JILL ALLDREDGE (NPI# 1558653451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558653451 |
| Entity Type | Individual |
| Full Name | JILL ALLDREDGE |
| Other Name | JILL OLDEWAGE |
| Credential | M.D. |
| Practice Address |
12605 E 16th Ave Aurora CO 80045-2545 |
| Mailing Address |
Po Box 110429 Aurora CO 80042-0429 |
| Practice Telephone | 7208480000 |
| Enumeration Date | 2011-05-10 |
| Last Update Date | 2019-08-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
DR.0062247 | CO | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
12605 E 16TH AVE |
| City | AURORA |
| State | CO |
| Zip Code | 80045-2545 |
| 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 |
| 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 | 207VX0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecologic Oncology |
| An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265896336 | Brooke Sanders | Obstetrics & Gynecology | 1635 Aurora Ct Fl 3, Aurora, CO 80045-2541 | 2016-04-05 |
| 1568874899 | Brandon Thomas Sawyer | Obstetrics & Gynecology | 12605 E 16th Ave, Aurora, CO 80045 | 2014-05-21 |
| 1336287093 | Suzanne Bergen | Obstetrics & Gynecology | 2040 Ogden Ave, Suite 107, Aurora, IL 60504-7206 | 2007-02-02 |
| 1508953654 | Susan Davidson | Obstetrics & Gynecology | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2006-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083225882 | Healthone Clinic Services-surgical Specialties LLC | Obstetrics & Gynecology | 10099 Ridgegate Pkwy Ste 410, Lone Tree, CO 80124-5536 | 2020-08-14 |
| 1801443197 | Catholic Health Initiatives Colorado | Obstetrics & Gynecology | 6011 E Woodmen Rd Ste 300, Colorado Springs, CO 80923-2604 | 2019-08-21 |
| 1447607809 | Kristen Mcmillen | Obstetrics & Gynecology | 10107 Ridgegate Pkwy Ste 120, Lone Tree, CO 80124-5640 | 2016-05-16 |
| 1164775292 | Pikaart Enterprises, Inc | Obstetrics & Gynecology | 15954 Jackson Creek Pkwy, Suite B, #436, Monument, CO 80132-8532 | 2012-10-26 |
| 1770518284 | Karen Elizabeth Kaufman | Obstetrics & Gynecology | 921 E 14th Ave, Denver, CO 80218-1903 | 2006-07-12 |
| 1285671420 | Dirk P Pikaart | Obstetrics & Gynecology | 525 Bob Peters Grv Ste 309, Colorado Springs, CO 80909-4533 | 2006-05-31 |
| 1821045584 | Glenn E Bigsby Iv | Obstetrics & Gynecology | 7780 South Broadway, Suite 300, Littleton, CO 80122-2633 | 2006-05-28 |
| 1285611384 | Daniel M Donato | Obstetrics & Gynecology | 4700 E. Hale Pkwy, Ste 400, Denver, CO 80220-4020 | 2005-12-29 |
| 1184221434 | Portercare Adventist Health System | Obstetrics & Gynecology | 2555 S Downing St Fl 1, Denver, CO 80210-5856 | 2020-10-08 |
| 1538774229 | Poudre Valley Medical Group, LLC | Obstetrics & Gynecology | 525 Bob Peters Grv Ste 309, Colorado Springs, CO 80909-4533 | 2020-09-10 |
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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.