RANDY LYNN SHERBON SR. (NPI# 1457506669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457506669 |
| Entity Type | Individual |
| Full Name | RANDY LYNN SHERBON SR. |
| Practice Address |
1055 Clermont St Denver CO 80220-3808 |
| Mailing Address |
1055 Clermont St Denver CO 80220 |
| Practice Telephone | 3033934633 |
| Practice Fax Number | 3033934685 |
| Mailing Telephone | 3033934633 |
| Mailing Fax Number | 3033934685 |
| Enumeration Date | 2008-12-02 |
| Last Update Date | 2008-12-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | ORTHOTIST | 222Z00000X | 01 |
| CO | ORTHO PROSTH FITTER | 225000000X | 01 |
| Street Address |
1055 CLERMONT ST |
| City | DENVER |
| State | CO |
| Zip Code | 80220-3808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316942188 | Suzanne J Kasim | Pharmacist | 1055 Clermont St, Hbpc, Building 4, Denver, CO 80220-3808 | 2005-06-16 |
| 1447814298 | Mary Klukkert | Nurse Practitioner | 1055 Clermont St, Denver, CO 80220-3808 | 2019-04-26 |
| 1710454970 | Abigail Norouzinia | Psychologist | 1055 Clermont St, Denver, CO 80220-3808 | 2018-10-25 |
| 1003393018 | Erin Kathleen Poindexter | Psychologist | 1055 Clermont St, Denver, CO 80220-3808 | 2018-07-23 |
| 1083106579 | Emilia Worthey | Social Worker | 1055 Clermont St, Denver, CO 80220-3808 | 2018-05-31 |
| 1659862431 | Ankurpreet Singh Gill | Student in an Organized Health Care Education/Training Program | 1055 Clermont St, Denver, CO 80220-3808 | 2018-05-28 |
| 1891284964 | Denver Vamc | Psychiatric Residential Treatment Facility | 1055 Clermont St, Denver, CO 80220 | 2018-05-04 |
| 1578050084 | Jason Alan Kacmarski | Clinical Neuropsychologist | 1055 Clermont St, Denver, CO 80220-3808 | 2018-04-19 |
| 1154828861 | Austin Brown | Podiatrist | 1055 Clermont St, Denver, CO 80220-3808 | 2018-04-09 |
| 1952804221 | Jennifer Lynn Vallejo | Social Worker | 1055 Clermont St, Denver, CO 80220-3808 | 2018-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053876748 | Woody Dental Pllc | Dentist | 5989 E Colfax Avenue, Denver, CO 80220 | 2019-02-06 |
| 1366961930 | Maita Angelica Thams | Case Manager/Care Coordinator | 4455 E. 12th Ave, Denver, CO 80220 | 2017-09-14 |
| 1962943837 | Rocky Mountain Therapy Ltd | Clinic/Center | 883 Jersey St, Denver, CO 80220 | 2017-03-13 |
| 1578019188 | Alfredo Guzman | Pharmacist | 1055 Cleremont, Denver, CO 80220 | 2016-09-01 |
| 1265802144 | Joseph Parker Morse | Case Manager/Care Coordinator | 4455 East 12th Avenue, Denver, CO 80220 | 2015-10-05 |
| 1104296789 | Eric Poissant | Physical Therapist | 4700 East Hale Parkway, #550, Denver, CO 80220 | 2015-09-25 |
| 1104292085 | Casey Lucarelli | Student in an Organized Health Care Education/Training Program | 4455 E. 12th Av., Mhcd, Denver, CO 80220 | 2015-08-14 |
| 1124414081 | Domenic Michael Terenzi | Hospitalist | 8001 E 11th Ave Unit 5210, Denver, CO 80220 | 2015-04-07 |
| 1730598566 | Jessica Nichole Heck | Pharmacist | 1055 Clermont Street (119), Denver Va Medical Center- Echcs, Denver, CO 80220 | 2014-08-06 |
| 1063840171 | Kellie Ann Douglas | Nurse Practitioner | 4545 E 9th Ave Ste 260, Denver, CO 80220 | 2013-10-29 |
| Find all providers in zip 80220 | ||||
| Taxonomy Code | 1744P3200X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Prosthetics Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720600539 | Carita Backman | Specialist | 525 Santa Fe Dr, Denver, CO 80204-5025 | 2020-05-14 |
| 1043464712 | Terell A Oliver | Specialist | 1055 Clermont St, Denver, CO 80220-3808 | 2008-11-07 |
| 1740434638 | William Robert Dudden | Specialist | 1055 Clermont St, Denver, CO 80220-3808 | 2008-11-05 |
| 1558515452 | Brent Madison Thomas | Specialist | 1055 Clermont St, Denver, CO 80220-3808 | 2008-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376193557 | Glen Brice | Specialist | 14044 E Mississippi Ave, Aurora, CO 80012-3693 | 2019-09-18 |
| 1104210772 | Alpine Medical Inc | Specialist | 400 N Park Ave 10-b Ste 297, Breckenridge, CO 80424 | 2015-03-23 |
| 1891955902 | Nichelle Trinette Chavis | Specialist | 13923 E Exposition Ave, 2, Aurora, CO 80012-2521 | 2008-06-11 |
Please comment or provide details below to improve the information on RANDY LYNN SHERBON SR..
| 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.