KLARISANA PHYSICIAN SERVICES PLLC (NPI# 1902418965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902418965 |
| Entity Type | Organization |
| Organization Name | KLARISANA PHYSICIAN SERVICES PLLC |
| Practice Address |
5005 W 81st Pl Ste 403 Westminster CO 80031-7025 |
| Mailing Address |
8600 Wurzbach Rd Ste 1110 San Antonio TX 78240-4334 |
| Practice Telephone | 2105561430 |
| Practice Fax Number | 8885042390 |
| Mailing Telephone | 2105561430 |
| Enumeration Date | 2020-08-20 |
| Last Update Date | 2020-08-20 |
| Authorized Official Name | DR. CARL JOHN BONNETT (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 2105561430 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | KLARISANA PHYSICIAN SERVICES PLLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QP3300X |
Clinic/Center Specialization: Pain |
Ambulatory Health Care Facilities | ||
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| Y | 261QI0500X |
Clinic/Center Specialization: Infusion Therapy |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013384866 | Klarisana Physician Services Pllc | General Practice | 8600 Wurzbach Rd Ste 1110, San Antonio, TX 78240 | 2015-08-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | KLARISANA PHYSICIAN SERVICES PLLC | 8600 Wurzbach Road Ste 1110, San Antonio, TX 78240-4334 |
| Colorado Business Entities | Klarisana Physician Services PLLC | 1200 S. Parker Rd., Ste 103, Denver, CO 80231 |
| Street Address |
5005 W 81ST PL STE 403 |
| City | WESTMINSTER |
| State | CO |
| Zip Code | 80031-7025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851904023 | 100 Chiro Peterson Three LLC | Chiropractor | 5714 W 89th Ave, Westminster, CO 80031 | 2020-08-28 |
| 1629686894 | Panorama Orthopedics & Spine Center, PC | Clinic/Center | 5540 Main Street, Suite #200, Westminster, CO 80031 | 2020-07-14 |
| 1801352851 | Hope Pediatric Dentistry, Pllc | Clinic/Center | 5724 W. 89th Avenue, Westminster, CO 80031 | 2019-02-14 |
| 1265921860 | Gregory Kyle Guarneros | Acupuncturist | 8428 Princeton St, Westminster, CO 80031 | 2018-05-09 |
| 1316464076 | Boulder Valley Iom, LLC | Psychiatry & Neurology | 4375 W 118th Place, Westminster, CO 80031 | 2017-08-24 |
| 1063936383 | Andrea Presnall | Counselor | 8787 Turnpike Pkwy, Ste 270, Westminster, CO 80031 | 2017-07-28 |
| 1497278261 | Katherine Sara Taylor | Counselor | 8787 Turnpike Drive, #120, Westminster, CO 80031 | 2017-07-24 |
| 1881135796 | Steele Family Counseling, LLC | Marriage & Family Therapist | 8778 Wolff Court, Suite 202, Westminster, CO 80031 | 2017-03-10 |
| 1235599762 | Katie Coyle | Licensed Practical Nurse | 3964 Main St, 104, Westminster, CO 80031 | 2016-02-25 |
| 1467838037 | James Weiss | Counselor | 8407 N Bryant St., Wetminister, CO 80031 | 2015-08-06 |
| Find all providers in zip 80031 | ||||
| Taxonomy Code | 261QI0500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Infusion Therapy |
| Definition to come... |
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| 1083775621 | Option Care Enterprises, Inc. | Clinic/Center | 345 Inverness Dr S, Building A, Suite 140, Englewood, CO 80112-5890 | 2006-12-13 |
| 1821622176 | Novamentis PC | Clinic/Center | 2212 Red Edge Hts, Colorado Springs, CO 80921-7227 | 2020-02-26 |
| 1801435789 | Military Matters Ketamine Infusions of Colorado | Clinic/Center | 530 Communication Cir, Colorado Springs, CO 80905-1744 | 2019-12-24 |
| 1477112639 | Poudre Valley Health Care Inc. | Clinic/Center | 2121 E Harmony Rd Unit 170, Fort Collins, CO 80528-3413 | 2019-06-11 |
| 1235438326 | Colorado Arthritis Infusion Center | Clinic/Center | 1551 Professional Ln, Suite 235, Longmont, CO 80501-6972 | 2011-03-15 |
| City | WESTMINSTER |
| Zip Code | 80031 |
Please comment or provide details below to improve the information on KLARISANA PHYSICIAN SERVICES PLLC.
| 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.