MARIO J IMOLA


Address: 3600 S Logan St, Suite 100, Englewood, CO 80113-3766
Phone: 3038397980

MARIO J IMOLA (NPI# 1932101490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932101490
Entity Type Individual
Full Name MARIO J IMOLA
Credential MD
Practice Address 3600 S Logan St
Suite 100
Englewood
CO 80113-3766
Practice Telephone 3038397980
Practice Fax Number 3038397936
Mailing Telephone 3038397980
Mailing Fax Number 3038397936
Enumeration Date 2005-08-15
Last Update Date 2011-10-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207YS0123X Otolaryngology
Specialization: Facial Plastic Surgery
38335 CO Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WY 117142900 05
CO TAX ID 841553144 01
CO 95739831 05

Office Location

Street Address 3600 S LOGAN ST
SUITE 100
City ENGLEWOOD
State CO
Zip Code 80113-3766

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740756725 Heidi Elizabeth Albete Naturopath 3600 S Logan St, Englewood, CO 80113-3766 2018-10-17
1114068376 Colorado Facial Plastic Surgery Center Inc Specialist 3600 S Logan St, Suite 100, Englewood, CO 80113-3766 2007-02-09
1144233156 Ward Melvin Newcomb Pathology 3600 S Logan St, Suite 110, Englewood, CO 80113-3766 2006-08-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306339163 Colorado Urgent Care Physicians, PC Clinic/Center 5102 South Broadway, Englewood, CO 80113 2018-06-07
1518489178 High Five Home Care LLC. In Home Supportive Care 4055 S Broadway, Suite #102, Englewood, CO 80113 2017-07-14
1720518426 Chelsea M Bega Audiologist 3439 S Lincoln St, Englewood, CO 80113 2017-06-14
1689110272 Mary Frances Mckinley Physical Therapy Assistant 3460 S Downing Street, Englewood, CO 80113 2017-01-06
1295190585 Kassandra Dominique Hill Nurse's Aide 3301 S Whaington St, Apt.109, Englewood, CO 80113 2015-12-31
1760862130 Grenhart & Associates, LLC Psychologist 3601 S Clarkson Street, Suite 540, Englewood, CO 80113 2015-06-01
1669807392 Jill C Tomaso Occupational Therapist 3218 South Logan Street, Englewood, CO 80113 2013-09-12
1255683868 Dillon Companies LLC Durable Medical Equipment & Medical Supplies 3495 S University Blvd, Englewood, CO 80113 2012-10-05
1700137825 Stanley Leon Hannah General Practice 5 Martin Lane, Cherry Hills Village, CO 80113 2012-09-28
1558623496 Annelise Lorelei Dawson Dermatology 499 E Hampden Ave Ste 390, Englewood, CO 80113 2012-06-15
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Taxonomy Information

Taxonomy Code 207YS0123X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology
Specialization Facial Plastic Surgery

Taxonomy Definition

An otolaryngologist who specializes in facial plastic surgery.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate was, but is no longer issued by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700808938 David Lewis Otolaryngology 216 Engle St Ste 101, Englewood, NJ 07631-2428 2006-07-24

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1477107373 Rtfprs, Pllc Otolaryngology 3150 E 3rd Ave Ste 200, Denver, CO 80206-5246 2019-07-29
1326496068 Victoria King Otolaryngology 113 Latigo Ln Ste D, Canon City, CO 81212-8115 2016-06-02
1578976627 Jessica Lynn Specht Otolaryngology 9960 Sky Ridge Ave, Lone Tree, CO 80124-5644 2014-06-06
1508982216 Ear Nose & Throat Associates of Northern Colorado PC Otolaryngology 2121 E Harmony Rd Suite 350, Fort Collins, CO 80528-3404 2007-03-22
1558374926 Victoria Van Beuren King Otolaryngology 113 Latigo Ln, Canon City, CO 81212-8114 2006-08-15
1942273479 Maria Sherrilyn Dellota Otolaryngology 1006 Centre Ave, Fort Collins, CO 80526-1849 2006-02-07
1275539843 Kevin Clifford Cavanaugh Otolaryngology 1325 Dry Creek Dr, Suite 103, Longmont, CO 80503-7731 2005-06-28
1811331721 Richard W. Thompson Otolaryngology 9399 Crown Crest Blvd, Parker, CO 80138-8506 2013-04-22
1093030926 Catherine Weng Otolaryngology 403 Summit Blvd, Ste 204, Broomfield, CO 80021-8252 2010-04-04
1629306006 Edmon Khoury Otolaryngology 9777 S Yosemite St, Suite 200, Lone Tree, CO 80124-3191 2009-11-24
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Competitor

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City ENGLEWOOD
Zip Code 80113

Improve Information

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Dataset Information

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.

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