ZACHARY CHARLES WACHTL (NPI# 1407073976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407073976 |
| Entity Type | Individual |
| Full Name | ZACHARY CHARLES WACHTL |
| Credential | M.D. |
| Practice Address |
1701 W 72nd Ave Denver CO 80221-2721 |
| Mailing Address |
1735 S Public Rd Ste 203 Lafayette CO 80026-7093 |
| Practice Telephone | 3036504460 |
| Practice Fax Number | 7205654128 |
| Mailing Telephone | 3036653036 |
| Mailing Fax Number | 3036653397 |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2020-06-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | DR.0047582 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 46672885 | 05 | |
| CO | DEA | FW1898610 | 01 |
| Street Address |
1701 W 72ND AVE |
| City | DENVER |
| State | CO |
| Zip Code | 80221-2721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548256522 | Clinica Campesina Family Health Services | Clinic/Center | 1701 W 72nd Ave, Denver, CO 80221-2721 | 2005-09-23 |
| 1700422128 | Hilary Feller | Physician Assistant | 1701 W 72nd Ave, Denver, CO 80221-2721 | 2019-11-20 |
| 1609421379 | Kylie Ferri | Dental Hygienist | 1701 W 72nd Ave, Denver, CO 80221-2721 | 2019-08-08 |
| 1144873753 | Rachel Shaffer | Physician Assistant | 1701 W 72nd Ave, Denver, CO 80221-2721 | 2019-07-23 |
| 1205308434 | Raquel Fonte Cofield | Dental Hygienist | 1701 W 72nd Ave, Denver, CO 80221-2721 | 2018-12-28 |
| 1831674274 | Jenni K Polivka | Dental Hygienist | 1701 W 72nd Ave, Denver, CO 80221-2721 | 2018-10-02 |
| 1407336738 | Kesley Low | Dental Hygienist | 1701 W 72nd Ave, Denver, CO 80221-2721 | 2018-08-16 |
| 1922504976 | Rene Corral | Pharmacist | 1701 W 72nd Ave, Denver, CO 80221-2721 | 2018-03-30 |
| 1699273888 | Shannon Grossman | Counselor | 1701 W 72nd Ave, Denver, CO 80221-2721 | 2018-01-23 |
| 1093246837 | Anne Shaffer | Dentist | 1701 W 72nd Ave, Denver, CO 80221-2721 | 2017-03-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073060505 | Sayfon Siamphone | Dental Hygienist | 2220 W 80th Pl, Denver, CO 80221 | 2016-09-01 |
| 1477958445 | Ravid Moshe Gur | Student in an Organized Health Care Education/Training Program | 4455 E. 12th Avenue, Denver, CO 80221 | 2014-11-03 |
| 1447654223 | Rebecca Sonnenburg | Physical Therapy Assistant | 3150 W 63rd Ave, Denver, CO 80221 | 2014-10-22 |
| 1205126463 | Deanne Marie Hufnagel Wingerter | Pediatrics | 4975 Newton St, Denver, CO 80221 | 2011-04-08 |
| 1558662510 | Grant Kinser | Counselor | 4805 Umatilla St, Denver, CO 80221 | 2010-11-08 |
| 1417261207 | Wal-mart Stores Inc. | Eyewear Supplier (Equipment, not the service) | 7101 E 128th St., Thornton, CO 80221 | 2010-08-04 |
| 1811211923 | Lymari Diaz | Counselor | 8384 Elati S., Denver, CO 80221 | 2010-03-18 |
| 1881928463 | Jonathan M Sullivan | Case Manager/Care Coordinator | 2829 W 33rd Ave., Denver, CO 80221 | 2009-09-29 |
| 1851536569 | Tyler Stuart Root | Specialist/Technologist, Other | 6696 Warren Dr, Denver, CO 80221 | 2008-12-09 |
| 1851554828 | Jessica J Kraeft | Radiology | 1756 W 67th Ave, Denver, CO 80221 | 2008-07-09 |
| Find all providers in zip 80221 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295334308 | Emily Laura Milligan | Family Medicine | 1032 E 14th Ave Apt 4, Denver, CO 80218-1923 | 2020-10-20 |
| 1043826795 | Alegis Care of Colorado LLC | Family Medicine | 2000 S Colorado Blvd Ste 1100, Denver, CO 80222-7957 | 2020-09-18 |
| 1790390821 | Healthone Clinic Services - Primary Care, LLC | Family Medicine | 10405 Martin Luther King Blvd Ste 120, Denver, CO 80238-2399 | 2020-09-15 |
| 1316551716 | Scl Health Medical Group - Denver, LLC | Family Medicine | 400 S Colorado Blvd Ste 900, Denver, CO 80246-1241 | 2020-09-02 |
| 1760095939 | Scl Health Medical Group - Denver, LLC | Family Medicine | 4859 N Yampa St, Denver, CO 80249 | 2020-08-28 |
| 1760092001 | Bridget Mucha | Family Medicine | 3595 W 29th Ave Apt 29, Denver, CO 80211-3667 | 2020-08-02 |
| 1073131660 | New West Physicians, P.C. | Family Medicine | 7550 W Yale Ave Bldg B, Denver, CO 80227-3465 | 2020-07-09 |
| 1356962849 | Summit Primary Care | Family Medicine | 850 E Harvard Ave Ste 310, Denver, CO 80210-5073 | 2020-05-06 |
| 1902426828 | Rebecca Andrie | Family Medicine | 295 E Speer Blvd, Denver, CO 80203-3578 | 2020-04-21 |
| 1598390247 | Mvc Colorado PC | Family Medicine | 6795 E Tennessee Ave Ste 175, Denver, CO 80224-1646 | 2020-03-03 |
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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.