WILLIAM G SELF JR MD PC (NPI# 1922005610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922005610 |
| Entity Type | Organization |
| Organization Name | WILLIAM G SELF JR MD PC |
| Practice Address |
8403 Bryant St Westminster CO 80031-3809 |
| Practice Telephone | 3034264810 |
| Practice Fax Number | 3034268708 |
| Mailing Telephone | (303) 426-4810 |
| Mailing Fax Number | 3034268708 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2017-10-24 |
| Authorized Official Name | JAMES E MONTGOMERY (OWNER/PHYSICIAN) |
| Authorized Official Telephone | 3034264810 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS0132X |
Clinic/Center Specialization: Ophthalmologic Surgery |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AETNA PPO | 8163314 | 01 | |
| CO | 04510095 | 05 | |
| AETNA HMO | 0971086 | 01 | |
| RAILROAD MEDICARE | 490000213 | 01 | |
| TRICARE | 84078518A000 | 01 | |
| BLUE CROSS/BLUE SHIELD | 37801 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093891244 | William G Self Jr Md PC | Clinic/Center | 8403 Bryant St, Westminster, CO 80031-3809 | 2006-10-31 |
| Street Address |
8403 BRYANT ST |
| City | WESTMINSTER |
| State | CO |
| Zip Code | 80031-3809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700881844 | Howard C Harden | Nurse Anesthetist, Certified Registered | 8403 Bryant St, Westminster, CO 80031-3809 | 2005-06-16 |
| 1104284868 | Montgomery Eye Care | Non-Pharmacy Dispensing Site | 8403 Bryant St, Westminster, CO 80031-3809 | 2016-02-09 |
| 1093891244 | William G Self Jr Md PC | Clinic/Center | 8403 Bryant St, Westminster, CO 80031-3809 | 2006-10-31 |
| 1720178270 | Peak To Peak Anesthesia Services Inc | Nurse Anesthetist, Certified Registered | 8403 Bryant St, Westminster, CO 80031 | 2006-10-13 |
| 1669454393 | Howard Harden Crna Inc. | Nurse Anesthetist, Certified Registered | 8403 Bryant St, Westminster, CO 80031-3809 | 2005-11-17 |
| 1710984380 | William Grady Self Jr. | Ophthalmology | 8403 Bryant St, Westminster, CO 80031-3809 | 2005-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 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 | 261QS0132X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ophthalmologic Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932400025 | Oculofacial Plastic and Reconstructive Surgery Inc | Clinic/Center | 210 Hospital Cir, Suite C, Westminster, CA 92683-3900 | 2010-11-05 |
| 1255390670 | Carroll County Eye Surgery Center, LLC | Clinic/Center | 410 Malcolm Dr, Suite B, Westminster, MD 21157-6160 | 2006-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043356199 | Lasikplus of Colorado, PC | Clinic/Center | 7440 W Alaska Dr, Lakewood, CO 80226-3326 | 2007-01-29 |
| 1790340537 | Denver Oculoplastics | Clinic/Center | 5150 E Yale Cir, Denver, CO 80222-6917 | 2019-05-07 |
| 1427512375 | Southern Colorado Oculofacial Plastic Surgery Associates Pllc | Clinic/Center | 1715 N Weber St Ste 200, Colorado Springs, CO 80907-7553 | 2019-01-24 |
| 1952818411 | Retina Specialists of Colorado Pllc | Clinic/Center | 1444 S Potomac St Ste 175, Aurora, CO 80012-4508 | 2018-01-05 |
| 1760920748 | The Lasik Vision Institute LLC | Clinic/Center | 363 Centennial Pkwy, Suite 120, Louisville, CO 80027-1281 | 2017-02-09 |
| 1033661228 | Frenkel Inc. | Clinic/Center | 3617 S College Ave Unit C, Fort Collins, CO 80525-3009 | 2016-11-04 |
| 1811443294 | The Cataract Vision Institute LLC | Clinic/Center | 4100 E Mississippi Ave, Suite 105, Denver, CO 80246-3048 | 2016-08-26 |
| 1740667609 | Robert L Stofac | Clinic/Center | 2130 Stout St, Denver, CO 80205-2827 | 2015-04-29 |
| 1427459536 | Oculoplastics & Ophthalmology At Littleton, Pllc | Clinic/Center | 1869 W Littleton Blvd, Littleton, CO 80120-2020 | 2014-09-08 |
| 1194133827 | Montgomery Eye Care PC | Clinic/Center | 10465 Melody Dr, Ste 111, Northglenn, CO 80234-4119 | 2014-07-25 |
| Find all providers with the same taxonomy | ||||
| City | WESTMINSTER |
| Zip Code | 80031 |
Please comment or provide details below to improve the information on WILLIAM G SELF JR MD PC.
| 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.