englewood, OH 45322-1326 | 2020-02-28 |
| 1609409317 | Miami Valley Mt LLC | Clinic/Center | 5 N Main St, Englewood, OH 45322-1326 | 2020-02-20 |
| 1649825266 | Hospice Care of The Rockies LLC | Clinic/Center | 750 W Hampden Ave Ste 280, Englewood, CO 80110-2215 | 2019-08-09 |
| 1245742683 | Audiology Services Company Usa, LLC | Clinic/Center | 200 Engle St Ste 17, Englewood, NJ 07631-2417 | 2017-10-25 |
| 1003245200 | Passport Health Holdings LLC | Clinic/Center | 401a S Van Brunt St, Ste 202, Englewood, NJ 07631-4600 | 2013-11-07 |
| 1184900813 | The Occupational Therapy Center | Clinic/Center | 401a S Van Brunt St, Suite 203, Englewood, NJ 07631-4600 | 2011-10-26 |
| Find all providers in ENGLEWOOD | ||||
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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.