DR. CARL W DEMIDOVICH (NPI# 1558463307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558463307 |
| Entity Type | Individual |
| Full Name | DR. CARL W DEMIDOVICH |
| Credential | M.D. |
| Practice Address |
950 E Harvard Ave Ste 440 Denver CO 80210-7009 |
| Practice Telephone | 3037442704 |
| Practice Fax Number | 3037443244 |
| Mailing Telephone | 3037442704 |
| Mailing Fax Number | 3037443244 |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2013-05-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 33910 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | RR MEDICARE | 070015071 | 01 |
| CO | 01339100 | 05 | |
| CO | BCBS | 19292 | 01 |
| CO | FEDERAL TAX ID | 84-1511239 | 01 |
| Street Address |
950 E HARVARD AVE STE 440 |
| City | DENVER |
| State | CO |
| Zip Code | 80210-7009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699778936 | Jay Arthur Krakovitz | Internal Medicine | 950 E Harvard Ave, #530, Denver, CO 80210-7009 | 2005-05-31 |
| 1316557473 | Alexander Monroe Wolf | Psychiatry & Neurology | 950 E Harvard Ave, Denver, CO 80210-7009 | 2020-08-04 |
| 1386253888 | Portercare Adventist Health System | Physical Medicine & Rehabilitation | 950 E Harvard Ave, Denver, CO 80210-7009 | 2020-07-30 |
| 1700427010 | Heart Centered Counseling Inc | Psychologist | 950 E Harvard Ave, Denver, CO 80210-7009 | 2019-10-08 |
| 1265930010 | Sylvia Balabusta | Physician Assistant | 950 E Harvard Ave, Denver, CO 80210 | 2018-01-26 |
| 1083150684 | Stephanie Womeldorf | Hearing Instrument Specialist | 950 E Harvard Ave, Ste 620, Denver, CO 80210-7002 | 2017-01-06 |
| 1144686874 | Endocrinology Specialists of Colorado, LLC | Internal Medicine | 950 E Harvard Ave, Suite 660, Denver, CO 80210-7009 | 2016-01-11 |
| 1528454428 | Jayme Oakley | Nurse Practitioner | 950 E Harvard Ave, Suite 240, Denver, CO 80210-7009 | 2015-04-08 |
| 1598159121 | Sarah Schoonover | Physician Assistant | 950 E Harvard Ave, Suite 550, Denver, CO 80210-7009 | 2015-03-20 |
| 1164834008 | Portercare Adventist Health System | Physical Medicine & Rehabilitation | 950 E Harvard Ave, Suite 660, Denver, CO 80210-7009 | 2014-05-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508408360 | Carley Danielle Westerson | Counselor | 290 North Williams Street, Room #205, Denver, CO 80210 | 2019-10-14 |
| 1427690429 | Katherine Elizabeth Mullen | Chiropractor | 1313 S Clarkson St. Unit 1, Denver, CO 80210 | 2019-10-10 |
| 1922665975 | Amy Welsh, Inc | Occupational Therapist | 1588 S Logan St, Denver, CO 80210 | 2019-05-24 |
| 1598328346 | Heather Lynn Stone | Social Worker | 950 E Porter Avenue #670, Denver, CO 80210 | 2019-04-17 |
| 1669952909 | Christopher G. Sharrow | Social Worker | 1777 S. Harrison St., Suite 1200, Denver, CO 80210 | 2018-08-16 |
| 1922598952 | Rebecca Turlo | Hearing Instrument Specialist | 950 E Harvard Ave Ste E620, Denver, CO 80210 | 2018-05-15 |
| 1215446083 | Alex James Koch | Acupuncturist | 1110 E Evans Ave, Denver, CO 80210 | 2017-09-25 |
| 1043738495 | Sarah Urycki | Counselor | 2317 A S Race Street, Denver, CO 80210 | 2017-09-06 |
| 1770032641 | The Young Men's Christian Association of Metropolitan Denver | Health Educator | 3901 E Yale Ave, Denver, CO 80210 | 2016-10-03 |
| 1831647437 | Samantha Johnson | Nurse Practitioner | 450 E Harvard Ave, Denver, CO 80210 | 2016-09-13 |
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| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700496668 | Sorkin Dermatology Associates Professional LLC | Dermatology | 1960 N. Ogden Street, Suite 555, Denver, CO 80218-3602 | 2020-08-05 |
| 1316577323 | Medical Man Cave Pllc | Dermatology | 250 Steele Street, Suite 350, Denver, CO 80206-5242 | 2020-01-17 |
| 1942696232 | Chante Karimkhani Aksut | Dermatology | 3920 S Hillcrest Dr, Denver, CO 80237-1110 | 2015-04-13 |
| 1245625763 | Elizabeth S Robinson | Dermatology | 3540 S Poplar St Ste 300, Denver, CO 80237-1364 | 2015-04-01 |
| 1033559646 | Shelley Yang | Dermatology | 155 S Madison St Ste 226, Denver, CO 80209-3013 | 2013-06-27 |
| 1588003628 | Phillip Herman Albright | Dermatology | 1 Polo Club Dr, Denver, CO 80209-3309 | 2013-06-21 |
| 1003173154 | Drew Michael Taylor | Dermatology | 3773 E Cherry Creek North Dr Ste 970, Denver, CO 80209-9809 | 2012-04-13 |
| 1013203769 | Danielle Marie Nelson | Dermatology | 2970 Quebec St, Suite 200, Denver, CO 80207-2931 | 2011-06-21 |
| 1659515658 | Jessica Olander | Dermatology | 425 S Cherry St Ste 907, Denver, CO 80246-1242 | 2009-04-22 |
| 1295924454 | Zeina A.w. Dajani | Dermatology | 4500 E 9th Ave Ste 640, Denver, CO 80220-3925 | 2007-10-23 |
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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.