DR. ANDREA L DOEDEN (NPI# 1477572261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477572261 |
| Entity Type | Individual |
| Full Name | DR. ANDREA L DOEDEN |
| Credential | M.D. |
| Practice Address |
410 Benedicta Ave Trinidad CO 81082-2005 |
| Practice Telephone | 7198453190 |
| Practice Fax Number | 7198450975 |
| Mailing Telephone | 7198453190 |
| Mailing Fax Number | 7198450975 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2011-08-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | 18974 | OK | Allopathic & Osteopathic Physicians |
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
DR49564 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100173920B | 05 | |
| CO | 44223781 | 05 |
| Street Address |
410 BENEDICTA AVE |
| City | TRINIDAD |
| State | CO |
| Zip Code | 81082-2005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184616740 | Trinidad Area Health Association | General Acute Care Hospital | 410 Benedicta Ave, Trinidad, CO 81082-2005 | 2005-08-19 |
| 1295354801 | Poudre Valley Medical Group, LLC | Surgery | 410 Benedicta Ave, Trinidad, CO 81082-2005 | 2020-04-14 |
| 1225664485 | Summer Faris | Registered Nurse | 410 Benedicta Ave, Trinidad, CO 81082-2005 | 2020-03-19 |
| 1063911832 | Teresa Darlene Coombs | Registered Nurse | 410 Benedicta Ave, Trinidad, CO 81082-2005 | 2018-02-07 |
| 1528462975 | Dario Byung San Roman | Registered Nurse | 410 Benedicta Ave, Trinidad, CO 81082-2005 | 2014-10-14 |
| 1912349754 | Insight Radiology PC | Radiology | 410 Benedicta Ave, Trinidad, CO 81082-2005 | 2013-07-22 |
| 1295178978 | Innova Emergency Medical Associates PC | Emergency Medicine | 410 Benedicta Ave, Trinidad, CO 81082-2005 | 2013-04-11 |
| 1841556842 | Thomas R Eckler II | Emergency Medicine | 410 Benedicta Ave, Trinidad, CO 81082-2005 | 2012-04-04 |
| 1124352620 | Fatima Pina | Dietitian, Registered | 410 Benedicta Ave, Trinidad, CO 81082-2005 | 2009-09-30 |
| 1649464439 | Thomas J Carter | General Practice | 410 Benedicta Ave, Trinidad, CO 81082-2005 | 2007-09-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710509583 | Crossroads' Turning Points, Inc. | Substance Abuse Rehabilitation Facility | 1004 Carbon Place, Trinidad, CO 81082 | 2020-05-14 |
| 1912427030 | Gwyndolyn Suzanne Snyder | Nurse Practitioner | 1112 Grant Ave, Trinidad, CO 81082 | 2017-06-20 |
| 1336273143 | Online Therapy Services Inc. | Speech-Language Pathologist | 207 E Main, Trinidad, CO 81082 | 2007-03-15 |
| 1023119203 | Paul Andreatta D.d.s.p.c. | Dentist | 1723 E. Main St., Trinidad, CO 81082 | 2006-09-26 |
| 1467400309 | Trinidad Area Health Association | Internal Medicine | 400 Benedicta Ave Ste A, Trinidad, CO 81082 | 2006-05-04 |
| 1235651670 | Kevin Patrick Crosby | Counselor | 417 S Indiana Ave, Trinidad, CO 81082 | 2017-07-07 |
| 1174054928 | Brittany Ladonna Jauernig | Chiropractor | 500 San Juan St, Trinidad, CO 81082 | 2017-03-23 |
| 1982142188 | Southern Colorado Developmental Disabilities Services, Inc | Case Manager/Care Coordinator | 415 S Indiana Ave, Trinidad, CO 81082 | 2017-02-08 |
| 1295001071 | James Ashley Ward | Counselor | 417 S Indiana Ave, Trinidad, CO 81082 | 2012-03-27 |
| 1275704694 | Steven David Blohm | Dentist | 209 E Main, Trinidad, CO 81082 | 2008-03-13 |
| Find all providers in zip 81082 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164033056 | Catholic Health Initiatives Colorado | Obstetrics & Gynecology | 1000 Granby Park Dr., Granby, CO 80446 | 2020-08-13 |
| 1437760790 | Catholic Health Initiatives Colorado | Obstetrics & Gynecology | 360 Peak One Dr Ste 260, Frisco, CO 80443-5948 | 2020-08-11 |
| 1215440920 | Optimal Womens Care LLC | Obstetrics & Gynecology | 6169 S Balsam Way Ste 280, Littleton, CO 80123-3063 | 2017-11-16 |
| 1366984999 | Wallach Womens Wellness | Obstetrics & Gynecology | 1900 Little Raven St, Apt 522, Denver, CO 80202-7163 | 2016-11-14 |
| 1770905481 | Kate Skaggs, Inc | Obstetrics & Gynecology | 70 Benchmark Rd, Ste 203, Avon, CO 81620 | 2014-01-15 |
| 1588932008 | Ray Lee Gottesfeld | Obstetrics & Gynecology | 235 Ivy St, Denver, CO 80220-5865 | 2011-12-12 |
| 1154626109 | James A O'donnell, Md, PC | Obstetrics & Gynecology | 603 Sunny Acres Rd, Glenwood Springs, CO 81601-2886 | 2011-01-24 |
| 1699909408 | David Harris, M.d. P.C. | Obstetrics & Gynecology | 830 Potomac Cir Unit 275, Aurora, CO 80011-6797 | 2009-05-07 |
| 1972741627 | Jaqmes W Neisler | Obstetrics & Gynecology | 1490 S Elizabeth St, Denver, CO 80210-2423 | 2009-02-02 |
| 1669661062 | Beverly Ellen Tew | Obstetrics & Gynecology | 1500 Park Central Dr, Highlands Ranch, CO 80129-6688 | 2007-10-22 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. ANDREA L DOEDEN.
| 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.