MARK MATIBAG (NPI# 1730421892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730421892 |
Entity Type | Individual |
Full Name | MARK MATIBAG |
Credential | REEGT,REPT,CNIM |
Practice Address |
2657 S Macon Ct Aurora CO 80014-1825 |
Practice Telephone | 3033519741 |
Enumeration Date | 2013-03-26 |
Last Update Date | 2013-03-26 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
Technologists, Technicians & Other Technical Service Providers |
Street Address |
2657 S MACON CT |
City | AURORA |
State | CO |
Zip Code | 80014-1825 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942825021 | Dieuvil Varice | Occupational Therapist | 2851 S Parker Rd Ste 570, Aurora, Co, Aurora, CO 80014 | 2020-06-14 |
1518437144 | Curtis E Redd | Case Manager/Care Coordinator | 1059 E Bethany Dr, Suite 200, Aurora, CO 80014 | 2018-11-27 |
1144795154 | Prestige Adult Day Care LLC | Clinic/Center | 2860 S Havana St, Unit C, Aurora, CO 80014 | 2018-10-05 |
1609375492 | Jacob Mcbride | Behavior Technician | 2121 S Blackhawk St 100, Aurora, CO 80014 | 2018-02-07 |
1265931240 | Jasmine Nicole Joseph | Behavior Technician | 2121 S. Blackhawk St., Aurora, CO 80014 | 2018-02-06 |
1255830238 | Russel Talukder | Behavioral Analyst | 2121 South Blackhawk St 100, Aurora, CO 80014 | 2018-02-06 |
1467951442 | Dylan Kelley | Behavior Technician | 2121 Blackhawk St. Suite 100, Aurora, CO 80014 | 2018-02-06 |
1184123168 | Talisa Fisher | Behavior Technician | 2121 S Blackhawk St Suite 100, Aurora, CO 80014 | 2018-02-06 |
1144732314 | Hellen A Noamesi | Registered Nurse | Kaiser Water Park 1, 2500 S. Havana St, Aurora, CO 80014 | 2017-10-27 |
1255840641 | Amanda Dawn Thompson | Massage Therapist | 3035 South Parker Rd., 560 Building E, Aurora, CO 80014 | 2017-09-28 |
Find all providers in zip 80014 |
Taxonomy Code | 246ZE0600X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Specialist/Technologist, Other |
Specialization | Electroneurodiagnostic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972717700 | South Downing | Specialist/Technologist, Other | 5756 Genoa Way, # 205, Aurora, CO 80019-2090 | 2007-05-10 |
1912347006 | Bhlh Reading, LLC | Specialist/Technologist, Other | 5756 Genoa Way, # 205, Aurora, CO 80019-2090 | 2013-07-03 |
1073953162 | South Downing Professional, LLC | Specialist/Technologist, Other | 5756 Genoa Way, # 205, Aurora, CO 80019-2090 | 2013-07-03 |
1972717718 | Professional Reading, LLC | Specialist/Technologist, Other | 5756 Genoa Way, #205, Aurora, CO 80019-2090 | 2007-05-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073135794 | Denise Hostetler | Specialist/Technologist, Other | 1861 Castlewood Dr, Franktown, CO 80116-9009 | 2020-05-15 |
1447887898 | Altitude Neuromonitoring, LLC | Specialist/Technologist, Other | 236 E Rabbit Ct, Silverthorne, CO 80498-9209 | 2020-03-25 |
1518597855 | Intact Neuromonitoring, LLC | Specialist/Technologist, Other | 3295 Blake St Apt 304, Denver, CO 80205-2469 | 2020-01-24 |
1538635982 | Casey Ryko Jestrovich | Specialist/Technologist, Other | 2318 Hall Ave, Grand Junction, CO 81501-6234 | 2018-10-23 |
1376019679 | Taylor Kaufman | Specialist/Technologist, Other | 5460 Ward Rd Ste 220, Arvada, CO 80002-1818 | 2018-10-15 |
1598246282 | Multiverse Surgical, LLC | Specialist/Technologist, Other | 2085 Driver Ln, Erie, CO 80516-4707 | 2018-08-22 |
1003301979 | Spencer Pankratz | Specialist/Technologist, Other | 4600 S Ulster St Ste 125, Denver, CO 80237-2848 | 2018-06-24 |
1780174169 | Nervepro | Specialist/Technologist, Other | 79 County Road 4103, Granby, CO 80446 | 2018-05-11 |
1871000588 | Peak Neuro Monitoring LLC | Specialist/Technologist, Other | 4164 Austin Bluffs Pkwy Unit 603, Colorado Springs, CO 80918-2928 | 2018-01-03 |
1548792401 | Breanna Singleton | Specialist/Technologist, Other | 280 E 1st Ave Unit 727, Broomfield, CO 80038-2229 | 2017-03-30 |
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.