LARISA Y RAVDEL (NPI# 1407007461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407007461 |
| Entity Type | Individual |
| Full Name | LARISA Y RAVDEL |
| Credential | MD |
| Practice Address |
1421 S Potomac St Ste 320 Aurora CO 80012-4512 |
| Practice Telephone | 3037501920 |
| Practice Fax Number | 3037500483 |
| Mailing Telephone | 3037501920 |
| Mailing Fax Number | 3037500483 |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2013-06-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 40458 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 1407007461 | 05 |
| Street Address |
1421 S POTOMAC ST STE 320 |
| City | AURORA |
| State | CO |
| Zip Code | 80012-4512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184118937 | Candace Bassett | Physician Assistant | 1421 S Potomac St Ste 320, Aurora, CO 80012-4512 | 2018-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225650765 | Veronica Kabuika | Specialist/Technologist, Other | 6792 E Tennessee Ave, Suite 645, Denver, CO 80012 | 2020-05-07 |
| 1811547631 | Aurora Dental and Orthodontics Pllc | Dentist | 15000 E Mississippi Ave, Aurora, CO 80012 | 2019-09-13 |
| 1306362108 | Melynda Barrios | Massage Therapist | 11912 E Nevada Cir, Aurora, CO 80012 | 2017-08-14 |
| 1851815633 | Gabriela Alejandra Perez-saenz | Audiologist | 1550 S. Potomac St. #305, Aurora, CO 80012 | 2017-08-02 |
| 1568991511 | Iora Health Colorado, P.C. | Internal Medicine | 1080 S. Sable Blvd., Aurora, CO 80012 | 2017-06-05 |
| 1275069734 | Sandra Pacheco | Case Manager/Care Coordinator | 10782 E Alameda Avenue, Aurora, CO 80012 | 2017-05-03 |
| 1578002010 | Green Taxi Corporation | Taxi | 10 S Havana St #103, Aurora, CO 80012 | 2017-02-16 |
| 1104372713 | Moss LLC | Non-emergency Medical Transport (VAN) | 950 S Cimmaron Way Unit K-201, Aurora, CO 80012 | 2016-09-01 |
| 1023461647 | Thompson Sowash | Optometrist | 13955 E Mississippi, Aurora, CO 80012 | 2016-07-19 |
| 1598117731 | Act of Kindness LLC | Respite Care | 1010 S Joliet Street Suite #101, Aurora, CO 80012 | 2016-07-12 |
| Find all providers in zip 80012 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366968505 | Dynamic Health Center, LLC | General Practice | 2993 S Peoria St Ste 270, Aurora, CO 80014-5710 | 2017-08-18 |
| 1710142641 | Mark David Mclean | General Practice | 3292 Peoria St., Aurora, CO 80010-1517 | 2008-07-21 |
| 1275754590 | Chesley Lamb | General Practice | 2550 S. Parker Rd., Suite 400, Aurora, CO 80014 | 2007-05-02 |
| 1669509675 | Melissa A Rasmussen | General Practice | 2400 South Havana St, Aurora, CO 80214 | 2007-02-27 |
| 1184786980 | Yin Woo | General Practice | 1577 Havana St, Aurora, CO 80010-2325 | 2006-12-15 |
| 1588669626 | Evan Jay Pollack | General Practice | 13701 E Mississippi Ave, Aurora, CO 80012-6141 | 2005-06-16 |
| 1811502990 | Poudre Valley Medical Group, LLC | General Practice | 2450 S Peoria St Ste 245, Aurora, CO 80014-5475 | 2020-09-15 |
| 1780171751 | Tiffany Iris Hsiao | General Practice | 12631 E 17th Ave Ofc 1, Aurora, CO 80045 | 2018-04-16 |
| 1679969331 | Mark Joseph Kissler | General Practice | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2015-04-09 |
| 1265843726 | Charles Anthony Wenzel | General Practice | 14111 E Alameda Ave Ste 200, Aurora, CO 80012-2509 | 2014-05-17 |
| Find all providers in AURORA | ||||
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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.