DR. EDWARD LADYZHENSKIY (NPI# 1912325556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912325556 |
| Entity Type | Individual |
| Full Name | DR. EDWARD LADYZHENSKIY |
| Credential | M.D. |
| Practice Address |
1800 15th St Ste 310 Greeley CO 80631-4562 |
| Practice Telephone | 9708100900 |
| Mailing Telephone | 9708100900 |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2020-07-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
DR.0063496 | CO | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1906 Belleview Ave Se, Roanoke, VA 240141838 | 5409817000 |
| Street Address |
1800 15TH ST STE 310 |
| City | GREELEY |
| State | CO |
| Zip Code | 80631-4562 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386677144 | Michael Sang-hak Kim | Internal Medicine | 1800 15th St Ste 310, Greeley, CO 80631-4562 | 2006-07-07 |
| 1619434800 | Erica Robin Bley Fitzgerald | Nurse Practitioner | 1800 15th St Ste 310, Greeley, CO 80631-4562 | 2019-02-25 |
| 1366923666 | Keith Whitcomb Volk | Registered Nurse | 1800 15th St Ste 310, Greeley, CO 80631-4562 | 2018-08-24 |
| 1700923059 | Cecilia Maria Hirsch | Internal Medicine | 1800 15th St Ste 310, Greeley, CO 80631-4562 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497395743 | Marcia Martinez | Peer Specialist | 1700 N 17th Ave, Greeley, CO 80631 | 2020-01-14 |
| 1073083036 | Ryan Lawhead | Specialist/Technologist | 270 Alles Dr. D, Butler Hancock Athletic Center, Greeley, CO 80631 | 2018-12-03 |
| 1447766647 | Patricia G Ferguson | Counselor | 14272 Wcr 72, Greeley, CO 80631 | 2017-12-26 |
| 1760902662 | Robert Anthony Rexroad | Counselor | 1300 N. 17th Avenue, Greeley, CO 80631 | 2017-06-21 |
| 1326577750 | Danielle Rodriguez | Psychologist | 1300 N. 17th Ave, Greeley, CO 80631 | 2017-06-08 |
| 1790157865 | Safeway | Pharmacy | 3526 W 10th Street, Greeley, CO 80631 | 2015-10-28 |
| 1245574508 | Jayme L Clapp | Counselor | 1407 8th Ave, Greeley, CO 80631 | 2012-11-26 |
| 1114246006 | Cynthia Melissa Gitler | Emergency Medicine | Banner Health, North Colorado Medical Center, 1601 18th Street, Greenley, CO 80631 | 2010-05-18 |
| 1942438023 | Khoi Dinh Le | Surgery | 1800 15th St., Suite 200, Greeley, CO 80631 | 2009-06-26 |
| 1174760011 | Darwin James Hargrave | Counselor | 912 9th Ave., #222, Greeley, CO 80631 | 2009-01-14 |
| Find all providers in zip 80631 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659665453 | Candice Morgan | Internal Medicine | 2510 58th Ave, Greeley, CO 80634-4525 | 2011-06-09 |
| 1386677144 | Michael Sang-hak Kim | Internal Medicine | 1800 15th St Ste 310, Greeley, CO 80631-4562 | 2006-07-07 |
| 1265054555 | Poudre Valley Medical Group, LLC | Internal Medicine | 6767 29th St Fl 3, Greeley, CO 80634-5474 | 2020-05-11 |
| 1114064490 | Lin-wang Dong | Internal Medicine | 1800 15th St, Suite 310, Greeley, CO 80631-4500 | 2007-01-30 |
| 1558378166 | Ahmad H Shihabi | Internal Medicine | 1800 15th St, Suite 310, Greeley, CO 80631-4500 | 2006-08-03 |
| 1346273430 | North Colorado Cardiology, PC | Internal Medicine | 1800 15th St, Suite 310, Greeley, CO 80631-4500 | 2006-07-09 |
| 1205894284 | Arnold Edward Pfahnl | Internal Medicine | 1800 15th St, Suite 310, Greeley, CO 80631-4500 | 2006-05-01 |
| 1730143033 | Paul G Hurst | Internal Medicine | 1800 15th St, Suite 310, Greeley, CO 80631-4500 | 2006-04-13 |
| 1144284456 | Gary A Rath | Internal Medicine | 1800 15th St, Suite 310, Greeley, CO 80631-4500 | 2006-04-13 |
| 1497719835 | Harold L Chapel | Internal Medicine | 1800 15th St, Suite 310, Greeley, CO 80631-4500 | 2006-04-13 |
| Find all providers in GREELEY | ||||
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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.