JAN PAUL GOLDBERG (NPI# 1700263183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700263183 |
| Entity Type | Organization |
| Organization Name | JAN PAUL GOLDBERG |
| Practice Address |
816 Acoma St 1113 Denver CO 80204-4010 |
| Practice Telephone | 3039124900 |
| Practice Fax Number | 7203289367 |
| Mailing Telephone | 3039124900 |
| Mailing Fax Number | 7203289367 |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2015-05-05 |
| Authorized Official Name | DR. JAN PAUL GOLDBERG (OWNER) |
| Authorized Official Telephone | 3039124900 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
21715 | CO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | COLORADO LICENSE | 21715 | 01 |
| Street Address |
816 ACOMA ST 1113 |
| City | DENVER |
| State | CO |
| Zip Code | 80204-4010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780812081 | Aun Woon Soon | Pediatrics | 816 Acoma St, Unit 807, Denver, CO 80204-4010 | 2009-06-24 |
| 1609247980 | Kelsey Kuykendall | Specialist | 816 Acoma St, Unit 1117, Denver, CO 80204-4010 | 2015-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205483716 | Pam Specialty Hospital of Denver LLC | Long Term Care Hospital | 1690 N Meade St, Denver, CO 80204 | 2019-08-20 |
| 1912468125 | Rachel Vanderwel | Student in an Organized Health Care Education/Training Program | 777 Bancock Street, Mc 0108, Denver, CO 80204 | 2019-03-29 |
| 1831673391 | Alexandra Wilcox | Counselor | 1175 Osage St, Suite 205, Denver, CO 80204 | 2018-09-20 |
| 1912480716 | Arieye, Inc | Ophthalmology | 3120 W 19th Ave, Unit 3, Denver, CO 80204 | 2018-09-08 |
| 1144701053 | Kristina Ann Petrosino | Dental Hygienist | 601 Broadway St., Denver, CO 80204 | 2018-08-28 |
| 1811474075 | Lindsey Spraker | Counselor | 1175 Osage Street, Suite 205, Denver, CO 80204 | 2018-07-20 |
| 1427541887 | Healthy Life Care LLC | Home Health | 500 Newton St, Denver, CO 80204 | 2018-06-11 |
| 1932601655 | Emily Gispert Weaver | Student in an Organized Health Care Education/Training Program | 301 W. 6th Ave., Denver, CO 80204 | 2018-03-08 |
| 1144745928 | Melisssa Wells | Licensed Practical Nurse | 1801 W. 13th Ave, Denver, CO 80204 | 2017-08-14 |
| 1689112948 | Tyler Stephens | Student in an Organized Health Care Education/Training Program | 2233 Champa St., Denver, CO 80204 | 2017-02-07 |
| Find all providers in zip 80204 | ||||
| Taxonomy Code | 261QM2800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Methadone Clinic |
| An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184266108 | Denver Recovery Group LLC | Clinic/Center | 8790 W Colfax Ave Ste 90, Lakewood, CO 80215-4025 | 2019-10-10 |
| 1669020160 | Vcphcs Xii, LLC | Clinic/Center | 4157-4159 Centennial Blvd, Colorado Springs, CO 80907 | 2019-08-28 |
| 1164936274 | Colorado Treatment Services, LLC | Clinic/Center | 2350 S Townsend Ave, Montrose, CO 81401-5439 | 2017-11-28 |
| 1821501651 | Colorado Treatment Services, LLC | Clinic/Center | 511 W 29th St Ste B, Pueblo, CO 81008-1128 | 2017-11-15 |
| 1053837153 | Colorado Treatment Services, LLC | Clinic/Center | 3400 W 16th St Ste P, Greeley, CO 80634-6871 | 2017-08-21 |
| 1265577431 | Wchs Inc | Clinic/Center | 115 N Parkside Dr Ste 200, Colorado Springs, CO 80909-6035 | 2007-02-21 |
| 1083220131 | Kristy Wood | Clinic/Center | 3400 W 16th St Ste P, Greeley, CO 80634-6871 | 2020-09-23 |
| 1104448802 | Crossroads' Turning Points, Inc. | Clinic/Center | 509 E 13th St Bldg B, Pueblo, CO 81001-2940 | 2020-05-15 |
| 1356963136 | Crossroads' Turning Points | Clinic/Center | 2265 Lava Ln, Alamosa, CO 81101-3578 | 2020-05-14 |
| 1386266286 | Crossroads' Turning Points, Inc. | Clinic/Center | 3501 S Main St, Lamar, CO 81052-4336 | 2020-05-13 |
| 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.