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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
38335 | CO | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WY | 117142900 | 05 | |
CO | TAX ID | 841553144 | 01 |
CO | 95739831 | 05 |
Street Address |
3600 S LOGAN ST SUITE 100 |
City | ENGLEWOOD |
State | CO |
Zip Code | 80113-3766 |
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 |
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 |
Find all providers in zip 80113 |
Taxonomy Code | 207YS0123X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
Specialization | Facial Plastic Surgery |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700808938 | David Lewis | Otolaryngology | 216 Engle St Ste 101, Englewood, NJ 07631-2428 | 2006-07-24 |
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 |
Find all providers with the same taxonomy |
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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.