HEALTHONE CLINIC SERVICES - PEDIATRIC SPECIALTIES LLC (NPI# 1780290452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780290452 |
| Entity Type | Organization |
| Organization Name | HEALTHONE CLINIC SERVICES - PEDIATRIC SPECIALTIES LLC |
| Practice Address |
1801 16th St Greeley CO 80631-5154 |
| Mailing Address |
2000 Health Park Dr Brentwood TN 37027-4525 |
| Practice Telephone | 9708104121 |
| Mailing Telephone | 6153725426 |
| Enumeration Date | 2020-09-18 |
| Last Update Date | 2020-09-18 |
| Authorized Official Name | WILLIAM M SMITHAM (VICE PRESIDENT) |
| Authorized Official Telephone | 3035848119 |
| Is Organization Subpart | Y |
| Parent Organization Name | HEALTHONE CLINIC SERVICES - PEDIATRIC SPECIALTIES LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932715323 | Healthone Clinic Services - Pediatric Specialties LLC | Pediatrics | 2055 N High St Ste 330, Denver, CO 80205-5545 | 2020-09-21 |
| 1184230591 | Healthone Clinic Services - Pediatric Specialties LLC | Pediatrics | 2055 N High St Ste 360, Denver, CO 80205-5666 | 2020-09-21 |
| 1720293251 | Healthone Clinic Services - Pediatric Specialties LLC | Pediatrics | 2055 N High St Ste 110, Denver, CO 80205-5504 | 2007-05-10 |
| 1174139562 | Healthone Clinic Services - Pediatric Specialties LLC | Pediatrics | 2055 N High St Ste 260, Denver, CO 80205-5575 | 2020-09-21 |
| 1144836578 | Healthone Clinic Services - Pediatric Specialties LLC | Pediatrics | 2055 N High St Ste 380, Denver, CO 80205-5503 | 2020-09-21 |
| 1851907257 | Healthone Clinic Services - Pediatric Specialties LLC | Pediatrics | 2055 N High St Ste 370, Denver, CO 80205-5545 | 2020-09-21 |
| 1669088068 | Healthone Clinic Services - Pediatric Specialties LLC | Pediatrics | 2055 N High St Ste 130, Denver, CO 80205-5504 | 2020-09-21 |
| 1194331520 | Healthone Clinic Services - Pediatric Specialties LLC | Pediatrics | 2001 N High St, Denver, CO 80205-5555 | 2020-09-21 |
| 1598371999 | Healthone Clinic Services - Pediatric Specialties LLC | Pediatrics | 2055 N High St Ste 340, Denver, CO 80205-5545 | 2020-09-21 |
| 1407462807 | Healthone Clinic Services - Pediatric Specialties LLC | Pediatrics | 2055 N High St Ste 210, Denver, CO 80205-5507 | 2020-09-21 |
| Street Address |
1801 16TH ST |
| City | GREELEY |
| State | CO |
| Zip Code | 80631-5154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649252867 | Ronald E Baars | Pharmacist | 1801 16th St, Greeley, CO 80631-5154 | 2005-11-15 |
| 1710585500 | Colten M Bray | Nurse Practitioner | 1801 16th St, Greeley, CO 80631-5154 | 2020-10-13 |
| 1588271340 | Becky Lynn Evans | Nurse Practitioner | 1801 16th St, Greeley, CO 80631-5154 | 2020-09-25 |
| 1023624723 | Jarah Adrianna Grashorn | Social Worker | 1801 16th St, Greeley, CO 80631-5154 | 2020-09-17 |
| 1972112035 | Healthone Clinic Services - Cardiovascular LLC | Internal Medicine | 1801 16th St, Greeley, CO 80631-5154 | 2020-07-24 |
| 1831715747 | Sarah Bean | Specialist/Technologist, Other | 1801 16th St, Greeley, CO 80631-5154 | 2020-06-17 |
| 1457975435 | Antonio Costantini | Nurse Anesthetist, Certified Registered | 1801 16th St, Greeley, CO 80631-5154 | 2020-06-04 |
| 1376167569 | Obstetrix Medical Group of Colorado, P.C. | Pediatrics | 1801 16th St, Greeley, CO 80631-5154 | 2020-06-03 |
| 1508480989 | Obstetrix Medical Group of Colorado, P.C. | Pediatrics | 1801 16th St, Greeley, CO 80631-5154 | 2020-06-02 |
| 1093349599 | Courtney Lynn Egan | Registered Nurse | 1801 16th St, Greeley, CO 80631-5154 | 2020-02-24 |
| 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 |
| 1760480453 | Masroor U Kakakhel | Pediatrics | 100 N 11th Ave, Greeley, CO 80631-2011 | 2005-07-07 |
| 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.