CCO CARE OF CO, LLC (NPI# 1912469438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912469438 |
| Entity Type | Organization |
| Organization Name | CCO CARE OF CO, LLC |
| Practice Address |
255 Union Blvd Ste 150-237 Lakewood CO 80228-1810 |
| Mailing Address |
102 Woodmont Blvd Ste 350 Nashville TN 37205-2216 |
| Practice Telephone | 6153860064 |
| Mailing Telephone | 6153860064 |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2020-02-14 |
| Authorized Official Name | EDWARD LELAND HUTTON EADIE (DIRECTOR) |
| Authorized Official Telephone | 6157332064 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians | ||
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | CCO Care of CO, LLC | 255 Union Blvd, Ste 150-237, Lakewood, CO 80228 |
| Street Address |
255 UNION BLVD STE 150-237 |
| City | LAKEWOOD |
| State | CO |
| Zip Code | 80228-1810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225536584 | Joint Replacement Cin of Denver LLC | Orthopaedic Surgery | 255 Union Blvd Ste 150-237, Lakewood, CO 80228-1810 | 2018-01-31 |
| 1740742261 | Cco Care of Co II, LLC | Internal Medicine | 255 Union Blvd Ste 150-237, Lakewood, CO 80228-1810 | 2019-04-03 |
| 1669934196 | Oco Care of Co, LLC | Orthopaedic Surgery | 255 Union Blvd Ste 150-237, Lakewood, CO 80228-1810 | 2019-04-03 |
| 1285196717 | Sco Care of Co, LLC | Orthopaedic Surgery | 255 Union Blvd Ste 150-237, Lakewood, CO 80228-1810 | 2019-04-03 |
| 1659833184 | Sco Care of Co II, LLC | Orthopaedic Surgery | 255 Union Blvd Ste 150-237, Lakewood, CO 80228-1810 | 2019-04-03 |
| 1700348224 | Oco Care of Co II, LLC | Internal Medicine | 255 Union Blvd Ste 150-237, Lakewood, CO 80228-1810 | 2019-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174083570 | Lindsey Mae Beverly | Physician Assistant | Medical Plaza 2, 11700 W 2nd Pl, #350, Lakewood, CO 80228 | 2019-03-21 |
| 1881119931 | Cory J Frazier | Nurse Practitioner | 11600 W. 2nd Pl, Lakewood, CO 80228 | 2017-08-10 |
| 1508213885 | Chelsea Tucker | Counselor | 12157 W Cedar Dr Ste 207, Lakewood, CO 80228 | 2016-05-17 |
| 1972963841 | Shastin Gerbracht | Counselor | 12055 W 2nd Pl, Ste 200, Lakewood, CO 80228 | 2016-03-04 |
| 1073983375 | Suzanne Phillips | Behavioral Analyst | 200 Union Blvd. Ste. 200, Lakewood, Co. 80228, Denver, CO 80228 | 2015-09-29 |
| 1700265667 | April Mearsha | Doula | 12977 W Cedar Dr, 2-305, Lakewood, CO 80228 | 2015-05-26 |
| 1306233713 | Caleb Hedberg | Internal Medicine | 165 S Union Blvd Ste 800, Lakewood, CO 80228 | 2015-04-23 |
| 1972996288 | David Lindsey Currie | Counselor | 12055 W 2nd Place, Jefferson Ctr for Mental Health, Lakewood, CO 80228 | 2015-03-11 |
| 1619365533 | Michelle Broberg II | Technician | 12055 West 2nd Plaza, Lakewood, CO 80228 | 2014-12-30 |
| 1750789012 | Kayla Morrison | Social Worker | 12005 W 2nd Place, Lakewood, CO 80228 | 2014-12-18 |
| Find all providers in zip 80228 | ||||
| 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 |
|---|---|---|---|---|
| 1215564125 | Healthone Clinic Services - Cardiovascular LLC | Internal Medicine | 3333 S Wadsworth Blvd Unit 217, Lakewood, CO 80227-5172 | 2020-03-23 |
| 1902432057 | Healthone Clinic Services - Cardiovascular LLC | Internal Medicine | 3333 S Wadsworth Blvd Unit 218, Lakewood, CO 80227-5172 | 2020-03-20 |
| 1518135920 | Thomas Edward Levy | Internal Medicine | 9645 W Dakota Ave, Lakewood, CO 80226-2722 | 2008-02-19 |
| 1144313768 | Hed Ahmadpour Md Facc, Inc | Internal Medicine | 3650 E South Street, Suite 110b, Lakewood, CA 90712-1502 | 2006-10-02 |
| 1376565507 | Rajesh Mohan | Internal Medicine | 101 Prospect Street, Suite 210, Lakewood, NJ 08701 | 2006-07-24 |
| 1093740151 | Irwin Roseff | Internal Medicine | One Route 70, Lakewood, NJ 08701 | 2006-07-11 |
| 1407886898 | German L Neri | Internal Medicine | 14601 Detroit Ave Ste 730, Lakewood, OH 44107-4251 | 2006-07-03 |
| 1467419366 | William L Madrid | Internal Medicine | 3650 South St Ste 310, Lakewood, CA 90712-1519 | 2006-04-26 |
| 1780649830 | Isaac Eisenstein | Internal Medicine | 3560 E. South St., #310, Lakewood, CA 90712 | 2006-04-20 |
| 1629032669 | James H Beckmann | Internal Medicine | 11700 W 2nd Pl Ste 350, Lakewood, CO 80228-1710 | 2006-04-14 |
| Find all providers in LAKEWOOD | ||||
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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.