UCHEALTH EMERGENCY PHYSICIAN SERVICES PC (NPI# 1891297651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891297651 |
| Entity Type | Organization |
| Organization Name | UCHEALTH EMERGENCY PHYSICIAN SERVICES PC |
| Practice Address |
11820 Destination Dr Broomfield CO 80021-2518 |
| Mailing Address |
2695 Rocky Mountain Ave Ste 150 Loveland CO 80538-9071 |
| Practice Telephone | 7208480000 |
| Practice Fax Number | 3034606197 |
| Mailing Telephone | 9706244443 |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2018-03-07 |
| Authorized Official Name | JANA L CONROY (MANAGER CREDENTIALING) |
| Authorized Official Telephone | 9706244443 |
| Authorized Official Credential | RHIA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0002X |
Clinic/Center Specialization: Emergency Care |
Ambulatory Health Care Facilities |
| Street Address |
11820 DESTINATION DR |
| City | BROOMFIELD |
| State | CO |
| Zip Code | 80021-2518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760481519 | Tammron Jay Kleeman | Orthopaedic Surgery | 11820 Destination Dr, Broomfield, CO 80021-2518 | 2005-07-14 |
| 1760081509 | Poudre Valley Medical Group, LLC | Social Worker | 11820 Destination Dr, Broomfield, CO 80021-2518 | 2020-10-22 |
| 1851998967 | Sikora Elizabeth Cain | Physician Assistant | 11820 Destination Dr, Broomfield, CO 80021-2518 | 2020-10-02 |
| 1821555863 | Ellyn Ann Ayervais | Physician Assistant | 11820 Destination Dr, Broomfield, CO 80021-2518 | 2019-02-26 |
| 1770048217 | Uchealth Broomfield Hospital | Rehabilitation Unit | 11820 Destination Dr, Broomfield, CO 80021-2518 | 2019-02-08 |
| 1326503475 | Ana Janette Ehrlich | Spec/Tech, Pathology | 11820 Destination Dr, Broomfield, CO 80021-2518 | 2019-02-03 |
| 1245754910 | Moranda Lynn Boles | Dietitian, Registered | 11820 Destination Dr, Broomfield, CO 80021-2518 | 2017-08-03 |
| 1093165268 | Jordan Matthew Wyrwa | Physical Medicine & Rehabilitation | 11820 Destination Dr, Broomfield, CO 80021-2518 | 2016-06-17 |
| 1730539214 | Catherine Grant Cooper | Physical Medicine & Rehabilitation | 11820 Destination Dr, Broomfield, CO 80021-2518 | 2016-06-15 |
| 1528442357 | Uchealth Broomfield Hospital | Rehabilitation Unit | 11820 Destination Dr, Broomfield, CO 80021 | 2015-07-10 |
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|---|---|---|---|---|
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| 1205490398 | Amber Kay Kisser | Occupational Therapist | 7770 W 101st Ave, Westminster, CO 80021 | 2019-04-24 |
| 1871093138 | Samantha Ewing | Audiologist | 403 Summit Blvd., # 204, Broomfield, CO 80021 | 2018-02-13 |
| 1568978914 | Denver Recovery Center, LLC | Clinic/Center | 295 Interlocken Blvd Ste 400, Broomfield, CO 80021 | 2017-12-21 |
| 1730601477 | Elaine H Kim | Audiologist | 120 Edgeview Dr., Unit 6220, Broomfield, CO 80021 | 2017-07-14 |
| 1245605575 | Profound Fitness, LLC | Day Training, Developmentally Disabled Services | 7721 W 92nd Ave, Westminster, CO 80021 | 2015-12-11 |
| 1558785634 | Nichelle Francavilla Gurule | Chiropractor | 11336 W 104th Ave, Westminster, CO 80021 | 2014-02-10 |
| 1255770244 | Martha Ha | Dentist | 645 Flatiron Marketplace Dr Unit A, Broomfield, CO 80021 | 2013-06-23 |
| 1467737841 | Nathaniel Weidner | Pharmacist | 10350 Dover St. D28, Westminster, CO 80021 | 2011-10-17 |
| 1346475209 | Christine Marie Maren | Family Medicine | 8181 Arista Pl Unit 100, Broomfield, CO 80021 | 2009-05-21 |
| Find all providers in zip 80021 | ||||
| Taxonomy Code | 261QE0002X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Emergency Care |
| Definition to come... |
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|---|---|---|---|---|
| 1043640881 | Broomfield Huron Medical Center, LLC | Clinic/Center | 875 W 136th Ave, Broomfield, CO 80023-9303 | 2013-11-14 |
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| 1134754153 | Gunnison Valley Hospital | Clinic/Center | 12 Snowmass Road, #100, Crested Butte, CO 81225 | 2020-03-10 |
| 1477192805 | Parkview Medical Center, Inc | Clinic/Center | 899 E Industrial Blvd, Pueblo West, CO 81007-1442 | 2020-01-02 |
| 1922644194 | Hca Healthone LLC | Clinic/Center | 12223 Pine Bluffs Way, Parker, CO 80134-1201 | 2019-11-22 |
| 1447815881 | Hca-healthone LLC | Clinic/Center | 12793 Holly St, Thornton, CO 80241-3198 | 2019-05-01 |
| 1417511825 | Hca-healthone LLC | Clinic/Center | 4930 Wabash St, Denver, CO 80238-3281 | 2019-05-01 |
| 1790340131 | Hca-healthone LLC | Clinic/Center | 6196 S Ammons Way, Littleton, CO 80123-4109 | 2019-05-01 |
| 1871157297 | Hca-healthone LLC | Clinic/Center | 22500 E Dry Creek Rd, Aurora, CO 80016-2120 | 2019-05-01 |
| 1073178414 | Hca-healthone LLC | Clinic/Center | 260 S Wadsworth Blvd, Lakewood, CO 80226-1517 | 2019-05-01 |
| 1013407865 | University of Colorado Hospital Authority | Clinic/Center | 9505 Ralston Rd., Arvada, CO 80002 | 2018-05-17 |
| Find all providers with the same taxonomy | ||||
| City | BROOMFIELD |
| Zip Code | 80021 |
Please comment or provide details below to improve the information on UCHEALTH EMERGENCY PHYSICIAN SERVICES PC.
| 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.