COLORADO PERMANENTE MEDICAL GROUP, P.C. (NPI# 1881047439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881047439 |
| Entity Type | Organization |
| Organization Name | COLORADO PERMANENTE MEDICAL GROUP, P.C. |
| Other Organization Name | KAISER PERMANENTE WATERPARK II |
| Practice Address |
2530 S Parker Rd 4th Floor Aurora CO 80014-1623 |
| Mailing Address |
10350 E Dakota Ave Denver CO 80247-1314 |
| Practice Telephone | 3033384545 |
| Mailing Telephone | 3033384545 |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2019-09-25 |
| Authorized Official Name | MATTHEW J SPLINTER (CPMG CFO) |
| Authorized Official Telephone | 3033447345 |
| Is Organization Subpart | Y |
| Parent Organization Name | COLORADO PERMANENTE MEDICAL GROUP, P.C. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | CO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 04710083 | 05 |
| Other Name | Type Code |
|---|---|
| Kaiser Permanente Waterpark II | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336775469 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 3920 N Union Blvd, Colorado Springs, CO 80907-4900 | 2020-03-20 |
| 1952937039 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 14701 E Exposition Ave, Aurora, CO 80012-2623 | 2020-03-20 |
| 1851927933 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 10240 Park Meadows Dr, Lone Tree, CO 80124-5425 | 2020-03-20 |
| 1669008744 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 8383 W Alameda Ave, Lakewood, CO 80226-3007 | 2020-03-20 |
| 1639641152 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 2625 W Pueblo Blvd, Pueblo, CO 80014-5833 | 2018-12-21 |
| 1083161152 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 226 Lusher Court, Ste 104, Frisco, CO 80443-7600 | 2016-09-07 |
| 1932655099 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 56 Edwards Village Blvd, Ste 208, Edwards, CO 81632-7802 | 2016-08-29 |
| 1487100541 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 215 S Parkside Dr, Ste 215, Colorado Springs, CO 80910-3131 | 2016-08-29 |
| 1205382363 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 1136 E Stuart St, Bldg 3, 2nd Floor, Fort Collins, CO 80525-1195 | 2016-08-29 |
| 1174079594 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 4318 Trail Boss Dr, Ste 100, Castle Rock, CO 80104-7512 | 2016-08-26 |
| Street Address |
2530 S PARKER RD 4TH FLOOR |
| City | AURORA |
| State | CO |
| Zip Code | 80014-1623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336168384 | Harold R Christiansen Dds PC | Dentist | 2530 S Parker Rd, Suite 201, Aurora, CO 80014-1623 | 2006-07-19 |
| 1497263719 | Bryan J Reyes | Registered Nurse | 2530 S Parker Rd, Aurora, CO 80014-1623 | 2018-01-22 |
| 1104344670 | Julie Edgerton | Registered Nurse | 2530 S Parker Rd, Aurora, CO 80014-1623 | 2017-09-05 |
| 1831550151 | Clifton Willmeng | Registered Nurse | 2530 S Parker Rd, Aurora, CO 80014-1623 | 2016-03-14 |
| 1538541735 | Kristina Canady | Registered Nurse | 2530 S Parker Rd, Aurora, CO 80014-1623 | 2015-06-24 |
| 1588071120 | Amy Michelle Destaffany | Dental Hygienist | 2530 S Parker Rd, Suite 202, Aurora, CO 80014-1623 | 2014-07-15 |
| 1114331865 | Kimberly Miyamoto | Dentist | 2530 S Parker Rd, #201, Aurora, CO 80014-1623 | 2014-06-19 |
| 1831521541 | Tonya D Campbell | Registered Nurse | 2530 S Parker Rd, Water Park IIi, Aurora, CO 80014-1623 | 2013-08-05 |
| 1265748792 | Scottie Garland | Registered Nurse | 2530 S Parker Rd, Aurora, CO 80014-1623 | 2010-08-21 |
| 1265747059 | Karen Seeley | Registered Nurse | 2530 S Parker Rd, Aurora, CO 80014-1623 | 2010-08-17 |
| Find all providers in the same location | ||||
| 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 | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164906111 | Choices Treatment Center | Clinic/Center | 2823 Pontiac Dr, Aurora, IL 60502-8806 | 2018-09-16 |
| 1326543497 | Rocky Mountain Youth Medical and Nursing Consultants, Inc | Clinic/Center | 1600 Florence St, Aurora, CO 80010-2130 | 2018-03-29 |
| 1386805364 | Richcreek Therapy Ltd | Clinic/Center | 15200 E Girard Ave Ste 1900, Aurora, CO 80014-5048 | 2008-06-22 |
| 1609053297 | Advanced Primary Health Care Sc | Clinic/Center | 1256 Waterford Drive, Suite 110, Aurora, IL 60504 | 2008-01-25 |
| 1518155282 | Kaiser Permanente | Clinic/Center | 17060 E Atlantic Pl, Aurora, CO 80013-1238 | 2007-10-09 |
| 1154515815 | Kt Physical Therapy, PC | Clinic/Center | 2993 S. Peoria Street, Suite 104, Aurora, CO 80014-5704 | 2007-09-05 |
| 1205940921 | Kaiser Foundation Health Plan of Colorado | Clinic/Center | 16601 E Centretech Parkway, Aurora, CO 80111 | 2006-08-19 |
| 1568076982 | Step Therapy LLC | Clinic/Center | 14095 E Exposition Ave, Aurora, CO 80012-2522 | 2020-09-02 |
| 1376103218 | University of Colorado Hospital Authority | Clinic/Center | 13001 E 17th Pl Fl 2, Aurora, CO 80045-2570 | 2019-06-13 |
| 1831653062 | Satisfy Nutrition LLC | Clinic/Center | 13710 E Rice Pl Ste 220, Aurora, CO 80015-1074 | 2019-01-22 |
| Find all providers in AURORA | ||||
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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.