LYSSA N CHACKO (NPI# 1629115993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629115993 |
Entity Type | Individual |
Full Name | LYSSA N CHACKO |
Credential | MD |
Practice Address |
1055 Clermont St # Ms 111e Denver CO 80220-3808 |
Practice Telephone | 3033998020 |
Mailing Telephone | 3033998020 |
Enumeration Date | 2007-01-30 |
Last Update Date | 2010-03-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
MD431382 | PA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | 1019975240001 | 05 |
Street Address |
1055 CLERMONT ST # MS 111E |
City | DENVER |
State | CO |
Zip Code | 80220-3808 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053876748 | Woody Dental Pllc | Dentist | 5989 E Colfax Avenue, Denver, CO 80220 | 2019-02-06 |
1366961930 | Maita Angelica Thams | Case Manager/Care Coordinator | 4455 E. 12th Ave, Denver, CO 80220 | 2017-09-14 |
1962943837 | Rocky Mountain Therapy Ltd | Clinic/Center | 883 Jersey St, Denver, CO 80220 | 2017-03-13 |
1578019188 | Alfredo Guzman | Pharmacist | 1055 Cleremont, Denver, CO 80220 | 2016-09-01 |
1265802144 | Joseph Parker Morse | Case Manager/Care Coordinator | 4455 East 12th Avenue, Denver, CO 80220 | 2015-10-05 |
1104296789 | Eric Poissant | Physical Therapist | 4700 East Hale Parkway, #550, Denver, CO 80220 | 2015-09-25 |
1104292085 | Casey Lucarelli | Student in an Organized Health Care Education/Training Program | 4455 E. 12th Av., Mhcd, Denver, CO 80220 | 2015-08-14 |
1124414081 | Domenic Michael Terenzi | Hospitalist | 8001 E 11th Ave Unit 5210, Denver, CO 80220 | 2015-04-07 |
1730598566 | Jessica Nichole Heck | Pharmacist | 1055 Clermont Street (119), Denver Va Medical Center- Echcs, Denver, CO 80220 | 2014-08-06 |
1063840171 | Kellie Ann Douglas | Nurse Practitioner | 4545 E 9th Ave Ste 260, Denver, CO 80220 | 2013-10-29 |
Find all providers in zip 80220 |
Taxonomy Code | 207RG0100X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Gastroenterology |
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184967598 | Vihang Vijaykumar Patel | Internal Medicine | 2335 S Downing St Ste 360, Denver, CO 80210-5809 | 2013-04-03 |
1730488099 | Stephen M New | Internal Medicine | 4500 E 9th Ave Ste 720s, Denver, CO 80220-3926 | 2011-03-24 |
1265690374 | Jennifer Lynne Goldman Moss | Internal Medicine | 4500 E 9th Ave Ste 560s, Denver, CO 80220-3934 | 2008-05-26 |
1144407164 | Mile High Gastroenterology,p.c. | Internal Medicine | 2005 Franklin St Ste 210, Denver, CO 80205-5403 | 2008-01-22 |
1871548685 | Andrew Mallory | Internal Medicine | 2005 Franklin Street #280, Denver, CO 80205 | 2006-05-23 |
1669423430 | Clark C Kulig | Internal Medicine | 1719 E 19th Ave # 5050, Denver, CO 80218-1235 | 2006-05-15 |
1366491367 | Aaron Joseph Burrows | Internal Medicine | 4545 E 9th Ave Ste 440, Denver, CO 80220-3914 | 2006-05-08 |
1700495579 | Poudre Valley Medical Group, LLC | Internal Medicine | 100 Cook Street, Suite 312, Denver, CO 80206 | 2020-07-28 |
1891322756 | Healthone Clinic Services Medical Specialties LLC | Internal Medicine | 4700 Hale Pkwy Ste 150, Denver, CO 80220-4054 | 2020-03-23 |
1326674250 | Healthone Clinic Services Medical Specialties LLC | Internal Medicine | 1719 E 19th Ave, Denver, CO 80218-1235 | 2020-03-23 |
Find all providers in DENVER |
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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.