DR. MASROOR U KAKAKHEL (NPI# 1760480453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760480453 |
| Entity Type | Individual |
| Full Name | DR. MASROOR U KAKAKHEL |
| Credential | MD |
| Practice Address |
100 N 11th Ave Greeley CO 80631-2011 |
| Mailing Address |
2930 11th Ave Evans CO 80620-1011 |
| Practice Telephone | 9703528898 |
| Practice Fax Number | 9703517075 |
| Mailing Telephone | 9703539403 |
| Mailing Fax Number | 9703539906 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2013-01-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 37532 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 11133741 | 05 |
| Street Address |
100 N 11TH AVE |
| City | GREELEY |
| State | CO |
| Zip Code | 80631-2011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598371494 | North Range Behavioral Health | Clinic/Center | 100 N 11th Ave, Greeley, CO 80631-2011 | 2020-09-17 |
| 1740791011 | Sunrise Community Health | Dentist | 100 N 11th Ave, Greeley, CO 80631-2011 | 2017-10-13 |
| 1972048007 | Kimberly Schauer | Physician Assistant | 100 N 11th Ave, Greeley, CO 80631-2011 | 2016-12-28 |
| 1952776411 | Ariana Iacobucci | Counselor | 100 N 11th Ave, Greeley, CO 80631-2011 | 2015-12-09 |
| 1720475346 | Kerri Barberio | Dentist | 100 N 11th Ave, Greeley, CO 80631-2011 | 2015-04-21 |
| 1548665615 | Gabriela Camacho | Counselor | 100 N 11th Ave, Greeley, CO 80631-2011 | 2014-10-30 |
| 1801291976 | David Felix | Behavioral Analyst | 100 N 11th Ave, Greeley, CO 80631-2011 | 2014-10-30 |
| 1942620042 | David M Haralson | Counselor | 100 N 11th Ave, Greeley, CO 80631-2011 | 2014-04-16 |
| 1285061820 | Charlotte Rodriguez | Counselor | 100 N 11th Ave, Greeley, CO 80631-2011 | 2013-09-27 |
| 1275877094 | Angela M White | Counselor | 100 N 11th Ave, Greeley, CO 80631-2011 | 2012-11-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497395743 | Marcia Martinez | Peer Specialist | 1700 N 17th Ave, Greeley, CO 80631 | 2020-01-14 |
| 1073083036 | Ryan Lawhead | Specialist/Technologist | 270 Alles Dr. D, Butler Hancock Athletic Center, Greeley, CO 80631 | 2018-12-03 |
| 1447766647 | Patricia G Ferguson | Counselor | 14272 Wcr 72, Greeley, CO 80631 | 2017-12-26 |
| 1760902662 | Robert Anthony Rexroad | Counselor | 1300 N. 17th Avenue, Greeley, CO 80631 | 2017-06-21 |
| 1326577750 | Danielle Rodriguez | Psychologist | 1300 N. 17th Ave, Greeley, CO 80631 | 2017-06-08 |
| 1790157865 | Safeway | Pharmacy | 3526 W 10th Street, Greeley, CO 80631 | 2015-10-28 |
| 1245574508 | Jayme L Clapp | Counselor | 1407 8th Ave, Greeley, CO 80631 | 2012-11-26 |
| 1114246006 | Cynthia Melissa Gitler | Emergency Medicine | Banner Health, North Colorado Medical Center, 1601 18th Street, Greenley, CO 80631 | 2010-05-18 |
| 1942438023 | Khoi Dinh Le | Surgery | 1800 15th St., Suite 200, Greeley, CO 80631 | 2009-06-26 |
| 1174760011 | Darwin James Hargrave | Counselor | 912 9th Ave., #222, Greeley, CO 80631 | 2009-01-14 |
| Find all providers in zip 80631 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952619348 | Sunitha Valambige Mudalagiri Gowda | Pediatrics | 2001 70th Ave Fl 3, Greeley, CO 80624-4621 | 2010-09-20 |
| 1437135613 | Deborah Archer | Pediatrics | 1010 A St, Greeley, CO 80631-2021 | 2005-12-19 |
| 1780290452 | Healthone Clinic Services - Pediatric Specialties LLC | Pediatrics | 1801 16th St, Greeley, CO 80631-5154 | 2020-09-18 |
| 1255944419 | Poudre Valley Medical Group, LLC | Pediatrics | 5881 W 16th St, Greeley, CO 80634-2910 | 2020-08-27 |
| 1255944831 | Poudre Valley Medical Group, LLC | Pediatrics | 6767 29th St Fl 3, Greeley, CO 80634-5474 | 2020-08-25 |
| 1710459045 | Aggie Pediatrics, LLC | Pediatrics | 1610 29th Avenue Pl Ste 101, Greeley, CO 80634-6800 | 2018-12-27 |
| 1659783199 | Brittany Weber | Pediatrics | 5881 W 16th St, Greeley, CO 80634-2910 | 2014-06-02 |
| 1558789263 | Emily Grace Allwein | Pediatrics | 2429 35th Ave, Greeley, CO 80634-4171 | 2014-03-31 |
| 1821344664 | Kathryn Chmura | Pediatrics | 6801 W 20th St, Suite #201, Greeley, CO 80634-9637 | 2012-07-31 |
| 1275808586 | Meghan Ann Croteau Fels | Pediatrics | 6801 W 20th St, Suite 201, Greeley, CO 80634-9637 | 2012-03-20 |
| Find all providers in GREELEY | ||||
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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.