DR. EVAN JAY POLLACK (NPI# 1588669626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588669626 |
| Entity Type | Individual |
| Full Name | DR. EVAN JAY POLLACK |
| Credential | MD |
| Practice Address |
13701 E Mississippi Ave Aurora CO 80012-6141 |
| Mailing Address |
5749 S Geneva St Greenwood Village CO 80111-3728 |
| Practice Telephone | 3036890088 |
| Practice Fax Number | 3033438011 |
| Mailing Telephone | 7204894177 |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208D00000X | General Practice | G56102 | CA | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | 39611 | CO | Allopathic & Osteopathic Physicians |
| Street Address |
13701 E MISSISSIPPI AVE |
| City | AURORA |
| State | CO |
| Zip Code | 80012-6141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881145720 | Lacey Renee Brown | Case Manager/Care Coordinator | 13701 E Mississippi Ave, Suite 200, Aurora, CO 80012-6141 | 2016-10-15 |
| 1568603645 | Richard M. Kratzenberg | Physician Assistant | 13701 E Mississippi Ave, Suite 320, Aurora, CO 80012-6141 | 2009-03-18 |
| 1801000369 | Chambers Road Dental Associates | Dentist | 13701 E Mississippi Ave, Suite 310, Aurora, CO 80012-6141 | 2007-05-10 |
| 1023106325 | Betty Mabel Martinez | Family Medicine | 13701 E Mississippi Ave, Suite 200, Aurora, CO 80012-6141 | 2006-10-11 |
| 1184648750 | Jonathon Dormish | Podiatrist | 13701 E Mississippi Ave, Suite 380, Aurora, CO 80012-6141 | 2006-07-27 |
| 1932140886 | Jonathon J Dormish Dpm LLC | Podiatrist | 13701 E Mississippi Ave, Suite 200, Aurora, CO 80012-6141 | 2006-06-10 |
| 1619916079 | Leslie R Capin Md PC | Dermatology | 13701 E Mississippi Ave, Suite 320, Aurora, CO 80012-6141 | 2006-06-04 |
| 1851342042 | Denver Vamc | Clinic/Center | 13701 E Mississippi Ave, Suite 201, Aurora, CO 80012-6141 | 2006-05-13 |
| 1245238377 | Jeffery M White | Dentist | 13701 E Mississippi Ave, Suite 300, Aurora, CO 80012-6141 | 2005-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225650765 | Veronica Kabuika | Specialist/Technologist, Other | 6792 E Tennessee Ave, Suite 645, Denver, CO 80012 | 2020-05-07 |
| 1811547631 | Aurora Dental and Orthodontics Pllc | Dentist | 15000 E Mississippi Ave, Aurora, CO 80012 | 2019-09-13 |
| 1306362108 | Melynda Barrios | Massage Therapist | 11912 E Nevada Cir, Aurora, CO 80012 | 2017-08-14 |
| 1851815633 | Gabriela Alejandra Perez-saenz | Audiologist | 1550 S. Potomac St. #305, Aurora, CO 80012 | 2017-08-02 |
| 1568991511 | Iora Health Colorado, P.C. | Internal Medicine | 1080 S. Sable Blvd., Aurora, CO 80012 | 2017-06-05 |
| 1275069734 | Sandra Pacheco | Case Manager/Care Coordinator | 10782 E Alameda Avenue, Aurora, CO 80012 | 2017-05-03 |
| 1578002010 | Green Taxi Corporation | Taxi | 10 S Havana St #103, Aurora, CO 80012 | 2017-02-16 |
| 1104372713 | Moss LLC | Non-emergency Medical Transport (VAN) | 950 S Cimmaron Way Unit K-201, Aurora, CO 80012 | 2016-09-01 |
| 1023461647 | Thompson Sowash | Optometrist | 13955 E Mississippi, Aurora, CO 80012 | 2016-07-19 |
| 1598117731 | Act of Kindness LLC | Respite Care | 1010 S Joliet Street Suite #101, Aurora, CO 80012 | 2016-07-12 |
| Find all providers in zip 80012 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366968505 | Dynamic Health Center, LLC | General Practice | 2993 S Peoria St Ste 270, Aurora, CO 80014-5710 | 2017-08-18 |
| 1407007461 | Larisa Y Ravdel | General Practice | 1421 S Potomac St Ste 320, Aurora, CO 80012-4512 | 2008-10-08 |
| 1710142641 | Mark David Mclean | General Practice | 3292 Peoria St., Aurora, CO 80010-1517 | 2008-07-21 |
| 1275754590 | Chesley Lamb | General Practice | 2550 S. Parker Rd., Suite 400, Aurora, CO 80014 | 2007-05-02 |
| 1669509675 | Melissa A Rasmussen | General Practice | 2400 South Havana St, Aurora, CO 80214 | 2007-02-27 |
| 1184786980 | Yin Woo | General Practice | 1577 Havana St, Aurora, CO 80010-2325 | 2006-12-15 |
| 1811502990 | Poudre Valley Medical Group, LLC | General Practice | 2450 S Peoria St Ste 245, Aurora, CO 80014-5475 | 2020-09-15 |
| 1780171751 | Tiffany Iris Hsiao | General Practice | 12631 E 17th Ave Ofc 1, Aurora, CO 80045 | 2018-04-16 |
| 1679969331 | Mark Joseph Kissler | General Practice | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2015-04-09 |
| 1265843726 | Charles Anthony Wenzel | General Practice | 14111 E Alameda Ave Ste 200, Aurora, CO 80012-2509 | 2014-05-17 |
| Find all providers in AURORA | ||||
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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.