HEALTHONE CLINIC SERVICES - PEDIATRIC SPECIALTIES LLC (NPI# 1689283749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689283749 |
| Entity Type | Organization |
| Organization Name | HEALTHONE CLINIC SERVICES - PEDIATRIC SPECIALTIES LLC |
| Practice Address |
181 W Meadow Dr Vail CO 81657-5242 |
| Mailing Address |
2000 Health Park Dr Brentwood TN 37027-4525 |
| Practice Telephone | 3038396001 |
| Mailing Telephone | 6153725426 |
| Enumeration Date | 2020-07-24 |
| Last Update Date | 2020-07-24 |
| Authorized Official Name | WILLIAM M SMITHAM (VICE PRESIDENT) |
| Authorized Official Telephone | 3035848119 |
| Is Organization Subpart | Y |
| Parent Organization Name | HEALTHONE CLINIC SERVICES - PEDIATRIC SPECIALTIES LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
Allopathic & Osteopathic Physicians |
| 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 |
| 1720293251 | Healthone Clinic Services - Pediatric Specialties LLC | Pediatrics | 2055 N High St Ste 110, Denver, CO 80205-5504 | 2007-05-10 |
| 1174139562 | Healthone Clinic Services - Pediatric Specialties LLC | Pediatrics | 2055 N High St Ste 260, Denver, CO 80205-5575 | 2020-09-21 |
| 1144836578 | Healthone Clinic Services - Pediatric Specialties LLC | Pediatrics | 2055 N High St Ste 380, Denver, CO 80205-5503 | 2020-09-21 |
| 1851907257 | Healthone Clinic Services - Pediatric Specialties LLC | Pediatrics | 2055 N High St Ste 370, Denver, CO 80205-5545 | 2020-09-21 |
| 1669088068 | Healthone Clinic Services - Pediatric Specialties LLC | Pediatrics | 2055 N High St Ste 130, Denver, CO 80205-5504 | 2020-09-21 |
| 1194331520 | Healthone Clinic Services - Pediatric Specialties LLC | Pediatrics | 2001 N High St, Denver, CO 80205-5555 | 2020-09-21 |
| 1598371999 | Healthone Clinic Services - Pediatric Specialties LLC | Pediatrics | 2055 N High St Ste 340, Denver, CO 80205-5545 | 2020-09-21 |
| 1407462807 | Healthone Clinic Services - Pediatric Specialties LLC | Pediatrics | 2055 N High St Ste 210, Denver, CO 80205-5507 | 2020-09-21 |
| Street Address |
181 W MEADOW DR |
| City | VAIL |
| State | CO |
| Zip Code | 81657-5242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861497133 | Joe E. Monk | Anesthesiology | 181 W Meadow Dr, Vail, CO 81657-5242 | 2005-06-14 |
| 1245854405 | Obstetrix Medical Group of Colorado, P.C. | Pediatrics | 181 W Meadow Dr, Vail, CO 81657-5242 | 2020-06-03 |
| 1023632320 | Obstetrix Medical Group of Colorado, P.C. | Pediatrics | 181 W Meadow Dr, Vail, CO 81657-5242 | 2020-06-02 |
| 1649801382 | Brooke Frances Milliet | Physical Therapist | 181 W Meadow Dr, Vail, CO 81657-5242 | 2020-01-31 |
| 1053962563 | Joseph Roy Cardwell | Pharmacist | 181 W Meadow Dr, Vail, CO 81657-5242 | 2019-09-25 |
| 1760044960 | Claire Hsing | Physical Therapist | 181 W Meadow Dr, Vail, CO 81657-5242 | 2019-07-08 |
| 1710443122 | Matilda Gray | Physician Assistant | 181 W Meadow Dr, Vail, CO 81657-5242 | 2019-02-11 |
| 1609355759 | Karen Ann Schleper | Physical Therapist | 181 W Meadow Dr, Vail, CO 81657-5242 | 2018-08-09 |
| 1427543347 | Henry David Scholz | Physical Therapist | 181 W Meadow Dr, Vail, CO 81657-5242 | 2018-06-22 |
| 1013417336 | Elysse Celeste Schmidt | Physical Therapist | 181 W Meadow Dr, Vail, CO 81657-5242 | 2018-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164077897 | Vail Clinic, Inc. | Clinic/Center | 108 S. Frontage Road West, Vail, CO 81657 | 2019-08-08 |
| 1275048522 | Michelle Fitzgerald | Nurse Practitioner | 180 South Frontage Rd, Vail, CO 81657 | 2017-12-08 |
| 1972975662 | Narda Reigel | Counselor | 2488 Garmisch Drive, Vail, CO 81657 | 2015-10-21 |
| 1235511551 | Christopher James Beatton | Specialist | Howard Head Sports Medicine, Vail Valley Medical Centre 181 W Meadow Dr, Vail, CO 81657 | 2015-06-23 |
| 1558748384 | Stephanie Facchini | Specialist/Technologist | 40928 Hwy 6, Unit 2d, Vail, CO 81657 | 2015-04-30 |
| 1225299316 | Vvmc Diversified Services | Specialist | 180 S Frontage Road West, Suite 306, Vail, CO 81657 | 2008-06-20 |
| 1265616627 | Vvmc Diversified Services Inc | Internal Medicine | 108 South Frontage Road West, 206, Vail, CO 81657 | 2007-12-20 |
| 1336336346 | Laura Jean Olderog | Occupational Therapist | Vvmc,181 West Meadow Dr., Vail, CO 81657 | 2007-10-03 |
| 1720281983 | Darlene Traboscia Hoffman | Psychologist | 953 So Frontage Rd W, Vail, CO 81657 | 2007-06-06 |
| 1053512582 | Lindsey Ann Mackellar | Physician Assistant | 181 West Meadow Dr, Vail, CO 81657 | 2007-05-31 |
| Find all providers in zip 81657 | ||||
| Taxonomy Code | 2086S0120X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Pediatric Surgery |
| A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649251836 | David Paul Bliss Jr. | Surgery | 4125 Briargate Parkway, Children's Hospital Colorado At Briargate, Colorado Springs, CO 80920 | 2005-11-07 |
| 1043825037 | Healthone Clinic Services - Pediatric Specialties LLC | Surgery | 10099 Ridgegate Pkwy Ste 100, Lone Tree, CO 80124-5532 | 2020-09-15 |
| 1336674183 | Sarah Lai | Surgery | 2055 N High St, Suite 370, Denver, CO 80205-5503 | 2017-04-28 |
| 1942639091 | Luis Dela Torre Mondragon | Surgery | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2013-11-08 |
| 1235454125 | Shannon Nicole Acker | Surgery | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2010-04-02 |
| 1386973675 | Andrea Bischoff | Surgery | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2009-12-15 |
| 1861631244 | Stig Somme | Surgery | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2009-02-09 |
| 1952591901 | Kristin Elaine Shipman | Surgery | 2055 High Street, #370, Denver, CO 80205-5504 | 2007-07-26 |
| 1083836589 | Suzanne Yoder | Surgery | 2055 High Street, #370, Denver, CO 80205-5504 | 2007-05-03 |
| 1073650362 | Jonathan Roach | Surgery | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2007-01-30 |
| Find all providers with the same taxonomy | ||||
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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.