DR. MICHELE ANGELEC STREETER (NPI# 1902069545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902069545 |
| Entity Type | Individual |
| Full Name | DR. MICHELE ANGELEC STREETER |
| Other Name | DR. MICHELE ANGELEC COX |
| Credential | M.D. |
| Practice Address |
1339 Phay Ave Canon City CO 81212-2301 |
| Practice Telephone | 7192852700 |
| Practice Fax Number | 7192852455 |
| Mailing Telephone | 7192852700 |
| Mailing Fax Number | 7192852455 |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2013-09-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
52421 | CO | Allopathic & Osteopathic Physicians |
| N | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
0101247613 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
1339 PHAY AVE |
| City | CANON CITY |
| State | CO |
| Zip Code | 81212-2301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588096184 | Catholic Health Initiatives Colorado | Otolaryngology | 1339 Phay Ave, Canon City, CO 81212-2301 | 2013-08-06 |
| 1053638064 | Mollie T Miller | Obstetrics & Gynecology | 1339 Phay Ave, Canon City, CO 81212-2301 | 2010-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083212393 | Buck Jack LLC | Physical Therapist | Mountain View Core Knowledge School 890 Field Ave, Cannon City, CO 81212 | 2020-10-09 |
| 1942841374 | Glorious Works Neurotherapy | Community/Behavioral Health | 115 N 7th Street, Canon City, CO 81212 | 2019-10-07 |
| 1376046292 | Lonnie Mccarron | Social Worker | 600 Evans Rd, Fremont Correctional Facility, Canon City, CO 81212 | 2018-03-16 |
| 1487156964 | Patrick Neil Cox | Case Manager/Care Coordinator | 3239 Independence Road, Canon City, CO 81212 | 2018-03-01 |
| 1831559806 | Justin Ensinger | Counselor | 700 Four Mile Parkway, Canon City, CO 81212 | 2016-03-03 |
| 1710365713 | Amber Conover | Health Educator | 105 N 10th Street, Canon City, CO 81212 | 2015-05-11 |
| 1902073448 | Richard R Williams | Counselor | 612 Field Ave, Canon City, CO 81212 | 2008-05-14 |
| 1861662249 | Huh Inc | Hearing Instrument Specialist | 121 Justice Center Rd Ste D, Canon City, CO 81212 | 2008-03-03 |
| 1013113828 | Deborah Eileen Shock | Nurse Practitioner | 275 W Hwy 50, Canon City, CO 81212 | 2007-06-27 |
| 1245433564 | Lindsey Elizabeth Fish | Internal Medicine | 275 West Hwy 50, Colorado Territorial Correctional Facility, Canon City, CO 81212 | 2007-06-06 |
| Find all providers in zip 81212 | ||||
| Taxonomy Code | 207YX0007X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Plastic Surgery within the Head & Neck |
| An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy is currently provided in the subspecialty of Otolaryngology/Facial Plastic Surgery (see Taxonomy Code 207YX0905X) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023451176 | Kelly Joy Pettijohn | Otolaryngology | 2045 N Franklin St, Denver, CO 80205 | 2013-04-08 |
| 1174834972 | David Joseph Grindler | Otolaryngology | 10240 Park Meadows Dr, Lone Tree, CO 80124-5425 | 2010-06-25 |
| 1457502940 | Khalid Chowdhury Md, PC | Otolaryngology | 1601 E 19th Ave, Suite 3000, Denver, CO 80218-1216 | 2008-10-02 |
| 1407990120 | Phyllis Ann Bergeron | Otolaryngology | 1375 E 19th Ave, Denver, CO 80218-1114 | 2007-02-16 |
| 1952445587 | Lawrence A Gordon | Otolaryngology | 10240 Park Meadows Dr, Lone Tree, CO 80124-5425 | 2007-02-16 |
| 1295898187 | Ryan Andrew Gaines | Otolaryngology | 2555 S Downing St, Suite #100, Denver, CO 80210-5855 | 2006-12-19 |
| 1235218009 | Healthone Clinic Services LLC | Otolaryngology | 799 E Hampden Ave, Suite 530, Englewood, CO 80113-2786 | 2006-11-03 |
| 1053490839 | Andrew J Nemechek | Otolaryngology | 701 E Hampden Ave Ste 225, Englewood, CO 80113-2737 | 2006-11-03 |
| 1659473874 | Paul Harold Dragul | Otolaryngology | 850 E Harvard Ave, Ste #505, Denver, CO 80210-5073 | 2006-09-01 |
| 1376560375 | Seth A Reiner, M.d., P.C. | Otolaryngology | 200 W County Line Rd, Suite 330, Highlands Ranch, CO 80129-2360 | 2006-07-16 |
| Find all providers with the same taxonomy | ||||
| City | CANON CITY |
| Zip Code | 81212 |
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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.