CORVA CLINICS, LLC - GULF COAST (NPI# 1902159684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902159684 |
| Entity Type | Organization |
| Organization Name | CORVA CLINICS, LLC - GULF COAST |
| Other Organization Name | CORVA GULF COAST DIALYSIS CENTER |
| Practice Address |
10233 S Parker Rd Suite 300 Parker CO 80134-9314 |
| Practice Telephone | 7204023881 |
| Mailing Telephone | 7204023881 |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2016-07-26 |
| Authorized Official Name | JERRY SIMONSEN (CEO) |
| Authorized Official Telephone | 7204023881 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 007209200 | 05 |
| Other Name | Type Code |
|---|---|
| Corva Gulf Coast Dialysis Center | Doing Business As Name - Organization |
| Street Address |
10233 S PARKER RD SUITE 300 |
| City | PARKER |
| State | CO |
| Zip Code | 80134-9314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316006505 | Susanna Choi | Obstetrics & Gynecology | 10233 S Parker Rd, Unit 200, Parker, CO 80134-9314 | 2006-12-06 |
| 1164937785 | Derek Lee Wills | Specialist/Technologist, Other | 10233 S Parker Rd, Parker, CO 80134-9314 | 2017-12-05 |
| 1982074043 | Ardas Family Dental PC | Dentist | 10233 S Parker Rd, #205, Parker, CO 80134-9314 | 2015-10-01 |
| 1396136008 | Parker Iom LLC | Specialist/Technologist, Other | 10233 S Parker Rd, Suite 105, Parker, CO 80134-9314 | 2015-02-17 |
| 1598156358 | Inspired Life Counseling and Coaching,llc | Social Worker | 10233 S Parker Rd, Suite 300, Parker, CO 80134-9314 | 2015-02-13 |
| 1497159297 | Perri Corvino | Counselor | 10233 S Parker Rd, Parker, CO 80134-9314 | 2014-10-22 |
| 1134466402 | Floss Dental | Dentist | 10233 S Parker Rd, Suite 203, Parker, CO 80134-9314 | 2013-01-07 |
| 1215271374 | Matthew A Metz Md PC | Surgery | 10233 S Parker Rd, Ste 202, Parker, CO 80134-9314 | 2012-11-15 |
| 1366628877 | Roopindar Kattaura | Dentist | 10233 S Parker Rd, #205, Parker, CO 80134-9314 | 2008-01-15 |
| 1891817037 | Kristin Joanne Grant | Social Worker | 10233 S Parker Rd, Suite 300, Parker, CO 80134-9314 | 2007-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821560731 | Michaela Cox | Massage Therapist | 18551 E Mainstreet #103, Suite 15, Parker, CO 80134 | 2018-12-18 |
| 1376038315 | Danielle Rene Adamson | Audiologist | 11211 South Bransfeltd Road, Parker, CO 80134 | 2018-06-22 |
| 1316431042 | Michael Petrie | Massage Therapist | 10841 S Crossroads Drive, Suite 17, Parker, CO 80134 | 2018-06-16 |
| 1942729942 | Anthony Bricker | Specialist/Technologist | 5303 Territorial Street, Parker, CO 80134 | 2017-09-12 |
| 1609394238 | Mountain Peak Counseling | Counselor | 12760 Stroh Ranch Way Suite 201, Parker, CO 80134 | 2017-09-04 |
| 1013448497 | Cvs Pharmacy, Inc | Durable Medical Equipment & Medical Supplies | 16920 Lincoln Ave, Parker, CO 80134 | 2017-03-27 |
| 1043759921 | Timothy Michael Loar | Physical Therapist | 19964 E. Hilltop Rd, Suite B, Parker, CO 80134 | 2017-02-13 |
| 1851842835 | Carla S Bradburn | Counselor | 9581 Pearl Circle, #105, Parker, CO 80134 | 2016-10-14 |
| 1942653258 | West Coast Neuro | Specialist/Technologist, Other | 10940 S Parker Rd # 503, Parker, CO 80134 | 2016-07-21 |
| 1487036950 | Amber Abrams | Nurse Practitioner | 4251 Twenty Mile Rd, Parker, CO 80134 | 2015-06-22 |
| Find all providers in zip 80134 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891127320 | Parker Kidney Center LLC | Clinic/Center | 18320 Cottonwood Dr, Suite C, Parker, CO 80138-8822 | 2013-08-07 |
| 1598921066 | Mountain West Dialysis Services LLC | Clinic/Center | 10371 S Park Glenn Way, Ste 180, Parker, CO 80138-3871 | 2008-08-04 |
| 1356443519 | Bio-medical Applications of Arizona, LLC | Clinic/Center | Rr 1, 12205 Kennedy Dr, Parker, AZ 85344-9701 | 2006-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063028934 | Fresenius Medical Care Dialysis Services Colorado, LLC | Clinic/Center | 1329 W Main St Ste B, Sterling, CO 80751-2834 | 2020-09-16 |
| 1295340073 | Fresenius Medical Care Dialysis Services Colorado, LLC | Clinic/Center | 2431 Main St Ste 5, Alamosa, CO 81101-8110 | 2020-09-09 |
| 1861007643 | Fresenius Medical Care Dialysis Services Colorado, LLC | Clinic/Center | 1125 S Camino Del Rio Ste 300b, Durango, CO 81303-6886 | 2020-09-09 |
| 1801424379 | Fresenius Medical Care Sloans Lake, LLC | Clinic/Center | 4097 W Colfax Ave, Denver, CO 89204-1404 | 2020-03-31 |
| 1043859507 | Altitude Dialysis Inc. | Clinic/Center | 1209 Monroe Street, Denver, CO 80206-3445 | 2020-01-02 |
| 1083259634 | Fresenius Medical Care Colorado Springs, LLC | Clinic/Center | 3326 Centennial Blvd, Colorado Springs, CO 80907-4092 | 2019-11-07 |
| 1376025585 | Fresenius Medical Care Dialysis Services Colorado LLC | Clinic/Center | 1526 Oakridge Dr, Fort Collins, CO 80525-7305 | 2018-09-04 |
| 1639692288 | Southwest Rocky Mountain Dialysis, LLC | Clinic/Center | 4834 Chambers Rd, Denver, CO 80239-5152 | 2017-07-25 |
| 1174074223 | Milltown Dialysis LLC | Clinic/Center | 1321 S 4th Ave Ste 100, Brighton, CO 80601 | 2016-10-24 |
| 1285086389 | Kidney Center of Dacono LLC | Clinic/Center | 5992 Iris Pkwy, Frederick, CO 80504-6412 | 2016-07-13 |
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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.