DR. KYLE OLAF ROVE (NPI# 1689816720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689816720 |
| Entity Type | Individual |
| Full Name | DR. KYLE OLAF ROVE |
| Credential | MD |
| Practice Address |
13123 E 16th Ave Aurora CO 80045 |
| Mailing Address |
Po Box 110429 Aurora CO 80042-0429 |
| Practice Telephone | 7207771234 |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2018-09-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208800000X | Urology | 2017016678 | MO | Allopathic & Osteopathic Physicians |
| Y | 2088P0231X |
Urology Specialization: Pediatric Urology |
DR.0060037 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | ENROLLED | 05 | |
| MO | 1689816720 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4921 Parkview Pl Ste 11c, Ste 11c, Saint Louis, MO 631101032 | 3143628200 | 3143675016 |
| Street Address |
13123 E 16TH AVE |
| City | AURORA |
| State | CO |
| Zip Code | 80045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801890447 | Cheryl Cavallaro | Nurse Practitioner | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2005-06-10 |
| 1730789157 | Lauren S Henry | Psychologist | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2020-10-26 |
| 1801494620 | Elan Webb | Anesthesiologist Assistant | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2020-10-14 |
| 1821695388 | Maria Clara Rios | Nurse Practitioner | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2020-10-07 |
| 1306453485 | Ozlem Turan | Student in an Organized Health Care Education/Training Program | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2020-09-23 |
| 1497361406 | Chelsea Hartman | Nurse Practitioner | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2020-09-16 |
| 1407460447 | Milena Teresa Hathaway | Social Worker | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2020-09-08 |
| 1386258622 | Ann Lantagne | Psychologist | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2020-09-03 |
| 1780295824 | Jelena Brezo | Medical Genetics | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2020-08-12 |
| 1154930808 | Audrey Niemchick | Student in an Organized Health Care Education/Training Program | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2020-07-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942817408 | Salwa Mourtada Bamba | Nurse Practitioner | University of Colorado Medicine, 12631 East 17th Avenue, Aurora, CO 80045 | 2020-09-29 |
| 1114545233 | Chun Cheong Tsui | Student in an Organized Health Care Education/Training Program | 12801 E. 17th Avenue, Ms 8117, Aurora, CO 80045 | 2020-07-07 |
| 1487278719 | James Charles Tuka IIi | Social Worker | 1700 North Wheeling, Aurora, CO 80045 | 2020-06-02 |
| 1427677806 | Justin Yu | Student in an Organized Health Care Education/Training Program | 12631 E. 17th Ave. Ms B205, Aurora, CO 80045 | 2020-04-15 |
| 1558980011 | Erik Von Polsdofer | Student in an Organized Health Care Education/Training Program | Academic Office 1; Department of Pathology, 12631 East 17th Avenue, Aurora, CO 80045 | 2020-04-14 |
| 1831718568 | Luke Porter Bacon | Student in an Organized Health Care Education/Training Program | 3001 East 17th Place, Aurora, CO 80045 | 2020-04-13 |
| 1366061368 | Hilary Novatt | Student in an Organized Health Care Education/Training Program | 12631 E 17th Ave, B198-6, Room 4007, Aurora, CO 80045 | 2020-04-10 |
| 1376195362 | Katie Tuck | Pharmacist | 1700 North Wheeling Street (119), Fs-111o, Aurora, CO 80045 | 2019-07-10 |
| 1518529130 | Ronak Kamal Kapadia | Student in an Organized Health Care Education/Training Program | 12700 E. 19th Ave, Ms B182 Rm 5104, Aurora, CO 80045 | 2019-07-03 |
| 1245898253 | Rasha Elbadry Ahmed | Student in an Organized Health Care Education/Training Program | Childrens Hospital Colorado Pediatric Neurosurgery, 13123e. 16th Ave, B330, Aurora, CO 80045 | 2019-06-04 |
| Find all providers in zip 80045 | ||||
| Taxonomy Code | 2088P0231X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| Specialization | Pediatric Urology |
| Surgeons who can diagnose, treat, and manage children’s urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele). |
| Notes: Source: American Academy of Pediatrics [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114177128 | Brian Thomas Caldwell | Urology | 13123 E 16th Ave, Box 463, Aurora, CO 80045-7106 | 2008-09-26 |
| 1093826976 | Vijaya Vemulakonda | Urology | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2006-08-31 |
| 1649238593 | Duncan Wilcox | Urology | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2006-05-02 |
| 1902874134 | Jeffrey Campbell | Urology | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326663444 | Rocky Mountain Pediatric Urology, PC | Urology | 6169 S Balsam Way Ste 370, Littleton, CO 80123-3088 | 2020-06-15 |
| 1679198782 | Rocky Mountain Pediatric Urology, PC | Urology | 10107 Ridgegate Pkwy Ste 330, Lone Tree, CO 80124-5399 | 2020-06-15 |
| 1710024088 | Job K Chacko | Urology | 1601 E. 19th Avenue, Suite 6400, Denver, CO 80218-1216 | 2007-01-30 |
| 1346865466 | Rocky Mountain Pediatric Urology, PC | Urology | 300 Exempla Cir Ste 360, Lafayette, CO 80026-3395 | 2020-06-15 |
| 1679198790 | Rocky Mountain Pediatric Urology, PC | Urology | 6965 Tutt Blvd Ste 210, Colorado Springs, CO 80923-3598 | 2020-06-15 |
| 1568087682 | Rocky Mountain Pediatric Urology, PC | Urology | 575 Rivergate Unit 109, Durango, CO 81301-7488 | 2020-06-15 |
| 1285259390 | Rocky Mountain Pediatric Urology, PC | Urology | 2352 Meadows Blvd Ste 300, Castle Rock, CO 80109-8419 | 2020-06-15 |
| 1548885650 | Rocky Mountain Pediatric Urology, PC | Urology | 1200 E Elizabeth St, Fort Collins, CO 80524-4007 | 2020-06-15 |
| 1487851275 | Rocky Mountain Pediatric Urology, PC | Urology | 1601 E 19th Ave, Suite 6400, Denver, CO 80218-1216 | 2007-06-27 |
| 1366536690 | Peter Furness | Urology | 1601 E 19th Ave, Suite 6400, Denver, CO 80218-1216 | 2006-10-03 |
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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.