UNIVERSITY PHYSICIANS, INCORPORATED (NPI# 1467801738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467801738 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY PHYSICIANS, INCORPORATED |
| Other Organization Name | CU SCHOOL OF DENTAL MEDICINE |
| Practice Address |
13065 E 17th Ave Aurora CO 80045-2532 |
| Mailing Address |
Po Box 110429 Aurora CO 80042-0429 |
| Practice Telephone | 3037247121 |
| Mailing Telephone | 3034937000 |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2019-12-06 |
| Authorized Official Name | GAIL ALBERTSON (COO) |
| Authorized Official Telephone | 3034937120 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| CU School of Dental Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831706506 | University Physicians, Incorporated | Surgery | 13100 E Colfax Ave Ste 70, Aurora, CO 80011-5517 | 2020-09-28 |
| 1396257143 | University Physicians, Incorporated | Family Medicine | 9548 Park Meadows Drive, Lone Tree, CO 80124 | 2017-11-02 |
| 1275045049 | University Physicians, Incorporated | Orthopaedic Surgery | 2000 S Colorado Blvd Ste 4500, Denver, CO 80222-7900 | 2017-11-01 |
| 1740709534 | University Physicians, Incorporated | Family Medicine | 7447 E Berry Ave Ste 250, Greenwood Village, CO 80111-2142 | 2017-09-13 |
| 1033668322 | University Physicians, Incorporated | Orthopaedic Surgery | 10103 Ridgegate Pkwy Ste 100, Cu Sports Medicine Sdh Lonetree, Lone Tree, CO 80124-5520 | 2016-09-27 |
| 1023478419 | University Physicians, Incorporated | Dermatology | 13100 E Colfax Ave, Unit 70, Aurora, CO 80011-5517 | 2016-02-29 |
| 1275937310 | University Physicians, Incorporated | Clinical Medical Laboratory | 3055 Roslyn St Unit 230, Cu Advanced Reproductive Medicine Stapleton, Denver, CO 80238-3324 | 2014-10-17 |
| 1558765743 | University Physicians, Incorporated | Clinical Medical Laboratory | 4125 Briargate Pkwy, Ste 350, Cu Reproductive Med Infertility Co Springs, Colo Springs, CO 80920 | 2014-10-16 |
| 1043501919 | University Physicians, Incorporated | Clinical Medical Laboratory | 12348 E Montview Blvd # Msc263, Aurora, CO 80045-7103 | 2011-04-27 |
| 1619149952 | University Physicians, Incorporated | Family Medicine | 3055 Roslyn St Ste 100&200, Denver, CO 80238 | 2008-03-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | UNIVERSITY PHYSICIANS, INCORPORATED | 13199 E. Montview Blvd, Aurora, CO 80045 |
| Street Address |
13065 E 17TH AVE |
| City | AURORA |
| State | CO |
| Zip Code | 80045-2532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346235702 | Douglas C. Wilson | Dentist | 13065 E 17th Ave, Aurora, CO 80045-2532 | 2005-09-13 |
| 1902418726 | Colleen Gong Leong | Dentist | 13065 E 17th Ave, Aurora, CO 80045-2532 | 2020-08-21 |
| 1437767209 | Audrey Riegel | Dentist | 13065 E 17th Ave, Aurora, CO 80045-2532 | 2020-07-17 |
| 1912522103 | Jarred M. Hanley | Student in an Organized Health Care Education/Training Program | 13065 E 17th Ave, Aurora, CO 80045-2532 | 2020-06-12 |
| 1306467535 | Brooke Andrea Martinez | Student in an Organized Health Care Education/Training Program | 13065 E 17th Ave, Aurora, CO 80045-2532 | 2020-04-28 |
| 1093336208 | Tyler Stanley | Student in an Organized Health Care Education/Training Program | 13065 E 17th Ave, Aurora, CO 80045-2532 | 2020-04-28 |
| 1750900742 | Miranda Olivia Hicks | Student in an Organized Health Care Education/Training Program | 13065 E 17th Ave, Aurora, CO 80045-2532 | 2020-04-10 |
| 1629697669 | Mark J Greenwald | Student in an Organized Health Care Education/Training Program | 13065 E 17th Ave, Aurora, CO 80045-2532 | 2020-04-09 |
| 1801425871 | Kasey Jones | Student in an Organized Health Care Education/Training Program | 13065 E 17th Ave, Aurora, CO 80045-2532 | 2020-04-02 |
| 1962045880 | Kyle Diehl | Dentist | 13065 E 17th Ave, Aurora, CO 80045-2532 | 2019-10-23 |
| Find all providers in the same location | ||||
| 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 | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588271126 | Saddle Rock Oral and Facial Reconstructive Surgery Pllc | Oral & Maxillofacial Surgery | 7380 S. Gartrell Rd, Aurora, CO 80016 | 2020-09-28 |
| 1952677973 | Colorado Surgical Arts | Oral & Maxillofacial Surgery | 2900 S. Peoria Street, Unit D, Aurora, CO 80014 | 2012-03-23 |
| 1548342629 | Barry S Keogh | Oral & Maxillofacial Surgery | 14991 E Hampden Ave #260, Aurora, CO 80014 | 2006-10-19 |
| 1700388592 | Dental Management Group LLC | Oral & Maxillofacial Surgery | 11246 E Mississippi Ave, Aurora, CO 80012-3202 | 2018-03-07 |
| 1700257573 | Regents of The University of Colorado | Oral & Maxillofacial Surgery | 13065 E 17th Ave, Mail Stop F742, Aurora, CO 80045-2532 | 2015-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689916611 | Ben Adam Charles Bailey | Oral & Maxillofacial Surgery | 3691 Parker Blvd Ste 200, Pueblo, CO 81008-2278 | 2013-03-16 |
| 1275831208 | Kamran Dastoury | Oral & Maxillofacial Surgery | 2290 Kipling St Unit 2, Lakewood, CO 80215-1546 | 2011-02-28 |
| 1215190145 | Michael S Kunkel | Oral & Maxillofacial Surgery | 3475 Briargate Blvd, Suite 102, Colorado Springs, CO 80920 | 2008-07-10 |
| 1740494467 | Norman Philip Payea II | Oral & Maxillofacial Surgery | 8805 West Fourteenth Avenue, Suite 316 Lakewood Medical Center, Lakewood, CO 80215-4848 | 2007-05-10 |
| 1902931835 | Steven F. Reck, Dds, PC | Oral & Maxillofacial Surgery | 1201 Paseo Del Norte, Pueblo, CO 81008-2611 | 2007-02-22 |
| 1033204094 | Michael Derrick Moody | Oral & Maxillofacial Surgery | 9990 W 26th Ave, Suite 100, Lakewood, CO 80215-1581 | 2006-10-04 |
| 1629085196 | Glenn Eric Herrmann | Oral & Maxillofacial Surgery | 130 Old Laramie Trl E Bldg 4, Lafayette, CO 80026-7014 | 2006-08-01 |
| 1942292982 | James Michael Mulkey | Oral & Maxillofacial Surgery | 375 E Park Ave, Suite 301, Durango, CO 81301-5012 | 2005-08-16 |
| 1063900231 | Colorado Maxillofacial and Oral Surgeons | Oral & Maxillofacial Surgery | 4105 Briargate Pkwy Ste 240, Colorado Springs, CO 80920-7844 | 2018-04-24 |
| 1497265516 | Just Wisdom Teeth Frederick, LLC | Oral & Maxillofacial Surgery | 4943 Highway 52, 260, Frederick, CO 80514 | 2017-10-03 |
| Find all providers with the same taxonomy | ||||
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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.