IVAN CASSERLY


Address: 12605 E 16th Ave, Aurora, CO 80045-2545
Phone: 7208480000

IVAN CASSERLY (NPI# 1558451138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558451138
Entity Type Individual
Full Name IVAN CASSERLY
Credential MD
Practice Address 12605 E 16th Ave
Aurora
CO 80045-2545
Mailing Address Po Box 876
Aurora
CO 80040-0876
Practice Telephone 7208480000
Mailing Telephone 3034937000
Enumeration Date 2006-10-13
Last Update Date 2011-01-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RI0011X Internal Medicine
Specialization: Interventional Cardiology
42123 CO Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CO 34180389 05

Office Location

Street Address 12605 E 16TH AVE
City AURORA
State CO
Zip Code 80045-2545

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477556694 Mark Armin Levine Internal Medicine 12605 E 16th Ave, Aurora, CO 80045-2545 2005-05-23
1962001719 Poudre Valley Medical Group, LLC Social Worker 12605 E 16th Ave, Aurora, CO 80045-2545 2020-10-22
1811595473 Jason Hayes Nurse Practitioner 12605 E 16th Ave, Aurora, CO 80045-2545 2020-10-15
1710584560 Alleson Bayer Nurse Practitioner 12605 E 16th Ave, Aurora, CO 80045-2545 2020-10-05
1316554009 Lisa Najera Nurse Practitioner 12605 E 16th Ave, Aurora, CO 80045-2545 2020-09-26
1699382705 James Lloyd Martin Jr. Pharmacy 12605 E 16th Ave, Aurora, CO 80045-2545 2020-09-23
1740808575 Beth Lee Smilkstein Physician Assistant 12605 E 16th Ave, Aurora, CO 80045-2545 2020-07-08
1780200907 Amanda Marie Miller-sarmento Nurse Practitioner 12605 E 16th Ave, Aurora, CO 80045-2545 2020-06-23
1558987909 Heather Ann Sutton Counselor 12605 E 16th Ave, Aurora, CO 80045-2545 2020-06-22
1982220349 Rocco James Miele Nurse Practitioner 12605 E 16th Ave, Aurora, CO 80045-2545 2020-06-22
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207RI0011X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Interventional Cardiology

Taxonomy Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine)

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639464639 Aken Desai Internal Medicine 12631 E 17th Ave Rm 7104, Aurora, CO 80045-2527 2011-06-17
1659670891 Rory Scott Bricker Internal Medicine 12505 East 16th Avenue, Aip, 3rd Floor, Aurora, CO 80045 2011-03-25
1265598387 Colorado Heart Institute LLC Internal Medicine 1455 S Potomac St Ste 101, Aurora, CO 80012-4501 2007-01-01
1104055060 Katherine Blair Schuetze Internal Medicine 12631 E 17th Ave, Academic Office 1, Room # 7104, Aurora, CO 80045-2527 2009-07-13
1760643373 Li Shien Low Internal Medicine 2040 Ogden Ave, Suite 401, Aurora, IL 60504-7206 2008-06-17
1952506107 Robert Kevin Rogers Internal Medicine 12605 E 16th Ave, Aurora, CO 80045 2007-06-18
1063502748 John Carroll Internal Medicine 12605 E 16th Ave, Aurora, CO 80045-2545 2006-10-13
1770673451 John Messenger Internal Medicine 12605 E 16th Ave, Aurora, CO 80045-2545 2006-10-13
1578653242 Bertron Groves Internal Medicine 12605 E 16th Ave, Aurora, CO 80045-2545 2006-10-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1316545437 Portercare Adventist Health System Internal Medicine 2535 S Downing St Ste 460, Denver, CO 80210-5831 2020-10-12
1669070793 Portercare Adventist Health System Internal Medicine 499 E Hampden Ave Ste 280, Englewood, CO 80113-3876 2020-10-12
1891393922 Portercare Adventist Health System Internal Medicine 9399 Crown Crest Blvd Ste 230, Parker, CO 80138-8571 2020-10-12
1235736810 Advanced Heart and Vein Center Inc Internal Medicine 805 E 144th Avenue, Suite 100, Thornton, CO 80602 2020-10-06
1407354764 Coordinated Health of Co, LLC Internal Medicine 255 Union Blvd Ste 150-238, Lakewood, CO 80228-1810 2018-01-31
1730235359 Jason Hatch Internal Medicine 1900 Boise Ave Ste 200, Loveland, CO 80538-5004 2007-01-26
1114946662 Joseph Emory Barclay Burchenal Internal Medicine 1000 Southpark Drive, Littleton, CO 80120-5654 2006-07-18
1124099650 Carl L Rouch Internal Medicine 360 W Park Dr, Grand Junction, CO 81505-1448 2006-02-01
1033114673 Chad C Schooley Internal Medicine 2222 N Nevada Ave Ste 4007, Colorado Springs, CO 80907-6863 2005-06-20
1356949473 Portercare Adventist Health System Internal Medicine 2352 Meadows Blvd Ste 115, Castle Rock, CO 80109-8407 2020-10-12
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Competitor

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City AURORA
Zip Code 80045

Improve Information

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Dataset Information

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.

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