SOUTH DENVER GASTROENTEROLOGY PC (NPI# 1447364831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447364831 |
| Entity Type | Organization |
| Organization Name | SOUTH DENVER GASTROENTEROLOGY PC |
| Other Organization Name | SOUTH DENVER GASTROENTEROLOGY PC |
| Practice Address |
10103 Ridgegate Pkwy Ste 312 Lone Tree CO 80124-5520 |
| Practice Telephone | 3037888888 |
| Practice Fax Number | 3037902567 |
| Mailing Telephone | (303) 788-8888 |
| Mailing Fax Number | 3037902567 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2017-09-15 |
| Authorized Official Name | MRS. SUSAN PRINCE (EXECUTIVE ASST / CREDENTIALING) |
| Authorized Official Telephone | 3034064275 |
| Authorized Official Credential | CREDENTIALING |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 04350088 | 05 |
| Other Name | Type Code |
|---|---|
| South Denver Gastroenterology PC | Former Legal Business Name - Organization |
| Street Address |
10103 RIDGEGATE PKWY STE 312 |
| City | LONE TREE |
| State | CO |
| Zip Code | 80124-5520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184624066 | Raef Hajjali | Internal Medicine | 10103 Ridgegate Pkwy, Suite 103, Lone Tree, CO 80124-5520 | 2005-07-21 |
| 1073137147 | Meridian Iom | Technician, Other | 10103 Ridgegate Pkwy, Lone Tree, CO 80124-5520 | 2020-06-03 |
| 1457881484 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 10103 Ridgegate Pkwy, Ste 117, Lone Tree, CO 80124 | 2017-06-13 |
| 1437609658 | Surgone, PC | Surgery | 10103 Ridgegate Pkwy, Suite 217, Lone Tree, CO 80124-5520 | 2016-10-12 |
| 1447700661 | Surgone, PC | Colon & Rectal Surgery | 10103 Ridgegate Pkwy, Suite 208, Lone Tree, CO 80124-5520 | 2016-10-12 |
| 1992250583 | Rachel Vaivoda | Nurse Practitioner | 10103 Ridgegate Pkwy, Aspen Building, Suite 221, Lone Tree, CO 80124 | 2016-08-24 |
| 1841644598 | Lone Tree Emergency & Trauma Surgery Specialists | Surgery | 10103 Ridgegate Pkwy, Suite 207, Lone Tree, CO 80124-5520 | 2016-04-19 |
| 1861864993 | Helen Goldie | Registered Nurse | 10103 Ridgegate Pkwy, Aspen Bldg., Suite 350, Lone Tree, CO 80124-5520 | 2015-10-28 |
| 1770962250 | Sharp Podiatric Medicine and Surgery | Specialist/Technologist, Other | 10103 Ridgegate Pkwy, Suite 309, Lone Tree, CO 80124-5520 | 2015-05-29 |
| 1518353374 | Pinnacle Medical Partners LLC | Pediatrics | 10103 Ridgegate Pkwy, Suite 221, Lone Tree, CO 80124-5520 | 2015-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700413788 | Adam Avant | Student in an Organized Health Care Education/Training Program | Sky Ridge Medical Center 10099 Ridgegate Pkwy, Ste 200, Lonetree, CO 80124 | 2020-03-27 |
| 1265069546 | Nikhilesh Srinivasan | Student in an Organized Health Care Education/Training Program | 10099 Ridgegate Parkway, #200, Lone Tree, CO 80124 | 2020-03-25 |
| 1487281200 | Caden Nowak | Student in an Organized Health Care Education/Training Program | 10099 Ridgegate Parkway #200, Lone Tree, CO 80124 | 2020-03-23 |
| 1427618305 | University of Colorado Hospital Authority | Clinic/Center | 9548 Park Meadows Dr, Lone Tree, CO 80124 | 2019-06-13 |
| 1225505746 | Justin Sean Ashurst | Registered Nurse | 10240 Meadows Dr, Lone Tree, CO 80124 | 2018-11-02 |
| 1396257143 | University Physicians, Incorporated | Family Medicine | 9548 Park Meadows Drive, Lone Tree, CO 80124 | 2017-11-02 |
| 1861928236 | Jennifer Kouri | Student in an Organized Health Care Education/Training Program | 10099 Ridgegate Parkway Ste 120, Rvu/sky Ridge Tri Residency, Lone Tree, CO 80124 | 2017-05-04 |
| 1013443787 | Graham Litchman | Surgery | 1099 Ridgegate Parkway, Graduate Medical Education Office Suite 120, Lone Tree, CO 80124 | 2017-05-02 |
| 1609324466 | Amy Lim | Registered Nurse | 10101 Ridge Gate Pkwy, Lone Tree, CO 80124 | 2016-09-21 |
| 1770933251 | Richard Kenyon French Jr. | Optometrist | 8455 Park Meadows Center Blvd, Lenscrafters At Macy's, Littleton, CO 80124 | 2016-06-15 |
| Find all providers in zip 80124 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225472327 | Nathan Schomaker | Internal Medicine | 10103 Ridgegate Pkwy Ste 312a, Lone Tree, CO 80124-5525 | 2013-04-19 |
| 1689848350 | Erika M Lee | Internal Medicine | 10103 Ridgegate Pkwy Ste 312, Lone Tree, CO 80124-5525 | 2008-04-14 |
| 1316545213 | Gi Care of Colorado Pllc | Internal Medicine | 10103 Ridgegate Pkwy Ste 312a, Lone Tree, CO 80124-5525 | 2020-10-13 |
| 1184042582 | Ashley Vachon | Internal Medicine | 10103 Ridgegate Pkwy Ste 312a, Lone Tree, CO 80124-5525 | 2014-04-02 |
| 1639331200 | Lisa K Mathew | Internal Medicine | 10103 Ridgegate Pkwy, Suite 312, Lone Tree, CO 80124-5520 | 2008-06-25 |
| 1942460209 | Peter Ngoan Le | Internal Medicine | 10103 Ridgegate Pkwy Ste 312, Lone Tree, CO 80124-5525 | 2008-06-11 |
| 1851428882 | John F Riopelle | Internal Medicine | 10240 Park Meadows Dr, Lone Tree, CO 80124-5425 | 2007-02-27 |
| 1386771327 | Mark E Powis | Internal Medicine | 10240 Park Meadows Dr, Lone Tree, CO 80124-5425 | 2007-02-27 |
| 1619004629 | Tom G Matzakos | Internal Medicine | 10240 Park Meadows Dr, Lone Tree, CO 80124-5425 | 2007-02-27 |
| 1407990294 | Louis A Morris | Internal Medicine | 10240 Park Meadows Dr, Lone Tree, CO 80124-5425 | 2007-02-16 |
| Find all providers in LONE TREE | ||||
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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.