CCCRIC LLC (NPI# 1760814644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760814644 |
| Entity Type | Organization |
| Organization Name | CCCRIC LLC |
| Practice Address |
799 E Hampden Ave Ste 500 Englewood CO 80113-2777 |
| Practice Telephone | 3037888675 |
| Practice Fax Number | 3037888489 |
| Mailing Telephone | 3037888675 |
| Mailing Fax Number | 3037888489 |
| Enumeration Date | 2013-08-02 |
| Last Update Date | 2014-05-12 |
| Authorized Official Name | MRS. JANICE HALVORSON (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 3037888675 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 68524374 | 05 |
| Street Address |
799 E HAMPDEN AVE STE 500 |
| City | ENGLEWOOD |
| State | CO |
| Zip Code | 80113-2777 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992355192 | Molly Burns | Physician Assistant | 799 E Hampden Ave Ste 500, Englewood, CO 80113-2777 | 2019-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306339163 | Colorado Urgent Care Physicians, PC | Clinic/Center | 5102 South Broadway, Englewood, CO 80113 | 2018-06-07 |
| 1518489178 | High Five Home Care LLC. | In Home Supportive Care | 4055 S Broadway, Suite #102, Englewood, CO 80113 | 2017-07-14 |
| 1720518426 | Chelsea M Bega | Audiologist | 3439 S Lincoln St, Englewood, CO 80113 | 2017-06-14 |
| 1689110272 | Mary Frances Mckinley | Physical Therapy Assistant | 3460 S Downing Street, Englewood, CO 80113 | 2017-01-06 |
| 1295190585 | Kassandra Dominique Hill | Nurse's Aide | 3301 S Whaington St, Apt.109, Englewood, CO 80113 | 2015-12-31 |
| 1760862130 | Grenhart & Associates, LLC | Psychologist | 3601 S Clarkson Street, Suite 540, Englewood, CO 80113 | 2015-06-01 |
| 1669807392 | Jill C Tomaso | Occupational Therapist | 3218 South Logan Street, Englewood, CO 80113 | 2013-09-12 |
| 1255683868 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 3495 S University Blvd, Englewood, CO 80113 | 2012-10-05 |
| 1700137825 | Stanley Leon Hannah | General Practice | 5 Martin Lane, Cherry Hills Village, CO 80113 | 2012-09-28 |
| 1558623496 | Annelise Lorelei Dawson | Dermatology | 499 E Hampden Ave Ste 390, Englewood, CO 80113 | 2012-06-15 |
| Find all providers in zip 80113 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205030764 | Mohan S Khurana Md Pa | Internal Medicine | 130 S Indiana Ave Ste A, Englewood, FL 34223-3301 | 2007-06-11 |
| 1376597260 | Raul Alvarez | Internal Medicine | 3601 S Clarkson St Ste 520, Englewood, CO 80113-3949 | 2006-05-22 |
| 1316920093 | Mohan Singh Khurana | Internal Medicine | 130 S Indiana Ave, Englewood, FL 34223-3301 | 2005-11-27 |
| 1972739308 | Maxwell Janosky | Internal Medicine | 350 Engle St, Berrie Bldg Floor 1, Englewood, NJ 07631-1808 | 2009-05-29 |
| 1851525406 | Blessy Mathew Jacob | Internal Medicine | 714 Doctors Dr, Englewood, FL 34223 | 2009-05-12 |
| 1235289554 | Colorado Cancer Care LLC | Internal Medicine | 3601 S Clarkson St Ste 520, Englewood, CO 80113-3949 | 2007-01-11 |
| 1487760930 | Minaxi Jhawer | Internal Medicine | 350 Engle St, Berrie Building, 1st Floor, Englewood, NJ 07631-1808 | 2006-08-21 |
| 1225057631 | David Reid Trevarthen | Internal Medicine | 799 E Hampden Ave, Suite 500, Englewood, CO 80113-2700 | 2006-07-18 |
| 1023057148 | Howard M Gross | Internal Medicine | 9000 N Main St Ste G-36, Englewood, OH 45415-1183 | 2006-06-05 |
| 1851348841 | Tarek M Sabagh | Internal Medicine | 9000 N Main St Ste G-36, Englewood, OH 45415-1183 | 2006-05-27 |
| Find all providers in ENGLEWOOD | ||||
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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.