NEUROSURGERY ONE PC (NPI# 1912536194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912536194 |
| Entity Type | Organization |
| Organization Name | NEUROSURGERY ONE PC |
| Practice Address |
11750 W 2nd Pl Ste 255 Lakewood CO 80228-1726 |
| Practice Telephone | 7206387500 |
| Mailing Telephone | 7206387500 |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2020-04-08 |
| Authorized Official Name | JOHN ADAIR PRALL (OWNER/PRESIDENT) |
| Authorized Official Telephone | 7206387500 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| NSO APP Lakewood | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154933786 | Neurosurgery One PC | Neurological Surgery | 9695 S Yosemite St Ste 377, Lone Tree, CO 80124-2826 | 2020-08-17 |
| 1497382246 | Neurosurgery One PC | Neurological Surgery | 9397 Crown Crest Blvd Ste 411, Parker, CO 80138-8789 | 2020-03-23 |
| 1427488121 | Neurosurgery One PC | Neurological Surgery | 9980 Park Meadows Dr Ste 101, Lone Tree, CO 80124-8404 | 2013-11-15 |
| 1255681615 | Neurosurgery One PC | Neurological Surgery | 7780 S. Broadway, Suite 350, Littleton, CO 80122-2633 | 2012-09-13 |
| 1316559941 | Neurosurgery One PC | Neurological Surgery | 1635 Aurora Ct, Aurora, CO 80045-2541 | 2020-08-17 |
| 1497367023 | Neurosurgery One PC | Neurological Surgery | 2350 Meadows Blvd, Castle Rock, CO 80109-8405 | 2020-08-17 |
| 1174135701 | Neurosurgery One PC | Neurological Surgery | 11 W Dry Creek Cir Ste 120, Littleton, CO 80120-8078 | 2020-08-17 |
| 1205448842 | Neurosurgery One PC | Neurological Surgery | 9695 S Yosemite St Ste 377, Lone Tree, CO 80124-2826 | 2020-08-17 |
| 1912519554 | Neurosurgery One PC | Neurological Surgery | 26 W Dry Creek Cir Ste 390, Littleton, CO 80120-8064 | 2020-08-17 |
| 1740891704 | Neurosurgery One PC | Neurological Surgery | 300 E Mineral Ave Ste 9, Littleton, CO 80122-2655 | 2020-08-13 |
| Street Address |
11750 W 2ND PL STE 255 |
| City | LAKEWOOD |
| State | CO |
| Zip Code | 80228-1726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205846664 | Catholic Health Initiatives Colorado | Neurological Surgery | 11750 W 2nd Pl Ste 255, Lakewood, CO 80228-1726 | 2006-08-09 |
| 1871191833 | Sara Goyzueta | Physician Assistant | 11750 W 2nd Pl Ste 255, Lakewood, CO 80228-1726 | 2020-10-13 |
| 1932728920 | Neurosurgery One PC | Neurological Surgery | 11750 W 2nd Pl Ste 255, Lakewood, CO 80228-1726 | 2020-04-10 |
| 1689229825 | Kellie Costanza | Nurse Practitioner | 11750 W 2nd Pl Ste 255, Lakewood, CO 80228-1726 | 2019-08-05 |
| 1295387108 | Jamie L Lynch | Nurse Practitioner | 11750 W 2nd Pl Ste 255, Lakewood, CO 80228-1726 | 2019-07-10 |
| 1588148985 | Chelsea Carruthers | Physician Assistant | 11750 W 2nd Pl Ste 255, Lakewood, CO 80228-1726 | 2018-09-20 |
| 1346658887 | Julie Schafer | Nurse Practitioner | 11750 W 2nd Pl Ste 255, Lakewood, CO 80228-1726 | 2014-07-29 |
| 1225271455 | Siamac Esfandi | Psychiatry & Neurology | 11750 W 2nd Pl Ste 255, Lakewood, CO 80228-1726 | 2009-04-17 |
| 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 | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629248380 | Sumeet Vadera | Neurological Surgery | 1184 Brockley Ave, Lakewood, OH 44107-2437 | 2008-03-08 |
| 1326246638 | Jacinto I Manon | Neurological Surgery | 1687 Cole Blvd Ste 150, Lakewood, CO 80401-3322 | 2007-07-07 |
| 1205846664 | Catholic Health Initiatives Colorado | Neurological Surgery | 11750 W 2nd Pl Ste 255, Lakewood, CO 80228-1726 | 2006-08-09 |
| 1265043285 | Neurosurgery One PC | Neurological Surgery | 11650 W 2nd Pl, Lakewood, CO 80228-1527 | 2020-08-13 |
| 1700497724 | Neurosurgery One PC | Neurological Surgery | 11650 W 2nd Pl, Lakewood, CO 80228-1527 | 2020-08-13 |
| 1275144743 | Neurosurgery One PC | Neurological Surgery | 11600 W 2nd Pl, Lakewood, CO 80228-1527 | 2020-08-10 |
| 1710598289 | Neurosurgery One | Neurological Surgery | 11600 W 2nd Pl, Lakewood, CO 80228-1527 | 2020-08-10 |
| 1932728920 | Neurosurgery One PC | Neurological Surgery | 11750 W 2nd Pl Ste 255, Lakewood, CO 80228-1726 | 2020-04-10 |
| 1578107371 | Scl Health Medical Group - Denver, LLC | Neurological Surgery | 1687 Cole Blvd Ste 150, Lakewood, CO 80401-3322 | 2019-11-05 |
| 1841760246 | Jm Neurospine LLC | Neurological Surgery | 1687 Cole Blvd Ste 150, Lakewood, CO 80401-3322 | 2018-11-28 |
| 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.