DR. LARS WIDDEL (NPI# 1447397708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447397708 |
| Entity Type | Individual |
| Full Name | DR. LARS WIDDEL |
| Credential | MD |
| Practice Address |
2500 Rocky Mountain Ave Smob Suite 340 Loveland CO 80538-9004 |
| Practice Telephone | 9704957421 |
| Practice Fax Number | 9704957424 |
| Mailing Telephone | 9704957421 |
| Mailing Fax Number | 9704957424 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2016-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 46386 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | 133174400 | 05 | |
| CO | 28680821 | 05 | |
| CO | MEDICARE RAILROAD | P01159599 | 01 |
| Street Address |
2500 ROCKY MOUNTAIN AVE SMOB SUITE 340 |
| City | LOVELAND |
| State | CO |
| Zip Code | 80538-9004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356347751 | Lynn M Kincanon | Registered Nurse | 2500 Rocky Mountain Ave, Unit 100, Loveland, CO 80538-9004 | 2005-06-22 |
| 1467051219 | Poudre Valley Medical Group, LLC | Social Worker | 2500 Rocky Mountain Ave, Loveland, CO 80538-9004 | 2020-10-22 |
| 1700490844 | Leah Salmans | Nurse Practitioner | 2500 Rocky Mountain Ave, Loveland, CO 80538-9004 | 2020-09-05 |
| 1790393494 | Poudre Valley Medical Group, LLC | Internal Medicine | 2500 Rocky Mountain Ave, Loveland, CO 80538-9004 | 2020-07-20 |
| 1376168575 | Reach Air Medical Services LLC | Ambulance | 2500 Rocky Mountain Ave, Loveland, CO 80538-9004 | 2020-06-12 |
| 1104455070 | Heather Gagne | Registered Nurse | 2500 Rocky Mountain Ave, Loveland, CO 80538-9004 | 2020-04-03 |
| 1801424965 | Joseph Burgess | Physical Therapist | 2500 Rocky Mountain Ave, Loveland, CO 80538-9004 | 2020-04-01 |
| 1407484389 | Elba Morales | Registered Nurse | 2500 Rocky Mountain Ave, Loveland, CO 80538-9004 | 2020-03-27 |
| 1881232833 | Eva Joanne Abram | Advanced Practice Midwife | 2500 Rocky Mountain Ave, Loveland, CO 80538-9004 | 2019-12-19 |
| 1366900193 | Melanie Griffith Roberts | Registered Nurse | 2500 Rocky Mountain Ave, Loveland, CO 80538-9004 | 2019-03-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295332385 | Jocelyn Stott | Social Worker | 1611 N Estrella Avenue, Loveland, CO 80538 | 2020-10-02 |
| 1184234049 | Kidstuff Child and Family Counseling, P.C. | Psychologist | 383 W. 37th St., Ste. 104, Loveland, CO 80538 | 2020-08-05 |
| 1578102752 | Shela Wagner | Student in an Organized Health Care Education/Training Program | 2603 North Monroe Ave, Loveland, CO 80538 | 2020-01-05 |
| 1184261901 | Sierra Compton | Behavior Technician | 2906 Ginnala Drive, Loveland, CO 80538 | 2019-12-01 |
| 1497306138 | Warrior Diagnostics, Inc. | Clinical Medical Laboratory | 6215 Aviation Cir., Loveland, CO 80538 | 2019-09-24 |
| 1093372625 | Kimberly Ann Boogaerts | Behavior Technician | 1437 North Denver Ave Ste 237, Loveland, CO 80538 | 2019-05-20 |
| 1033676101 | Hero Vision of Loveland, LLC | Optometrist | 3515 Mountain Lion Drive, Loveland, CO 80538 | 2019-02-26 |
| 1225509201 | Mbbk Consulting Inc. | Day Training, Developmentally Disabled Services | 4115 Georgetown Drive, Loveland, CO 80538 | 2018-12-17 |
| 1457833808 | Judy A Elliott | Speech-Language Pathologist | 3232 Williamsburg St, Loveland, CO 80538 | 2018-09-02 |
| 1245756584 | Beth Joyce Hale | Counselor | 1440 W.29th, #100, Loveland, CA 80538 | 2017-08-18 |
| Find all providers in zip 80538 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194972000 | Regina S Bower | Neurological Surgery | 2500 Rocky Mountain Ave Ste Mob, Loveland, CO 80538-9004 | 2008-08-21 |
| 1184989048 | Colorado Neuroscience and Spine Consultants of The Rockies PC | Neurological Surgery | 3830 Grant Ave, Loveland, CO 80538-8412 | 2012-07-06 |
| 1053411579 | David R. Blatt | Neurological Surgery | 2500 Rocky Mountain Ave Ste 340, Loveland, CO 80538-9004 | 2006-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396358578 | Scl Health Medical Group - Grand Junction, LLC | Neurological Surgery | 350 Market St Unit 1, Basalt, CO 81621-7410 | 2020-08-26 |
| 1154933786 | Neurosurgery One PC | Neurological Surgery | 9695 S Yosemite St Ste 377, Lone Tree, CO 80124-2826 | 2020-08-17 |
| 1477180255 | Healthone Clinic Services - Surgery Neurological LLC | Neurological Surgery | 1721 E 19th Ave Ste 500, Denver, CO 80218-1242 | 2020-03-24 |
| 1497382246 | Neurosurgery One PC | Neurological Surgery | 9397 Crown Crest Blvd Ste 411, Parker, CO 80138-8789 | 2020-03-23 |
| 1013543891 | Scl Health Medical Group - Denver, LLC | Neurological Surgery | 3455 Lutheran Pkwy Ste 285, Wheat Ridge, CO 80033-6034 | 2020-03-12 |
| 1598300790 | Valley View Hospital Association | Neurological Surgery | 0377 Sylvan Lake Rd, Eagle, CO 81631-0129 | 2019-11-12 |
| 1194369926 | Valley View Hospital Association | Neurological Surgery | 350 Market St Unit 200, Basalt, CO 81621-7403 | 2019-11-05 |
| 1326565177 | Fredric M Sonstein Md Mba Pllc | Neurological Surgery | 333 W Hampden Ave Ste 800, Englewood, CO 80110 | 2017-08-23 |
| 1447773601 | Edin Nevzati | Neurological Surgery | 665 Clermont St, Denver, CO 80220-5023 | 2017-07-19 |
| 1306385752 | Resilience Surgical LLC | Neurological Surgery | 99 Inverness Dr E Ste 100, Englewood, CO 80112-5127 | 2017-02-17 |
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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.