ROCKY MOUNTAIN MEDICAL GROUP, P.C. (NPI# 1750508404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750508404 |
| Entity Type | Organization |
| Organization Name | ROCKY MOUNTAIN MEDICAL GROUP, P.C. |
| Practice Address |
8380 Zuni St Ste 205 Denver CO 80221-4689 |
| Practice Telephone | 3036506201 |
| Practice Fax Number | 3036501569 |
| Mailing Telephone | 3036506201 |
| Mailing Fax Number | 3036501569 |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. BRIAN JOSEPH BEATTY (PRESIDENT) |
| Authorized Official Telephone | 3037620900 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 202C00000X | Independent Medical Examiner | Allopathic & Osteopathic Physicians | ||
| X | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
28419 | CO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780801787 | Rocky Mountain Medical Group, P.C. | Independent Medical Examiner | 13650 E Mississippi Ave Ste 120, Aurora, CO 80012-3573 | 2007-04-19 |
| 1619982089 | Rocky Mountain Medical Group, P.C. | Preventive Medicine | 730 W Hampden Avenue Suite 200, Englewood, CO 80110-8129 | 2006-07-31 |
| 1497212112 | Rocky Mountain Medical Group, P.C. | Preventive Medicine | 4800 Baseline Rd Ste D106, Boulder, CO 80303-2643 | 2019-02-28 |
| Street Address |
8380 ZUNI ST STE 205 |
| City | DENVER |
| State | CO |
| Zip Code | 80221-4689 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740632082 | Maria Ana Guzman | Counselor | 8380 Zuni St Ste 205, Denver, CO 80221-4689 | 2016-07-11 |
| 1740691344 | Pearly White Smiles | Dental Hygienist | 8380 Zuni St Ste 205, Denver, CO 80221-4689 | 2014-05-16 |
| 1558772293 | Ricardo Sanchez | Dental Hygienist | 8380 Zuni St Ste 205, Denver, CO 80221-4689 | 2014-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073060505 | Sayfon Siamphone | Dental Hygienist | 2220 W 80th Pl, Denver, CO 80221 | 2016-09-01 |
| 1477958445 | Ravid Moshe Gur | Student in an Organized Health Care Education/Training Program | 4455 E. 12th Avenue, Denver, CO 80221 | 2014-11-03 |
| 1447654223 | Rebecca Sonnenburg | Physical Therapy Assistant | 3150 W 63rd Ave, Denver, CO 80221 | 2014-10-22 |
| 1205126463 | Deanne Marie Hufnagel Wingerter | Pediatrics | 4975 Newton St, Denver, CO 80221 | 2011-04-08 |
| 1558662510 | Grant Kinser | Counselor | 4805 Umatilla St, Denver, CO 80221 | 2010-11-08 |
| 1417261207 | Wal-mart Stores Inc. | Eyewear Supplier (Equipment, not the service) | 7101 E 128th St., Thornton, CO 80221 | 2010-08-04 |
| 1811211923 | Lymari Diaz | Counselor | 8384 Elati S., Denver, CO 80221 | 2010-03-18 |
| 1881928463 | Jonathan M Sullivan | Case Manager/Care Coordinator | 2829 W 33rd Ave., Denver, CO 80221 | 2009-09-29 |
| 1851536569 | Tyler Stuart Root | Specialist/Technologist, Other | 6696 Warren Dr, Denver, CO 80221 | 2008-12-09 |
| 1851554828 | Jessica J Kraeft | Radiology | 1756 W 67th Ave, Denver, CO 80221 | 2008-07-09 |
| Find all providers in zip 80221 | ||||
| Taxonomy Code | 202C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Independent Medical Examiner |
| A special evaluator not involved with the medical care of the individual examinee that impartially evaluates the care being provided by other practitioners to clarify clinical, disability, liability or other case issues. |
| Notes: Source: American Board of Independent Medical Examiners, www.abime.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780801787 | Rocky Mountain Medical Group, P.C. | Independent Medical Examiner | 13650 E Mississippi Ave Ste 120, Aurora, CO 80012-3573 | 2007-04-19 |
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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.