MEDICAL MARIJUANA DOCTOR (NPI# 1457683344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457683344 |
| Entity Type | Organization |
| Organization Name | MEDICAL MARIJUANA DOCTOR |
| Practice Address |
4745 S Helena Way Aurora CO 80015 |
| Practice Telephone | 3039951057 |
| Mailing Telephone | 3039951057 |
| Enumeration Date | 2010-02-03 |
| Last Update Date | 2010-02-03 |
| Authorized Official Name | MR. GENTRY REEVES DUNLOP JR. (PHYSICIAN) |
| Authorized Official Telephone | 3039951057 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Medical Marijuana Doctors | 600 Grant St Suite 350, Suite 305, Denver, CO 80203 |
| Street Address |
4745 S HELENA WAY |
| City | AURORA |
| State | CO |
| Zip Code | 80015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487780656 | Joyce Gano | Nurse Practitioner | 4745 S Helena Way, Aurora, CO 80015-1709 | 2007-02-24 |
| 1104006840 | Mobile Physician Network, LLC | Internal Medicine | 4745 S Helena Way, Aurora, CO 80015-1709 | 2007-11-09 |
| 1790805224 | Gentry R Dunlop | Internal Medicine | 4745 S Helena Way, Aurora, CO 80015-1709 | 2007-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679128326 | Heather Hartleroad | Counselor | 21699 E Quincy Ave Unit F, #352, Aurora, CO 80015 | 2019-08-08 |
| 1033602792 | 4abilities, LLC. | Non-emergency Medical Transport (VAN) | 5105 S Valdai Street, Aurora, CO 80015 | 2018-06-07 |
| 1952827719 | 1st Centennial Home Health LLP | Home Health | 5418 S Danube Way, Centennial, CO 80015 | 2017-08-14 |
| 1881132157 | 1st Allergy Asthma and Pediatrics Too, Inc. | Specialist | 15470 E Smoky Hill Road, Aurora, CO 80015 | 2017-02-07 |
| 1467909028 | Silver Touch Home Care | In Home Supportive Care | 21804 E. Lake Pl, Aurora, CO 80015 | 2016-09-01 |
| 1417302514 | Michelle Dinges | Dietitian, Registered | 5606 S Helena Ct, Centennial, CO 80015 | 2016-04-27 |
| 1043664907 | Gomgom Siregar | Home Health Aide | 5235 S Liverpool Way, Centennial, CO 80015 | 2016-04-18 |
| 1104280528 | Lloyd Reliford | Custodial Care Facility | 5556 S Jericho Way, Centennial, CO 80015 | 2016-04-12 |
| 1003279563 | Victoria Care Services | Respite Care | 17285 E Wagontrail Pkwy, Aurora, CO 80015 | 2016-04-01 |
| 1699130104 | Gina Michelle Fernandez | Physician Assistant | 14813 E Radcliff Pl, Aurora, CO 80015 | 2015-12-28 |
| Find all providers in zip 80015 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive 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 |
|---|---|---|---|---|
| 1568991511 | Iora Health Colorado, P.C. | Internal Medicine | 1080 S. Sable Blvd., Aurora, CO 80012 | 2017-06-05 |
| 1982051017 | Senuri Layer | Internal Medicine | 2357 Sequoia Dr, Aurora, IL 60506 | 2016-05-18 |
| 1881056323 | Robert William Lentz | Internal Medicine | 12801 E. 17th Avenue 8101, 8th Floor, Ms 8117, Aurora, CO 80045 | 2016-03-23 |
| 1114306669 | Layla Abushamat | Internal Medicine | 12801 E 17th Ave Rm 7103, Aurora, CO 80045 | 2015-05-28 |
| 1912386582 | Carly E Hurley | Internal Medicine | Va Eastern Health Care Systems, 1700 North Wheeling Street, Aurora, CO 80045 | 2015-05-28 |
| 1306223656 | Shah Medical LLC | Internal Medicine | 6337 S Ider Way, Aurora, CO 80016-4280 | 2015-05-06 |
| 1285021147 | Erin Elizabeth Finn | Internal Medicine | 13123 E 16th Ave # B265, Aurora, CO 80045 | 2015-04-18 |
| 1366836256 | Lindsay Forbes | Internal Medicine | 12700 E 19th Avenue Rc2 9th Floor, University of Colorado Anschutz Div Pulm Crit Care, Aurora, CO 80045 | 2015-03-27 |
| 1205220779 | Eleanor Christine Floyd | Internal Medicine | 13123 E 16th Ave # B32, Aurora, CO 80045-7106 | 2015-03-23 |
| 1013309277 | Joshua Champion | Internal Medicine | 12631 E. 17th Ave, Ste. 2001, Mail Stop 8202, Aurora, CO 80045 | 2015-02-25 |
| 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.