DR. JENNIFER ANNE SBICCA (NPI# 1396003935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396003935 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER ANNE SBICCA |
| Credential | M.D. |
| Practice Address |
4901 Thompson Pkwy Johnstown CO 80534-6426 |
| Practice Telephone | 3033384545 |
| Mailing Telephone | 3033384545 |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2017-05-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | DR.0054982 | CO | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 74155091 | 05 | |
| CO | KAISER COMMERCIAL NUMBER | 027246 | 01 |
| Street Address |
4901 THOMPSON PKWY |
| City | JOHNSTOWN |
| State | CO |
| Zip Code | 80534-6426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508849282 | Jamison Wade Bohl | Family Medicine | 4901 Thompson Pkwy, Johnstown, CO 80534-6426 | 2005-11-28 |
| 1407398159 | Megan Berch-wegner | Pharmacist | 4901 Thompson Pkwy, Johnstown, CO 80534-6426 | 2016-11-12 |
| 1932552205 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 4901 Thompson Pkwy, Johnstown, CO 80534-6426 | 2016-07-21 |
| 1396097952 | Kaiser Foundation Health Plan of Colorado | Clinical Medical Laboratory | 4901 Thompson Pkwy, Johnstown, CO 80534-6426 | 2012-10-08 |
| 1679835615 | Jordan Lee Nordquist | Psychiatry & Neurology | 4901 Thompson Pkwy, Johnstown, CO 80534-6426 | 2012-06-14 |
| 1053681767 | Kaiser Foundation Health Plan of Co | Clinic/Center | 4901 Thompson Pkwy, Johnstown, CO 80534-6426 | 2012-01-11 |
| 1922325638 | Brandon Wesley Wright | Family Medicine | 4901 Thompson Pkwy, Johnstown, CO 80534-6426 | 2010-04-21 |
| 1891925699 | Jinyi Ling | Internal Medicine | 4901 Thompson Pkwy, Johnstown, CO 80534-6426 | 2009-07-15 |
| 1417118019 | Giovanna Milagros Garcia | Internal Medicine | 4901 Thompson Pkwy, Johnstown, CO 80534-6426 | 2008-06-17 |
| 1285806554 | Louise Marie Walsh | Family Medicine | 4901 Thompson Pkwy, Johnstown, CO 80534-6426 | 2008-03-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790299410 | Bauer Occupational Therapy, LLC | Occupational Therapist | 442 La Costa Ln, Johnstown, CO 80534 | 2017-11-17 |
| 1942698071 | Family Physicians of Greeley, LLP | Family Medicine | 473 Castle Pines Ave, Suite 1, Johnstown, CO 80534 | 2014-12-23 |
| 1376761924 | Steven L Martin | Dentist | 5 N. Parish Ave., Johnstown, CO 80534 | 2007-04-20 |
| 1699896613 | Ashlea Elizabeth Franques | Pediatrics | 4435 Ronald Reagan Blvd, Johnstown, CO 80534 | 2007-04-03 |
| 1720069198 | Kenneth A Pettine | Orthopaedic Surgery | 4795 Larimer Parkway, Johnstown, CO 80534 | 2005-11-10 |
| 1043858251 | Kristen Mcfarland | Physical Therapist | 247 Mountain Avenue, Berthoud, CO 80534 | 2019-12-18 |
| 1841780400 | Colorado Rehabilitation Associates LLC | Physical Medicine & Rehabilitation | 4401 Union St, Johnstown, CO 80534 | 2018-05-18 |
| 1073059523 | Santibanez Aguirre PC | Hospitalist | 4401a Union Street, Johnstown, CO 80534 | 2017-01-09 |
| 1811142524 | 25/34 Plastic Surgery Associates, PC | Specialist | 4450 Union St., Suite 100, Johnstown, CO 80534-0001 | 2008-11-21 |
| 1790794824 | Marc Anthony Masotti | Internal Medicine | 4401a Union St, Johnstown, CO 80534-2800 | 2006-08-07 |
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| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376531970 | Renee Jennifer Mathur | Dermatology | 913 Menoher Blvd, Johnstown, PA 15905-2834 | 2005-10-09 |
| 1548594849 | Renee J Mathur Md | Dermatology | 913 Menoher Blvd, Johnstown, PA 15905-2834 | 2009-09-21 |
| 1174623839 | Andrew Jordan King | Dermatology | 350 Southmont Blvd, Johnstown, PA 15905-4330 | 2006-09-23 |
| 1023114642 | King-maceyko Dermatology Assoc Ltd | Dermatology | 350 Southmont Blvd, Johnstown, PA 15905-4330 | 2006-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720685894 | Colorado Springs Dermatology Clinic, P.C. | Dermatology | 1332 Bauer Ln, Canon City, CO 81212-4669 | 2020-10-02 |
| 1891392973 | Colorado Springs Dermatology Clinic, P.C. | Dermatology | 2060 Briargate Pkwy Ste 150, Colorado Springs, CO 80920-7660 | 2020-10-02 |
| 1033723465 | Inspired Dermatology, Pllc | Dermatology | 6050 Greenwood Plaza Blvd Ste 130, Greenwood Village, CO 80111-4823 | 2020-09-02 |
| 1700496668 | Sorkin Dermatology Associates Professional LLC | Dermatology | 1960 N. Ogden Street, Suite 555, Denver, CO 80218-3602 | 2020-08-05 |
| 1194340802 | Epiphany Dermatology of Colorado, LLC | Dermatology | 2530 N 8th St Ste 205, Grand Junction, CO 81501-8858 | 2020-06-09 |
| 1861026189 | University Physicians Incorporated | Dermatology | 14305 E Alameda Ave Ste 225, Aurora, CO 80012-2549 | 2020-02-25 |
| 1316577323 | Medical Man Cave Pllc | Dermatology | 250 Steele Street, Suite 350, Denver, CO 80206-5242 | 2020-01-17 |
| 1124664248 | Allison Marquis | Dermatology | 4350 Limelight Ave Ste 205, Castle Rock, CO 80109-8034 | 2019-11-24 |
| 1790255313 | Core Dermatology, Pllc | Dermatology | 425 South Cherry Suite 907, Glendale, CO 80246 | 2018-11-26 |
| 1326521576 | Kaitlyn Laurel Pell | Dermatology | 125 Inverness Dr E Ste 340, Englewood, CO 80112-5139 | 2018-09-13 |
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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.