PRONERVE PHYSICIANS IL, LLC (NPI# 1497021190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497021190 |
| Entity Type | Organization |
| Organization Name | PRONERVE PHYSICIANS IL, LLC |
| Practice Address |
7600 E Orchard Rd 200n Greenwood Village CO 80111-2520 |
| Practice Telephone | 3033391499 |
| Practice Fax Number | 3039624819 |
| Mailing Telephone | 3033391499 |
| Mailing Fax Number | 3039624819 |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2015-01-29 |
| Authorized Official Name | MR. GEORGE D PILLARI (CEO) |
| Authorized Official Telephone | 7205362388 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 036.126360 | IL | Other Service Providers |
| Street Address |
7600 E ORCHARD RD 200N |
| City | GREENWOOD VILLAGE |
| State | CO |
| Zip Code | 80111-2520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871646257 | Steven Dworetsky | Psychiatry & Neurology | 7600 E Orchard Rd, Suite 120s, Greenwood Village, CO 80111-2518 | 2007-01-19 |
| 1689071003 | James Farren | Specialist/Technologist, Other | 7600 E Orchard Rd, Suite 200n, Greenwood Village, CO 80111-2518 | 2014-12-01 |
| 1245637669 | Andrew Wilt | Specialist/Technologist, Other | 7600 E Orchard Rd, Suite 200n, Greenwood Village, CO 80111-2518 | 2014-12-01 |
| 1740687151 | Regina Luper | Specialist/Technologist, Other | 7600 E Orchard Rd, Suite 200n, Greenwood Village, CO 80111-2518 | 2014-12-01 |
| 1225435647 | Kate Mcanulty | Specialist/Technologist, Other | 7600 E Orchard Rd, Suite 200n, Greenwood Village, CO 80111-2518 | 2014-12-01 |
| 1336545920 | Kimberly Hayes | Specialist/Technologist, Other | 7600 E Orchard Rd, Suite 200n, Greenwood Village, CO 80111-2518 | 2014-11-10 |
| 1306240734 | Carrie Schmertz | Specialist/Technologist, Other | 7600 E Orchard Rd, Suite 200n, Greenwood Village, CO 80111-2518 | 2014-10-14 |
| 1730583162 | Daniel Raible | Specialist/Technologist, Other | 7600 E Orchard Rd, Suite 200n, Greenwood Village, CO 80111-2518 | 2014-10-14 |
| 1043613193 | Pronerve Physicians Wi Ltd | Specialist | 7600 E Orchard Rd, Suite 200n, Greenwood Village, CO 80111-2518 | 2014-10-03 |
| 1235530262 | Margaret Tatum | Specialist/Technologist, Other | 7600 E Orchard Rd, Suite 200n, Greenwood Village, CO 80111-2518 | 2014-09-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922637552 | Aaron Joseph Rushing | Anesthesiologist Assistant | Us Anesthesia Partners of Colorado, Inc, 8000 E. Maplewood Ave., Suite 200, Greenwood Village, CO 80111 | 2020-04-06 |
| 1003381252 | Bing Xu | Non-emergency Medical Transport (VAN) | 9000 E Caley Way, Greenwood Village, CO 80111 | 2018-10-03 |
| 1669963146 | Deborah G. Aragon | Physician Assistant | 6229 S. Iola Wy, Englewood, CO 80111 | 2018-05-21 |
| 1902343718 | Jennifer Bielefeld | Registered Nurse | 6162 South Willow Dr., Suite 100, Greenwood Village, CO 80111 | 2017-01-31 |
| 1225589807 | Osama M Kassab | Chiropractor | 5690 Dtc Blvd Ste 140e, Greenwood Village, CO 80111 | 2016-10-19 |
| 1891242400 | Samantha Fiegel | Counselor | 6021 S Syracuse Way Ste 216, Greenwood Village, CO 80111 | 2016-09-01 |
| 1831644368 | Melissa Fischer Alconcel | Dentist | 8940 E. Crescent Parkway, Suite 370, Greenwood Village, CO 80111 | 2016-08-25 |
| 1245680263 | Carron Maclean | Counselor | 5310 Dtc Pkwy Ste A, Greenwood Village, CO 80111 | 2016-06-21 |
| 1326493792 | Insight Psychotherapy LLC | Counselor | 7350 E Progress Place, Suite 100, Greenwood Village, CO 80111 | 2016-05-04 |
| 1457705410 | Amy Flora | Occupational Therapist | 5750 Dtc Pkwy #170, Greenwood Village, CO 80111 | 2016-04-15 |
| Find all providers in zip 80111 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902421472 | Boulder Valley Asthma & Allergy Clinics, PC | Specialist | 8200 E Belleview Ave Ste 320c, Greenwood Village, CO 80111-2607 | 2020-06-10 |
| 1497146336 | Rebalance Biohealth LLC | Specialist | 8400 E Crescent Pkwy, Suite 600, Greenwood Village, CO 80111-2831 | 2015-02-13 |
| 1902230212 | Thomas C. Defeo | Specialist | 2001 Green Oaks Dr, Greenwood Village, CO 80121-1540 | 2013-08-23 |
| 1134476179 | Ageless Men's Health Holdings, Inc | Specialist | 8575 E Arapahoe Rd, Suite G, Greenwood Village, CO 80112-1435 | 2012-08-09 |
| 1245560614 | Hideya Tsuda | Specialist | 5455 Landmark Pl, Unit 1113, Greenwood Village, CO 80111-1950 | 2010-01-07 |
| 1689854770 | Richard Carson | Specialist | 9424 E Orchard Dr, Greenwood Village, CO 80111-3523 | 2007-11-06 |
| 1962582783 | Leslie Ann Stewart | Specialist | 8200 E Belleview Ave Ste 404, Greenwood Village, CO 80111-2807 | 2006-10-16 |
| 1871600650 | Lynne Ricca Studebaker | Specialist | 7840 E Berry Pl, Suite 1, Greenwood Village, CO 80111-2328 | 2006-08-25 |
| 1366557795 | Aboutskin Dermatology and Dermsurgery PC | Specialist | 5340 S. Quebec St., Suite 300, Greenwood Village, CO 80111-1909 | 2006-08-19 |
| 1629059258 | Renee Heldman Karantounis | Specialist | 1885 Cherryville Rd, Greenwood Village, CO 80121-1504 | 2005-11-10 |
| Find all providers in GREENWOOD VILLAGE | ||||
| City | GREENWOOD VILLAGE |
| Zip Code | 80111 |
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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.