CHARLES W. MAINS, M.D., INC (NPI# 1619100880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619100880 |
| Entity Type | Organization |
| Organization Name | CHARLES W. MAINS, M.D., INC |
| Other Organization Name | COLORADO VASCULAR SERVICE |
| Practice Address |
3455 Lutheran Pkwy Suite 290 Wheat Ridge CO 80033-6028 |
| Practice Telephone | 3034671400 |
| Practice Fax Number | 3034671467 |
| Mailing Telephone | 3034671400 |
| Mailing Fax Number | 3034671467 |
| Enumeration Date | 2009-09-03 |
| Last Update Date | 2009-09-03 |
| Authorized Official Name | DR. CHARLES W MAINS (PRESIDENT) |
| Authorized Official Telephone | 3034671400 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Colorado Vascular Service | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | CHARLES W. MAINS, M.D., INC. | 3455 Lutheran Parkway, Suite 290, Wheat Ridge, CO 80033 |
| Street Address |
3455 LUTHERAN PKWY SUITE 290 |
| City | WHEAT RIDGE |
| State | CO |
| Zip Code | 80033-6028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215935515 | Kathryn P Hebenstreit | Obstetrics & Gynecology | 3455 Lutheran Pkwy, 260, Wheat Ridge, CO 80033-6024 | 2005-07-11 |
| 1447611454 | Scltdi Jv, LLC | Physiological Laboratory | 3455 Lutheran Pkwy, #110, Wheat Ridge, CO 80033-6028 | 2016-03-18 |
| 1487015988 | Children's Hospital Colorado | General Acute Care Hospital | 3455 Lutheran Pkwy, Suite 230, Wheat Ridge, CO 80033-6028 | 2016-03-10 |
| 1619318656 | Sabrina Diane Dvorak | Nurse Practitioner | 3455 Lutheran Pkwy, Wheat Ridge, CO 80033-6028 | 2013-07-06 |
| 1013283621 | Ashley Reed Schermerhorn | Physician Assistant | 3455 Lutheran Pkwy, Suite 290, Wheat Ridge, CO 80033-6028 | 2012-03-28 |
| 1881826618 | Jennifer Corrie Stalilonis | Physician Assistant | 3455 Lutheran Pkwy, Suite 290, Wheat Ridge, CO 80033-6028 | 2009-08-12 |
| 1750513594 | Jody Benjamin Kramer | Physician Assistant | 3455 Lutheran Pkwy, Suite 290, Wheat Ridge, CO 80033-6028 | 2009-08-12 |
| 1730333683 | Exempla Diabetes Center | Chronic Disease Hospital | 3455 Lutheran Pkwy, Suite 270, Wheat Ridge, CO 80033-6028 | 2008-11-05 |
| 1194980110 | Eben Strobos | Colon & Rectal Surgery | 3455 Lutheran Pkwy, Suite 290, Wheat Ridge, CO 80033-6028 | 2008-07-21 |
| 1821252206 | Juhi Asad | Surgery | 3455 Lutheran Pkwy, Suite 290, Wheat Ridge, CO 80033-6028 | 2008-07-15 |
| 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 | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831706506 | University Physicians, Incorporated | Surgery | 13100 E Colfax Ave Ste 70, Aurora, CO 80011-5517 | 2020-09-28 |
| 1376015297 | Molly Goldstein | Surgery | 1401 Court St, Pueblo, CO 81003-2715 | 2018-12-18 |
| 1437412723 | Junior Univers | Surgery | 2643 Patterson Rd Ste 401, Grand Junction, CO 81506-1937 | 2012-06-21 |
| 1275896508 | Dmitriy Rybitskiy | Surgery | 2222 N Nevada Ave Ste 5010, Colorado Springs, CO 80907-6865 | 2012-06-21 |
| 1518230333 | James Gilbert Chandler | Surgery | 3721 Mountain Laurel Pl, Boulder, CO 80304-0798 | 2012-02-10 |
| 1982982567 | Benson M Powell II | Surgery | 2572 Silver Oak Ct, Grand Junction, CO 81505-1091 | 2011-07-29 |
| 1205078912 | Rafael Demarchi Malgor | Surgery | 12631 E 17th Ave # Msc312, Aurora, CO 80045-2527 | 2009-03-26 |
| 1770610735 | Thomas F Rehring | Surgery | 2045 N Franklin St Fl 3, Denver, CO 80205-5437 | 2007-02-27 |
| 1770624298 | Charles O Brantigan Md | Surgery | 2253 Downing St, Denver, CO 80205-5234 | 2007-02-09 |
| 1588717656 | Cass William Conaway | Surgery | 721 19th St, Denver, CO 80202-2500 | 2007-01-19 |
| Find all providers with the same taxonomy | ||||
| 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.