NEUROSURGERY ONE (NPI# 1710598289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710598289 |
| Entity Type | Organization |
| Organization Name | NEUROSURGERY ONE |
| Practice Address |
11600 W 2nd Pl Lakewood CO 80228-1527 |
| Mailing Address |
7001 E Belleview Ave Ste 700 Denver CO 80237-2733 |
| Practice Telephone | 7203210000 |
| Enumeration Date | 2020-08-10 |
| Last Update Date | 2020-08-10 |
| Authorized Official Name | JOHN ADAIR PRALL (OWNER) |
| Authorized Official Telephone | 3036019290 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
11600 W 2ND PL |
| City | LAKEWOOD |
| State | CO |
| Zip Code | 80228-1527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518960897 | Brigitte Beaudry | Specialist | 11600 W 2nd Pl, Lakewood, CO 80228-1527 | 2005-05-31 |
| 1376144386 | Juli Derya Montgomery | Pharmacist | 11600 W 2nd Pl, Lakewood, CO 80228-1527 | 2020-11-05 |
| 1679188619 | Catholic Health Initiatives Colorado | Psychologist | 11600 W 2nd Pl, Lakewood, CO 80228-1527 | 2020-09-15 |
| 1275144743 | Neurosurgery One PC | Neurological Surgery | 11600 W 2nd Pl, Lakewood, CO 80228-1527 | 2020-08-10 |
| 1912525304 | Hannah Rebecca Garcia | Registered Nurse | 11600 W 2nd Pl, Lakewood, CO 80228-1527 | 2020-07-11 |
| 1114543808 | Michelle Lauren Pienknagura | Registered Nurse | 11600 W 2nd Pl, Lakewood, CO 80228-1527 | 2020-06-18 |
| 1942824636 | Kalen Jeremy Vespoli | Student in an Organized Health Care Education/Training Program | 11600 W 2nd Pl, Lakewood, CO 80228-1527 | 2020-05-29 |
| 1447873187 | Alexandra Halbach | Student in an Organized Health Care Education/Training Program | 11600 W 2nd Pl, Lakewood, CO 80228-1527 | 2020-05-27 |
| 1861015141 | Kayla Marie Mcclanahan | Nurse Anesthetist, Certified Registered | 11600 W 2nd Pl, Lakewood, CO 80228-1527 | 2020-05-21 |
| 1366065666 | Michael Joseph Jones | Nurse Anesthetist, Certified Registered | 11600 W 2nd Pl, Lakewood, CO 80228-1527 | 2020-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174083570 | Lindsey Mae Beverly | Physician Assistant | Medical Plaza 2, 11700 W 2nd Pl, #350, Lakewood, CO 80228 | 2019-03-21 |
| 1881119931 | Cory J Frazier | Nurse Practitioner | 11600 W. 2nd Pl, Lakewood, CO 80228 | 2017-08-10 |
| 1508213885 | Chelsea Tucker | Counselor | 12157 W Cedar Dr Ste 207, Lakewood, CO 80228 | 2016-05-17 |
| 1972963841 | Shastin Gerbracht | Counselor | 12055 W 2nd Pl, Ste 200, Lakewood, CO 80228 | 2016-03-04 |
| 1073983375 | Suzanne Phillips | Behavioral Analyst | 200 Union Blvd. Ste. 200, Lakewood, Co. 80228, Denver, CO 80228 | 2015-09-29 |
| 1700265667 | April Mearsha | Doula | 12977 W Cedar Dr, 2-305, Lakewood, CO 80228 | 2015-05-26 |
| 1306233713 | Caleb Hedberg | Internal Medicine | 165 S Union Blvd Ste 800, Lakewood, CO 80228 | 2015-04-23 |
| 1972996288 | David Lindsey Currie | Counselor | 12055 W 2nd Place, Jefferson Ctr for Mental Health, Lakewood, CO 80228 | 2015-03-11 |
| 1619365533 | Michelle Broberg II | Technician | 12055 West 2nd Plaza, Lakewood, CO 80228 | 2014-12-30 |
| 1750789012 | Kayla Morrison | Social Worker | 12005 W 2nd Place, Lakewood, CO 80228 | 2014-12-18 |
| Find all providers in zip 80228 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629248380 | Sumeet Vadera | Neurological Surgery | 1184 Brockley Ave, Lakewood, OH 44107-2437 | 2008-03-08 |
| 1326246638 | Jacinto I Manon | Neurological Surgery | 1687 Cole Blvd Ste 150, Lakewood, CO 80401-3322 | 2007-07-07 |
| 1205846664 | Catholic Health Initiatives Colorado | Neurological Surgery | 11750 W 2nd Pl Ste 255, Lakewood, CO 80228-1726 | 2006-08-09 |
| 1265043285 | Neurosurgery One PC | Neurological Surgery | 11650 W 2nd Pl, Lakewood, CO 80228-1527 | 2020-08-13 |
| 1700497724 | Neurosurgery One PC | Neurological Surgery | 11650 W 2nd Pl, Lakewood, CO 80228-1527 | 2020-08-13 |
| 1275144743 | Neurosurgery One PC | Neurological Surgery | 11600 W 2nd Pl, Lakewood, CO 80228-1527 | 2020-08-10 |
| 1932728920 | Neurosurgery One PC | Neurological Surgery | 11750 W 2nd Pl Ste 255, Lakewood, CO 80228-1726 | 2020-04-10 |
| 1912536194 | Neurosurgery One PC | Neurological Surgery | 11750 W 2nd Pl Ste 255, Lakewood, CO 80228-1726 | 2020-04-08 |
| 1578107371 | Scl Health Medical Group - Denver, LLC | Neurological Surgery | 1687 Cole Blvd Ste 150, Lakewood, CO 80401-3322 | 2019-11-05 |
| 1841760246 | Jm Neurospine LLC | Neurological Surgery | 1687 Cole Blvd Ste 150, Lakewood, CO 80401-3322 | 2018-11-28 |
| Find all providers in LAKEWOOD | ||||
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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.