.BROOK KIM MCCONNELL (NPI# 1447576343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447576343 |
| Entity Type | Individual |
| Full Name | .BROOK KIM MCCONNELL |
| Credential | MD |
| Practice Address |
12631 E 17th Ave Ste B205 Aurora CO 80045-2527 |
| Practice Telephone | 3033998020 |
| Mailing Telephone | 3033998020 |
| Enumeration Date | 2010-04-16 |
| Last Update Date | 2015-11-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | DR0054916 | CO | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
12631 E 17TH AVE STE B205 |
| City | AURORA |
| State | CO |
| Zip Code | 80045-2527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619473188 | Isabel Fairmont | Student in an Organized Health Care Education/Training Program | 12631 E 17th Ave Ste B205, Aurora, CO 80045 | 2018-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942817408 | Salwa Mourtada Bamba | Nurse Practitioner | University of Colorado Medicine, 12631 East 17th Avenue, Aurora, CO 80045 | 2020-09-29 |
| 1114545233 | Chun Cheong Tsui | Student in an Organized Health Care Education/Training Program | 12801 E. 17th Avenue, Ms 8117, Aurora, CO 80045 | 2020-07-07 |
| 1487278719 | James Charles Tuka IIi | Social Worker | 1700 North Wheeling, Aurora, CO 80045 | 2020-06-02 |
| 1427677806 | Justin Yu | Student in an Organized Health Care Education/Training Program | 12631 E. 17th Ave. Ms B205, Aurora, CO 80045 | 2020-04-15 |
| 1558980011 | Erik Von Polsdofer | Student in an Organized Health Care Education/Training Program | Academic Office 1; Department of Pathology, 12631 East 17th Avenue, Aurora, CO 80045 | 2020-04-14 |
| 1831718568 | Luke Porter Bacon | Student in an Organized Health Care Education/Training Program | 3001 East 17th Place, Aurora, CO 80045 | 2020-04-13 |
| 1366061368 | Hilary Novatt | Student in an Organized Health Care Education/Training Program | 12631 E 17th Ave, B198-6, Room 4007, Aurora, CO 80045 | 2020-04-10 |
| 1376195362 | Katie Tuck | Pharmacist | 1700 North Wheeling Street (119), Fs-111o, Aurora, CO 80045 | 2019-07-10 |
| 1518529130 | Ronak Kamal Kapadia | Student in an Organized Health Care Education/Training Program | 12700 E. 19th Ave, Ms B182 Rm 5104, Aurora, CO 80045 | 2019-07-03 |
| 1245898253 | Rasha Elbadry Ahmed | Student in an Organized Health Care Education/Training Program | Childrens Hospital Colorado Pediatric Neurosurgery, 13123e. 16th Ave, B330, Aurora, CO 80045 | 2019-06-04 |
| Find all providers in zip 80045 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811376593 | Lauren Sowa | Otolaryngology | 12631 E 17th Ave # Ms 205, Aurora, CO 80045-2527 | 2015-05-27 |
| 1831193572 | Donald R Carter | Otolaryngology | 1400 S Potomac St Ste 240, Aurora, CO 80012-4541 | 2005-06-10 |
| 1245866706 | Healthone Clinic Services - Otolaryngology Specialists LLC | Otolaryngology | 1400 S Potomac St Ste 240, Aurora, CO 80012-4541 | 2020-03-17 |
| 1154957611 | Healthone Clinic Services - Otolaryngology Specialists LLC | Otolaryngology | 1501 S Potomac St, Aurora, CO 80012-5411 | 2020-03-17 |
| 1073149704 | Healthone Clinic Services - Otolaryngology Specialists LLC | Otolaryngology | 1300 S Potomac St Ste 122, Aurora, CO 80012-4526 | 2020-03-13 |
| 1497136097 | Matthew Gropler | Otolaryngology | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2015-06-09 |
| 1972895845 | Ross Shockley | Otolaryngology | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2011-05-10 |
| 1538485701 | Geoffrey Roger Ferril | Otolaryngology | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2010-04-13 |
| 1700014875 | Julie Goddard | Otolaryngology | 12631 E 17th Ave, Ms B205, Aurora, CO 80045-2527 | 2009-06-29 |
| 1124254602 | Corlyne Sue Mulder | Otolaryngology | 1221 N Highland Ave, Aurora, IL 60506-1404 | 2009-06-10 |
| 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.