KATIE NEIDECKER (NPI# 1619331931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619331931 |
| Entity Type | Individual |
| Full Name | KATIE NEIDECKER |
| Practice Address |
7505 Village Square Dr Ste 101 Castle Pines CO 80108-3693 |
| Practice Telephone | 3038055156 |
| Practice Fax Number | 3038055157 |
| Mailing Telephone | 3038055156 |
| Mailing Fax Number | 3038055157 |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2020-07-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | POD.0000842 | CO | Podiatric Medicine & Surgery Service Providers |
| Street Address |
7505 VILLAGE SQUARE DR STE 101 |
| City | CASTLE PINES |
| State | CO |
| Zip Code | 80108-3693 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184905887 | Brian Michael Oase | Podiatrist | 7505 Village Square Dr Ste 101, Castle Pines, CO 80108-3693 | 2011-09-08 |
| 1982019295 | Patrick Thompson | Podiatrist | 7505 Village Square Dr Ste 101, Castle Pines, CO 80108-3693 | 2014-06-25 |
| 1639512007 | Deann Hofer | Podiatrist | 7505 Village Square Dr Ste 101, Castle Pines, CO 80108-3693 | 2013-04-16 |
| 1447511035 | Daniel Zay Clymer | Podiatrist | 7505 Village Square Dr Ste 101, Castle Pines, CO 80108-3693 | 2012-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164050902 | Elisabeth Susanne Littleton | Clinical Nurse Specialist | 6415 Montano Pl, Castle Pines, CO 80108 | 2020-03-28 |
| 1508366576 | Converge Health, LLC | Pharmacist | 4410 Orofino Pl, Castle Rock, CO 80108 | 2018-02-16 |
| 1447677042 | New Paradigm Counseling | Community/Behavioral Health | 757 Maleta Lane Suite 101, Castle Rock, CO 80108 | 2014-03-21 |
| 1205258043 | Valerie Sorensen Miller | Lactation Consultant, Non-RN | 9201 N Palomino, Castle Rock, CO 80108 | 2014-01-14 |
| 1134555238 | Michael Hunter | Pharmacist | 8664 Fawnwood Dr, Castle Pines, CO 80108 | 2013-09-20 |
| 1821341587 | Herman Aristov | Specialist/Technologist, Other | 1170 Berganot Trail, Castle Pines, CO 80108 | 2012-10-18 |
| 1457625691 | Castle Rock Modern Dentistry, LLP | Dentist | 36 East Allen Street, Ste. 100, Castle Rock, CO 80108 | 2012-03-06 |
| 1407166770 | Scott Ryan | Dentist | 850 Happy Canyon Road, Castle Rock, CO 80108 | 2010-10-20 |
| 1184817330 | Ralph Richard Trinque | Dentist | 7080 Campden Pl, Castle Pines, CO 80108 | 2007-08-21 |
| 1982826517 | Pediatric Denticare, P.C. | Dentist | 361 Village Square Lane, Suite 100, Castle Rock, CO 80108 | 2007-05-03 |
| Find all providers in zip 80108 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407078652 | Podiatry Associates PC | Podiatrist | 7505 Village Square Dr, Ste 101, Castle Pines, CO 80108-3692 | 2007-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558975771 | David Erik Ouderkirk Dpm PC | Podiatrist | 11310 N Huron Street, Suite 20, Northglenn, CO 80234-3090 | 2020-09-04 |
| 1073126173 | David Erik Ouderkirk Dpm PC | Podiatrist | 4185 E. Wildcat Reserve Pkwy, Suite 200, Highlands Ranch, CO 80126-6803 | 2020-08-28 |
| 1225646979 | New West Physicians, P.C. | Podiatrist | 1536 Cole Blvd # 4-250, Lakewood, CO 80401-3413 | 2020-07-20 |
| 1396207296 | Emily Marie Opp | Podiatrist | 25775 Road T, Dolores, CO 81323-9202 | 2019-04-01 |
| 1578061420 | Colorado Foot and Ankle Research Institute | Podiatrist | 3438 Federal Blvd, Denver, CO 80211 | 2018-01-25 |
| 1538677976 | South Denver Podiatry LLC | Podiatrist | 7780 S Broadway Ste 190, Littleton, CO 80122-2641 | 2018-01-19 |
| 1386094142 | Phillip Savage | Podiatrist | 1421 S Potomac St Ste 120, Aurora, CO 80012-4511 | 2016-06-13 |
| 1427450014 | Eastern Colorado Podiatry LLC | Podiatrist | 16350 E Arapahoe Rd, Suite 108, Foxfield, CO 80016-1557 | 2014-09-25 |
| 1003225160 | Alfred Kwon | Podiatrist | 10268 W Centennial Rd Ste 104, Littleton, CO 80127-6423 | 2014-08-03 |
| 1639580293 | Meredith Rawa | Podiatrist | 1301 Riverside Ave Ste 1, Fort Collins, CO 80524 | 2014-05-16 |
| Find all providers with the same taxonomy | ||||
| City | CASTLE PINES |
| Zip Code | 80108 |
Please comment or provide details below to improve the information on KATIE NEIDECKER.
| 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.