DIVERSIFIED RADIOLOGY OF COLORADO, PC (NPI# 1639207095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639207095 |
| Entity Type | Organization |
| Organization Name | DIVERSIFIED RADIOLOGY OF COLORADO, PC |
| Other Organization Name | INTERVENTIONAL CLINIC |
| Practice Address |
1601 E 19th Ave Ste 3850 Denver CO 80218-1216 |
| Mailing Address |
938 Bannock St Ste 300 Denver CO 80204-4028 |
| Practice Telephone | 3032267225 |
| Mailing Telephone | 3039148800 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2007-09-28 |
| Authorized Official Name | CHRISTOPHER MCMILLAN (CEO) |
| Authorized Official Telephone | 3039148800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 04004826 | 05 |
| Other Name | Type Code |
|---|---|
| Interventional Clinic | Doing Business As Name - Organization |
| Street Address |
1601 E 19TH AVE STE 3850 |
| City | DENVER |
| State | CO |
| Zip Code | 80218-1216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508864455 | Matthew Breeden | Obstetrics & Gynecology | 1601 E 19th Ave, Suite 4200, Denver, CO 80218 | 2005-07-13 |
| 1811448053 | David C Forschner Md PC | Obstetrics & Gynecology | 1601 E 19th Ave, Suite 4200, Denver, CO 80218-1216 | 2016-10-24 |
| 1609326875 | Surgone, PC | Colon & Rectal Surgery | 1601 E 19th Ave, Suite 6300, Denver, CO 80218-1216 | 2016-10-11 |
| 1548710718 | Surgone, PC | Specialist | 1601 E 19th Ave, Suite 5500, Denver, CO 80218-1216 | 2016-10-11 |
| 1295281376 | Surgone, PC | Surgery | 1601 E 19th Ave, Suite 3650, Denver, CO 80218-1216 | 2016-08-29 |
| 1235506791 | William C. Brown, Md, PC | Plastic Surgery | 1601 E 19th Ave, Suite 5150, Denver, CO 80218-1216 | 2015-08-31 |
| 1790179174 | Noel So M.d. LLC | Physical Medicine & Rehabilitation | 1601 E 19th Ave, Suite 4400, Denver, CO 80218-1216 | 2015-03-24 |
| 1336547462 | Rachel Grace Green | Pharmacist | 1601 E 19th Ave, Denver, CO 80218-1216 | 2014-12-05 |
| 1316360027 | Bulow Ops, LLC | Durable Medical Equipment & Medical Supplies | 1601 E 19th Ave, Suite 5200, Denver, CO 80218-1216 | 2014-01-31 |
| 1003249855 | Julie Gilman Wallace | Physical Therapist | 1601 E 19th Ave, Denver, CO 80218-1216 | 2013-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598394462 | Robert Collins Taylor | Student in an Organized Health Care Education/Training Program | Family Medicine - Rainer General Surgery, 1960 Ogden Street, Suite 400, Denver, CO 80218 | 2020-04-03 |
| 1679136568 | Ayal Levi | Student in an Organized Health Care Education/Training Program | 1375 E. 19th Avenue Saint Joseph Hospital, Russell Pavillion, 2nd Floor Gme, Denver, CO 80218 | 2019-04-17 |
| 1588124408 | Leah Kellogg | Student in an Organized Health Care Education/Training Program | Bruner Family Medicine - 1960 Ogden St, Suite 460, Denver, CO 80218 | 2019-03-25 |
| 1316407828 | Brant Barry Hafen | Student in an Organized Health Care Education/Training Program | Family Medicine - Caritas Clinic, 1960 Ogden St., Suite 400, Denver, CO 80218 | 2019-03-21 |
| 1679058671 | Katarina Baldovin | Behavioral Analyst | 1430 Humboldt St, Apt 502, Denver, CO 80218 | 2018-09-26 |
| 1235677345 | Angelica Hollins Cunningham | Physical Therapist | 1830 N Franklin St Ste 400, Denver, CO 80218 | 2017-02-09 |
| 1104373786 | Anoush Simonyan | Counselor | 1724 Gilpin Street, Denver, CO 80218 | 2016-09-01 |
| 1881140143 | James Cole Abrams, LLC | Community/Behavioral Health | 1252 Corona St, Apt 4, Denver, CO 80218 | 2016-08-28 |
| 1316398167 | Joanna Ford Counseling | Community/Behavioral Health | 825 East Speer Blvd., 100b, Denver, CO 80218 | 2016-06-23 |
| 1487002671 | Anne Elizabeth Gulick | Physician Assistant | 1601 E 19th Ave, Suite 6600, Denver, CO 80218 | 2016-05-27 |
| Find all providers in zip 80218 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295795169 | Robert P Allen | Radiology | 210 University Blvd, Ste 102, Radiology Specialists of Denver, Denver, CO 80206 | 2006-03-24 |
| 1942290721 | Bryan Cortis Kramer | Radiology | 1601 E. 19th Ave #3950, Denver, CO 80218 | 2005-10-24 |
| 1174814891 | Colorado Interventional Medical Group PC | Radiology | 999 18th St, Suite 3000, Denver, CO 80202-2499 | 2011-04-28 |
| 1992971816 | Paul Cody Johnston | Radiology | 2045 Franklin St, Denver, CO 80205-5437 | 2008-04-30 |
| 1235224601 | John P. Harris | Radiology | 938 Bannock St, Ste 300, Denver, CO 80204 | 2006-10-03 |
| 1447262852 | Michael J. Podolak | Radiology | 2045 N Franklin St, Denver, CO 80205-5437 | 2006-08-13 |
| 1750392528 | Brandt A Jamroz | Radiology | 210 University Blvd, Suite 77, Denver, CO 80206-4616 | 2006-08-10 |
| 1881605681 | Joseph Krysl | Radiology | 938 Bannock St, Ste 300, Denver, CO 80204-4028 | 2006-08-10 |
| 1033129267 | Gary W. Bauerle | Radiology | 938 Bannock St, Ste 300, Denver, CO 80204-4028 | 2006-08-09 |
| 1154366003 | Louis Arvanetes | Radiology | 1055 Clermont St, Denver, CO 80220-3808 | 2006-06-17 |
| Find all providers in DENVER | ||||
Please comment or provide details below to improve the information on DIVERSIFIED RADIOLOGY OF COLORADO, PC.
| 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.