PARAMOUNT IOM, LLC (NPI# 1386004802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386004802 |
| Entity Type | Organization |
| Organization Name | PARAMOUNT IOM, LLC |
| Practice Address |
592 Traildust Dr Milliken CO 80543-3030 |
| Practice Telephone | 9704050319 |
| Mailing Telephone | 9704050319 |
| Enumeration Date | 2016-02-25 |
| Last Update Date | 2016-02-25 |
| Authorized Official Name | MS. MINDY K WAKEMAN (OWNER/OPERATOR) |
| Authorized Official Telephone | 9704050319 |
| Authorized Official Credential | CNIM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
Technologists, Technicians & Other Technical Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Paramount IOM, LLC | 7325 W County Rd 20, Loveland, CO 80537 |
| Street Address |
592 TRAILDUST DR |
| City | MILLIKEN |
| State | CO |
| Zip Code | 80543-3030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124372834 | Mindy Wakeman | Specialist/Technologist, Other | 592 Traildust Dr, Milliken, CO 80543-3030 | 2012-11-01 |
| 1467809657 | Mountain View Neurocare, LLC | Specialist/Technologist, Other | 592 Traildust Dr, Milliken, CO 80543-3030 | 2016-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659610327 | Krystle Mason | Massage Therapist | 112 N Irene Ave, Unit A, Milliken, CO 80543-0189 | 2013-01-31 |
| 1083087282 | Shawn Alexander Miller | Physical Medicine & Rehabilitation | 822 Carriage Dr, Milliken, CO 80543-3099 | 2015-11-10 |
| 1295731297 | Brad L Cranwell | Chiropractor | 110 Traders Ln, Milliken, CO 80543-3152 | 2005-06-23 |
| 1265995898 | Clay Collier | Speech-Language Pathologist | 527 S Ursula Ave, Milliken, CO 80543-5001 | 2019-04-10 |
| 1447540620 | Sabrina Schleiger | Doula | 209 S Pauline Ave, Milliken, CO 80543-8017 | 2011-04-08 |
| 1295213643 | Kristen Watson | Driver | 1300 S Dawn Dr, Milliken, CO 80543-8447 | 2018-07-29 |
| 1851623458 | Garry Ketler | Spec/Tech, Pathology | 10 E Ilex Ct, Milliken, CO 80543-9112 | 2010-02-05 |
| 1093288805 | Kanani Maree Naipo | Social Worker | 1002 S Rachel Ct, Milliken, CO 80543-9491 | 2019-01-03 |
| Taxonomy Code | 246ZE0600X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Electroneurodiagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124372834 | Mindy Wakeman | Specialist/Technologist, Other | 592 Traildust Dr, Milliken, CO 80543-3030 | 2012-11-01 |
| 1467809657 | Mountain View Neurocare, LLC | Specialist/Technologist, Other | 592 Traildust Dr, Milliken, CO 80543-3030 | 2016-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073135794 | Denise Hostetler | Specialist/Technologist, Other | 1861 Castlewood Dr, Franktown, CO 80116-9009 | 2020-05-15 |
| 1447887898 | Altitude Neuromonitoring, LLC | Specialist/Technologist, Other | 236 E Rabbit Ct, Silverthorne, CO 80498-9209 | 2020-03-25 |
| 1518597855 | Intact Neuromonitoring, LLC | Specialist/Technologist, Other | 3295 Blake St Apt 304, Denver, CO 80205-2469 | 2020-01-24 |
| 1538635982 | Casey Ryko Jestrovich | Specialist/Technologist, Other | 2318 Hall Ave, Grand Junction, CO 81501-6234 | 2018-10-23 |
| 1376019679 | Taylor Kaufman | Specialist/Technologist, Other | 5460 Ward Rd Ste 220, Arvada, CO 80002-1818 | 2018-10-15 |
| 1598246282 | Multiverse Surgical, LLC | Specialist/Technologist, Other | 2085 Driver Ln, Erie, CO 80516-4707 | 2018-08-22 |
| 1003301979 | Spencer Pankratz | Specialist/Technologist, Other | 4600 S Ulster St Ste 125, Denver, CO 80237-2848 | 2018-06-24 |
| 1780174169 | Nervepro | Specialist/Technologist, Other | 79 County Road 4103, Granby, CO 80446 | 2018-05-11 |
| 1871000588 | Peak Neuro Monitoring LLC | Specialist/Technologist, Other | 4164 Austin Bluffs Pkwy Unit 603, Colorado Springs, CO 80918-2928 | 2018-01-03 |
| 1548792401 | Breanna Singleton | Specialist/Technologist, Other | 280 E 1st Ave Unit 727, Broomfield, CO 80038-2229 | 2017-03-30 |
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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.