DR. KERRY E SHEA (NPI# 1568669190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568669190 |
| Entity Type | Individual |
| Full Name | DR. KERRY E SHEA |
| Other Name | KERRY KLUGE |
| Credential | DO |
| Practice Address |
4803 Ward Rd Wheat Ridge CO 80033-1902 |
| Mailing Address |
2500 S Havana St Aurora CO 80014-1618 |
| Practice Telephone | 3033384545 |
| Mailing Telephone | 3033384545 |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2019-12-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 49175 | CO | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 5101015620 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | KAISER COMMERCIAL NUMBER | 029016 | 01 |
| CO | 66125740 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992351068 | Kerry Shea | Behavioral Analyst | 475 W 260 N, Orem, UT 84057-1970 | 2019-08-14 |
| 1477701225 | Kerry Beth Shea | Counselor | 53 Church St, Ellsworth, ME 04605-1915 | 2008-09-05 |
| Street Address |
4803 WARD RD |
| City | WHEAT RIDGE |
| State | CO |
| Zip Code | 80033-1902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962409318 | Debra A Friesen | Internal Medicine | 4803 Ward Rd, Wheat Ridge, CO 80033-1902 | 2005-06-30 |
| 1932622198 | Denise K Johler | Registered Nurse | 4803 Ward Rd, Wheat Ridge, CO 80033-1902 | 2017-07-19 |
| 1487181483 | Hannelore Geeraert | Family Medicine | 4803 Ward Rd, Wheat Ridge, CO 80033-1902 | 2017-05-22 |
| 1720511892 | James Welle | Internal Medicine | 4803 Ward Rd, Wheat Ridge, CO 80033-1902 | 2017-04-06 |
| 1386181899 | Emily Mahar | Registered Nurse | 4803 Ward Rd, Wheat Ridge, CO 80033-1902 | 2017-01-22 |
| 1447708201 | Amanda Boshell | Registered Nurse | 4803 Ward Rd, Wheat Ridge, CO 80033-1902 | 2016-09-21 |
| 1841643400 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 4803 Ward Rd, Wheat Ridge, CO 80033-1902 | 2016-07-19 |
| 1891144879 | Megan Grace Wendlandt | Obstetrics & Gynecology | 4803 Ward Rd, Wheat Ridge, CO 80033-1902 | 2016-06-09 |
| 1700240439 | Lindsey Ruth Kolar | Family Medicine | 4803 Ward Rd, Wheat Ridge, CO 80033-1902 | 2016-04-08 |
| 1710357124 | Valerie Diana Karvatski | Nurse Practitioner | 4803 Ward Rd, Wheat Ridge, CO 80033-1902 | 2015-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154893915 | Bronwyn Hockersmith | Counselor | 3954 Yosemite St, Wheat Ridge, CO 80033 | 2018-12-18 |
| 1902392004 | Thousand Peaks Healthcare, Inc. | In Home Supportive Care | 4891 Independence St Ste 285, Wheat Ridge, CO 80033 | 2018-07-02 |
| 1528586120 | Front Range Family Resource Center | Marriage & Family Therapist | 5181 Ward St Ste 201, Wheat Ridge, CO 80033 | 2017-09-03 |
| 1962920918 | Dianna Lee Cordero | Counselor | 4931 Garrison St., Apt 104, Wheat Ridge, CO 80033 | 2017-08-30 |
| 1396261525 | Lauren Faye Petasne | Nurse Practitioner | 7100 W 44th Ave Ste 101a, Wheat Ridge, CO 80033 | 2017-08-18 |
| 1558802421 | Elizabeth Ann Huddleston | Nurse Practitioner | 3400 N Lutheran Pkwy, Wheat Ridge, CO 80033 | 2017-03-13 |
| 1053777045 | Richard Kerry Brandow | Counselor | 16625 W 50th Ave., Golden, CO 80033 | 2016-01-07 |
| 1831562131 | Eternal Life Care Centers, LLC | Assisted Living Facility | 4370 Ingalls Street, Wheat Ridge, CO 80033 | 2015-11-09 |
| 1740663483 | Real Care, Inc. | Private Vehicle | 10200 West 44th Ave, Suite 200, Wheat Ridge, CO 80033 | 2015-06-30 |
| 1508254848 | Pamela June Weitzel | Midwife | 3555 Lutheran Parkway Suite 210, Wheat Ridge, CO 80033 | 2015-01-08 |
| Find all providers in zip 80033 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 |
|---|---|---|---|---|
| 1215935515 | Kathryn P Hebenstreit | Obstetrics & Gynecology | 3455 Lutheran Pkwy, 260, Wheat Ridge, CO 80033-6024 | 2005-07-11 |
| 1205450103 | Ob-gyn Affiliates | Obstetrics & Gynecology | 3455 Lutheran Pkwy Ste 210, Wheat Ridge, CO 80033-6040 | 2020-06-05 |
| 1891144879 | Megan Grace Wendlandt | Obstetrics & Gynecology | 4803 Ward Rd, Wheat Ridge, CO 80033-1902 | 2016-06-09 |
| 1477819050 | Madeline Marie Comneck | Obstetrics & Gynecology | 4803 Ward Rd, Wheat Ridge, CO 80033-1902 | 2012-04-08 |
| 1114157138 | Myda Thi Luu | Obstetrics & Gynecology | 4803 Ward Rd, Wheat Ridge, CO 80033-1902 | 2009-07-24 |
| 1063688588 | Stuart Virgil Weatherwax | Obstetrics & Gynecology | 4803 Ward Rd, Wheat Ridge, CO 80033-1902 | 2008-05-05 |
| 1356478374 | Mandy L Welp | Obstetrics & Gynecology | 4803 Ward Rd, Wheat Ridge, CO 80033-1902 | 2007-02-27 |
| 1871620807 | Kelly J Peters | Obstetrics & Gynecology | 4803 Ward Rd, Wheat Ridge, CO 80033-1902 | 2007-02-27 |
| 1922135938 | Anita M Kreutzer | Obstetrics & Gynecology | 4803 Ward Rd, Wheat Ridge, CO 80033-1902 | 2007-02-27 |
| 1760596381 | Associates In Women's Health, PC | Obstetrics & Gynecology | 3555 Lutheran Parkway, Suite 150, Wheat Ridge, CO 80033-6036 | 2006-08-19 |
| Find all providers in WHEAT RIDGE | ||||
| City | WHEAT RIDGE |
| Zip Code | 80033 |
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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.