GRAPEVINE MEDICAL LLC (NPI# 1427333780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427333780 |
| Entity Type | Organization |
| Organization Name | GRAPEVINE MEDICAL LLC |
| Other Organization Name | MINDGENESIS |
| Practice Address |
991 Southpark Dr Suite 200 Littleton CO 80120-5688 |
| Practice Telephone | 3035775800 |
| Mailing Telephone | 3035775800 |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2011-10-19 |
| Authorized Official Name | MARGARET PARRA (MANAGER/MEMBER) |
| Authorized Official Telephone | 3035775800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
1171-01 | CO | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| MindGenesis | Doing Business As Name - Organization |
| Street Address |
991 SOUTHPARK DR SUITE 200 |
| City | LITTLETON |
| State | CO |
| Zip Code | 80120-5688 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932162369 | Michael Theodore Parra | Specialist | 991 Southpark Dr, Suite 200, Littleton, CO 80120-5689 | 2006-04-07 |
| 1801288352 | Cerehealth Mso, LLC | Radiology | 991 Southpark Dr, 200, Littleton, CO 80120-5688 | 2015-02-20 |
| 1427447614 | Molecular Imaging of Colorado LLC | Nuclear Medicine | 991 Southpark Dr, Suite 200, Littleton, CO 80120-5688 | 2015-01-12 |
| 1316189376 | Cerehealth Corp. | Clinic/Center | 991 Southpark Dr, Ste. 200, Littleton, CO 80120-5688 | 2009-04-06 |
| 1356518369 | Cher, LLC | Radiology | 991 Southpark Dr, Suite 100, Littleton, CO 80120-5688 | 2008-05-09 |
| 1871515734 | Francis M Crnkovich | Radiology | 991 Southpark Dr, Ste. 100, Littleton, CO 80120-5688 | 2006-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073156303 | Kelly Joy Brutsch | Counselor | 8191 Southpark Lane Suite 201, Littleton, CO 80120 | 2019-10-18 |
| 1902468309 | Infiniti Counseling, LLC | Clinic/Center | 4 W Dry Creek Circle, Littleton, CO 80120 | 2019-07-05 |
| 1437642642 | Brent Charles Mowery | Dentist | 209 W Littleton Blvd Ste B, Littleton, CO 80120 | 2018-06-12 |
| 1225525066 | Christopher Charles Miller | Counselor | 7851 S. Elati St., Suite 203, Littleton, CO 80120 | 2018-04-17 |
| 1417455890 | Cynthia Cline Mcrae | Counselor | 7921 Southpark Plaza, Grace Counseling, Suite 204, Littleton, CO 80120 | 2018-01-31 |
| 1780113175 | Janine Marie Lopez | Case Manager/Care Coordinator | 5500 S Sycamore, Littleton, CO 80120 | 2017-06-08 |
| 1952845588 | Hilary Sparrow Morris | Counselor | 991 Southpark Drive, #200, Cerescan, Littleton, CO 80120 | 2016-12-16 |
| 1760837132 | Supported Change,llc | Social Worker | 609 W Littleton Blvd Suite 201, Littleton, CO 80120 | 2016-05-04 |
| 1598123994 | Jarod Williams | Counselor | 8151 Southpark Ln Unit 250, Littleton, CO 80120 | 2016-02-01 |
| 1770948085 | Susan Jean Sylvester | Counselor | 609 West Littleton Blvd., Suite 201, Littleton, CO 80120 | 2015-12-31 |
| Find all providers in zip 80120 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376189258 | Smi Imaging LLC | Radiology | 7903 S Broadway Ste A, Littleton, CO 80122-2712 | 2019-11-26 |
| 1811404965 | Cher LLC | Radiology | 9670 W Coal Mine Ave, Littleton, CO 80123-4004 | 2018-01-10 |
| 1437552254 | Francis M Crnkovich Md PC | Radiology | 2441 W Jamison Way, Littleton, CO 80120-3945 | 2014-10-07 |
| 1265636211 | Timothy Rowland | Radiology | 4 Finch, Littleton, CO 80127-5768 | 2007-06-13 |
| 1962623447 | Brent R Jacobson | Radiology | 8647 Coachlight Way, Littleton, CO 80125-9651 | 2007-05-01 |
| 1659427490 | White Mountain Radiology, P.C. | Radiology | Littleton Regional Hospital, 600 St. Johnsbury Road, Littleton, NH 03561 | 2007-01-26 |
| 1316029887 | Gregory Hugh Rose | Radiology | 10901 W. Toller Dr., Suite 105, Littleton, CO 80127-6312 | 2006-10-20 |
| 1356518369 | Cher, LLC | Radiology | 991 Southpark Dr, Suite 100, Littleton, CO 80120-5688 | 2008-05-09 |
| 1467625244 | Lighthouse Radiology, Pllc | Radiology | 600 Saint Johnsbury Rd, Littleton, NH 03561-3442 | 2008-04-11 |
| 1871515734 | Francis M Crnkovich | Radiology | 991 Southpark Dr, Ste. 100, Littleton, CO 80120-5688 | 2006-07-23 |
| Find all providers in LITTLETON | ||||
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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.