DR. WILLIAM GRADY SELF JR. (NPI# 1710984380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710984380 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM GRADY SELF JR. |
| Credential | MD |
| Practice Address |
8403 Bryant St Westminster CO 80031-3809 |
| Practice Telephone | 3034264810 |
| Practice Fax Number | 3034268708 |
| Mailing Telephone | 3034264810 |
| Mailing Fax Number | 3034268708 |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2008-04-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 20828 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AETNA PPO | 4098038 | 01 | |
| TRICARE | 840787518A002 | 01 | |
| EVERCARE | 0800375 | 01 | |
| ROCKY MTN HEALTH PLAN | 840787518002 | 01 | |
| EYE SPECIALISTS | 920665 | 01 | |
| RAILROAD MEDICARE | 180032795 | 01 | |
| CO | 01208289 | 05 | |
| UNITED HEALTHCARE | 222002 | 01 | |
| AETNA HMO | 814630 | 01 | |
| BLUE CROSS/BLUE SHIELD | SE87324 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346721891 | William John Self | Registered Nurse | 6222 S Moffat Farm Ln, Salt Lake City, UT 84121-6713 | 2018-08-23 |
| 1245503093 | William Self | Nurse Anesthetist, Certified Registered | 495 S Nova Rd Ste 101a, Ormond Beach, FL 32174-8444 | 2012-02-09 |
| Street Address |
8403 BRYANT ST |
| City | WESTMINSTER |
| State | CO |
| Zip Code | 80031-3809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700881844 | Howard C Harden | Nurse Anesthetist, Certified Registered | 8403 Bryant St, Westminster, CO 80031-3809 | 2005-06-16 |
| 1104284868 | Montgomery Eye Care | Non-Pharmacy Dispensing Site | 8403 Bryant St, Westminster, CO 80031-3809 | 2016-02-09 |
| 1093891244 | William G Self Jr Md PC | Clinic/Center | 8403 Bryant St, Westminster, CO 80031-3809 | 2006-10-31 |
| 1720178270 | Peak To Peak Anesthesia Services Inc | Nurse Anesthetist, Certified Registered | 8403 Bryant St, Westminster, CO 80031 | 2006-10-13 |
| 1669454393 | Howard Harden Crna Inc. | Nurse Anesthetist, Certified Registered | 8403 Bryant St, Westminster, CO 80031-3809 | 2005-11-17 |
| 1922005610 | William G Self Jr Md PC | Clinic/Center | 8403 Bryant St, Westminster, CO 80031-3809 | 2005-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851904023 | 100 Chiro Peterson Three LLC | Chiropractor | 5714 W 89th Ave, Westminster, CO 80031 | 2020-08-28 |
| 1629686894 | Panorama Orthopedics & Spine Center, PC | Clinic/Center | 5540 Main Street, Suite #200, Westminster, CO 80031 | 2020-07-14 |
| 1801352851 | Hope Pediatric Dentistry, Pllc | Clinic/Center | 5724 W. 89th Avenue, Westminster, CO 80031 | 2019-02-14 |
| 1265921860 | Gregory Kyle Guarneros | Acupuncturist | 8428 Princeton St, Westminster, CO 80031 | 2018-05-09 |
| 1316464076 | Boulder Valley Iom, LLC | Psychiatry & Neurology | 4375 W 118th Place, Westminster, CO 80031 | 2017-08-24 |
| 1063936383 | Andrea Presnall | Counselor | 8787 Turnpike Pkwy, Ste 270, Westminster, CO 80031 | 2017-07-28 |
| 1497278261 | Katherine Sara Taylor | Counselor | 8787 Turnpike Drive, #120, Westminster, CO 80031 | 2017-07-24 |
| 1881135796 | Steele Family Counseling, LLC | Marriage & Family Therapist | 8778 Wolff Court, Suite 202, Westminster, CO 80031 | 2017-03-10 |
| 1235599762 | Katie Coyle | Licensed Practical Nurse | 3964 Main St, 104, Westminster, CO 80031 | 2016-02-25 |
| 1467838037 | James Weiss | Counselor | 8407 N Bryant St., Wetminister, CO 80031 | 2015-08-06 |
| Find all providers in zip 80031 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245606698 | Vision Institute of Southern California A Professional Medical Corpora | Ophthalmology | 8341 Westminster Blvd., Ste. 202, Westminster, CA 92683 | 2015-08-19 |
| 1386767713 | Kevin Michael May | Ophthalmology | 500 W 144th Ave., Suite 110, Westminster, CO 80023-9236 | 2007-04-09 |
| 1699846170 | Karen A. Heuer | Ophthalmology | 12050 Pecos St, Westminster, CO 80234-2080 | 2006-11-13 |
| 1699860171 | May Eye Care Incorporated | Ophthalmology | 500 West 144th Ave, Suite 110, Westminster, CO 80023-9322 | 2006-10-03 |
| 1689777039 | Martin J Weintraub | Ophthalmology | 200 Washington Heights Medical Center, Westminster, MD 21157-5633 | 2006-09-07 |
| 1548276454 | Viet Van Dang | Ophthalmology | 10301 Bolsa Ave Ste 104, Westminster, CA 92683-6784 | 2006-07-31 |
| 1477574200 | Cuong-dung Trong Do | Ophthalmology | 9061 Bolsa Ave Ste 105, Westminster, CA 92683-5558 | 2006-07-21 |
| 1548201122 | Michael Thien Vu | Ophthalmology | 8860 Bolsa Ave, Suite B2, Westminster, CA 92683-5498 | 2006-06-08 |
| 1306807789 | Triet Minh Nguyen | Ophthalmology | 9286 Bolsa Ave, Westminster, CA 92683-5557 | 2006-03-28 |
| 1801888110 | Michael Khanh Tran | Ophthalmology | 15355 Brookhurst St, Suite 104, Westminster, CA 92683-7077 | 2005-08-22 |
| Find all providers in WESTMINSTER | ||||
| City | WESTMINSTER |
| Zip Code | 80031 |
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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.