SPORTS AND ORTHOPEDIC REHABILITATION, PLLC (NPI# 1669695029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669695029 |
| Entity Type | Organization |
| Organization Name | SPORTS AND ORTHOPEDIC REHABILITATION, PLLC |
| Practice Address |
2801 Youngfield St Suite 150 Golden CO 80401-2263 |
| Practice Telephone | 3032384277 |
| Practice Fax Number | 3032384977 |
| Mailing Telephone | 3032384277 |
| Mailing Fax Number | 3032384977 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2015-12-17 |
| Authorized Official Name | DOUGLAS E HEMLER (OWNER) |
| Authorized Official Telephone | 3032384277 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P2900X |
Psychiatry & Neurology Specialization: Pain Medicine |
20602 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | MEDICARE ID - UNSPECIFIED | C805012 | 01 |
| Street Address |
2801 YOUNGFIELD ST SUITE 150 |
| City | GOLDEN |
| State | CO |
| Zip Code | 80401-2263 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962409342 | Karen Kelly | Internal Medicine | 2801 Youngfield St, Ste 120, Golden, CO 80401-2263 | 2005-06-30 |
| 1669821898 | Accelerated Medical Services | Durable Medical Equipment & Medical Supplies | 2801 Youngfield St, Golden, CO 80401-2263 | 2016-06-08 |
| 1447640636 | R. Bradley Berryhill, Dmd PC | Dentist | 2801 Youngfield St, Ste 211, Golden, CO 80401-2263 | 2015-01-27 |
| 1508287442 | Precision Plastic and Hand Surgery LLC | Clinic/Center | 2801 Youngfield St, Suite 371, Golden, CO 80401-2263 | 2013-12-19 |
| 1518392570 | Molly Melissa Pickett | Nurse Practitioner | 2801 Youngfield St, Suite 120, Golden, CO 80401-2263 | 2013-09-10 |
| 1952743890 | Hearing Rehabilitation Center Inc | Audiologist | 2801 Youngfield St, Unit 100, Golden, CO 80401-2263 | 2013-07-19 |
| 1346586054 | Angelina Rose Espinosa | Audiologist | 2801 Youngfield St, Unit 100, Golden, CO 80401-2263 | 2012-12-27 |
| 1356583991 | Johanne L Python | Specialist | 2801 Youngfield St, Suite 200, Golden, CO 80401-2263 | 2009-03-27 |
| 1952556417 | Kyle Chandler Morgan | Physical Medicine & Rehabilitation | 2801 Youngfield St, Ste 150, Golden, CO 80401-2263 | 2008-11-25 |
| 1669632238 | David Ellis, Lpc, LLC | Counselor | 2801 Youngfield St, Ste 300, Golden, CO 80401-2263 | 2008-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093315152 | Ruth Lucia Settak | Social Worker | 17301 W. Colfax Ave., Ste 200, Golden, CO 80401 | 2020-10-28 |
| 1811457088 | Evening Elegance LLC | Prosthetic/Orthotic Supplier | 14500 W Colfax Ave Unit 246, Lakewood, CO 80401 | 2019-03-22 |
| 1255853826 | Angela Kathryn Brickman | Behavior Technician | 714 Ridgeside Drive, Golden, CO 80401 | 2017-07-14 |
| 1710408240 | Catherine Camacho | Psychologist | 913 Arapahoe St, Golden, CO 80401 | 2017-07-06 |
| 1710420492 | Colorado Complete Urgent Care Physicians LLC | Clinic/Center | 17101 S Golden Rd., Golden, CO 80401 | 2016-11-29 |
| 1366991051 | Britta Marie Olson | Physical Therapist | 600 Golden Ridge Rd, Suite 130, Golden, CO 80401 | 2016-09-23 |
| 1003284209 | Maria Alta Mcvey | Dental Hygienist | 2305 Jackson St., Golden, CO 80401 | 2015-09-04 |
| 1548644479 | Christine Rodriguez | Dental Hygienist | 2305 Jackson Street, Golden, CO 80401 | 2015-07-09 |
| 1508285776 | Colorado Pain Practice, Pllc | Anesthesiology | 755 Heritage Road, Suite 100, Golden, CO 80401 | 2014-04-15 |
| 1942644844 | Golden Kids Dental | Dentist | 2421 Ford St., Golden, CO 80401 | 2013-04-22 |
| Find all providers in zip 80401 | ||||
| Taxonomy Code | 2084P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Pain Medicine |
| A neurologist, child neurologists or psychiatrist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Psychiatry and Neurology, 2007. http://www.abpn.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Psychiatry and Neurology. A subspecialty certificate was approved by ABMS in 1998. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184879272 | Edwin Mack Healey | Psychiatry & Neurology | 3865 Cherry Creek Drive North, Suite 100, Denver, CO 80209 | 2008-11-18 |
| 1780888172 | Arthur C Roberts Md PC | Psychiatry & Neurology | 7608 N Union Blvd, Suite E, Colorado Springs, CO 80920-3886 | 2007-06-12 |
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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.