MATTHEW JAMES RUSTICI (NPI# 1619140167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619140167 |
| Entity Type | Individual |
| Full Name | MATTHEW JAMES RUSTICI |
| Credential | M.D. |
| Practice Address |
4200 E 9th Ave Denver CO 80262-0001 |
| Practice Telephone | 3033157424 |
| Mailing Telephone | 3033157424 |
| Enumeration Date | 2008-04-04 |
| Last Update Date | 2008-04-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | CO | Allopathic & Osteopathic Physicians |
| Street Address |
4200 E 9TH AVE |
| City | DENVER |
| State | CO |
| Zip Code | 80262-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477553014 | University of Colorado | Clinic/Center | 4200 E 9th Ave, Box C288-5, Denver, CO 80262-0001 | 2005-07-26 |
| 1770745325 | Adam Dave | Family Medicine | 4200 E 9th Ave, Denver, CO 80262-1000 | 2008-06-25 |
| 1912167560 | Univeristy of Colorado School of Medicine | General Acute Care Hospital | 4200 E 9th Ave, Denver, CO 80262-1000 | 2008-06-16 |
| 1750556478 | Danielle Marie Clancy | Pediatrics | 4200 E 9th Ave, Denver, CO 80262-0001 | 2008-04-23 |
| 1780857052 | Karen K Lo | Student in an Organized Health Care Education/Training Program | 4200 E 9th Ave, C/o University of Colorado, Dept of General Surgery, Denver, CO 80262-0001 | 2008-04-08 |
| 1508062894 | James F Cromie | Surgery | 4200 E 9th Ave, Campus Box C302, Denver, CO 80262-0001 | 2007-06-22 |
| 1750592192 | University of Colorado School of Medicine | General Acute Care Hospital | 4200 E 9th Ave, B177, Denver, CO 80262-0001 | 2007-05-25 |
| 1558578351 | Kelli Gibson | Pharmacist | 4200 E 9th Ave, Denver, CO 80262-0001 | 2007-05-17 |
| 1770796468 | Pamela J Prag | Advanced Practice Midwife | 4200 E 9th Ave, University of Colorado Hospital, Denver, CO 80262 | 2007-05-08 |
| 1790907822 | University of Colorado School of Medicine | General Acute Care Hospital | 4200 E 9th Ave, Denver, CO 80262-0001 | 2007-05-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306977368 | Holly Jean Jones | Pharmacist | 4200 East 9th Ave, Box A027 Pharmacy Department, Denver, CO 80262 | 2007-03-08 |
| 1982747523 | Stacey R Bromberg | Psychologist | 4200 E Ninth Avenue C-268-52 Cph Rm 2k01, Denver, CO 80262-0001 | 2007-02-14 |
| 1629118864 | Bradley Kevin Christianson | Pharmacist | 4200 E 9th Ninth Ave Box A027, Denver, CO 80262-0001 | 2007-02-07 |
| 1548316144 | Linh Khanh Lu | Dermatology | University of Colorado School of Medicine, 4200 E. 9th Ave., Denver, CO 80262-0001 | 2007-01-26 |
| 1962558544 | Kevin Wanebo | Radiology | University of Colorado At Denver and Health Sciences Ce, 4200 E. 9th Ave., Denver, CO 80262-0001 | 2007-01-26 |
| 1740330836 | Joseph P Vande Griend | Pharmacist | 4200 E 9th Ave Box C238, Denver, CO 80262-0001 | 2007-01-11 |
| 1174600415 | Jacquelyn Louise Bainbridge | Pharmacist | University of Colorado 4200 East Ninth Ave, School of Pharmacy Campus Box C238, Denver, CO 80262-0001 | 2006-11-01 |
| 1720178403 | Michael J Gerber | Internal Medicine | 4200 E Ninth Ave, Denver, CO 80262-0001 | 2006-10-13 |
| 1063509115 | Richard Fisher | Orthopaedic Surgery | 4701 E Ninth Ave, Denver, CO 80262-0001 | 2006-10-09 |
| 1407960867 | Michelle Angelique Barron | Internal Medicine | 4200 E Ninth Ave # B168, School of Medicine, Room 1621-a, Denver, CO 80262-0001 | 2006-08-19 |
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| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932715323 | Healthone Clinic Services - Pediatric Specialties LLC | Pediatrics | 2055 N High St Ste 330, Denver, CO 80205-5545 | 2020-09-21 |
| 1184230591 | Healthone Clinic Services - Pediatric Specialties LLC | Pediatrics | 2055 N High St Ste 360, Denver, CO 80205-5666 | 2020-09-21 |
| 1992310627 | Carolinas Physicians Network Inc | Pediatrics | 1585 Forney Creek Pkwy Ste 2100, Denver, NC 28037-9520 | 2020-09-10 |
| 1275186470 | Pediatrics At Cherry Creek,llc | Pediatrics | 3401 Quebec St Ste 3900, Denver, CO 80207-2344 | 2019-07-17 |
| 1134781057 | Lighthouse Complex Care Ltd | Pediatrics | 1240 S Parker Rd Ste 100, Denver, CO 80231-2177 | 2019-07-01 |
| 1306307665 | Stapleton Pediatrics | Pediatrics | 1258 S Pearl St Ste 110, Denver, CO 80210-1538 | 2019-03-28 |
| 1033683917 | Jenna Elizabeth Mtui | Pediatrics | 1535 W 43rd Ave, Denver, CO 80211-2425 | 2019-01-14 |
| 1275029712 | Caitlin Comerford | Pediatrics | 1601 E 19th Ave Ste 6600, Denver, CO 80218-1292 | 2018-07-09 |
| 1497286439 | Kimberly Lauren Mickey | Pediatrics | 1625 N Marion St, Denver, CO 80218-1514 | 2017-03-22 |
| 1811350341 | Lauren Ashley Welch | Pediatrics | 2650 18th Street Suite 100, Denver, CO 80211 | 2016-04-01 |
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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.