PEAK DERMATOLOGY PROFESSIONAL LLC (NPI# 1932479961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932479961 |
| Entity Type | Organization |
| Organization Name | PEAK DERMATOLOGY PROFESSIONAL LLC |
| Practice Address |
2009 W Littleton Blvd Suite 100 Littleton CO 80120-2024 |
| Practice Telephone | 3032464451 |
| Practice Fax Number | 7202876235 |
| Mailing Telephone | 3032214448 |
| Mailing Fax Number | 7202876235 |
| Enumeration Date | 2012-01-06 |
| Last Update Date | 2012-03-28 |
| Authorized Official Name | RILEY GREENE (MANAGING MEMBER) |
| Authorized Official Telephone | 3032464451 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
46029 | CO | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Peak Dermatology Professional LLC | 2009 West Littleton Boulevard #100, Littleton, CO 80120 |
| Street Address |
2009 W LITTLETON BLVD SUITE 100 |
| City | LITTLETON |
| State | CO |
| Zip Code | 80120-2024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326185679 | William Howe | Dermatology | 2009 W Littleton Blvd, Suite 100, Littleton, CO 80120-2002 | 2007-01-30 |
| 1427454016 | William R Howe Md Pllc | Dermatology | 2009 W Littleton Blvd, #100, Littleton, CO 80120-2002 | 2014-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073156303 | Kelly Joy Brutsch | Counselor | 8191 Southpark Lane Suite 201, Littleton, CO 80120 | 2019-10-18 |
| 1902468309 | Infiniti Counseling, LLC | Clinic/Center | 4 W Dry Creek Circle, Littleton, CO 80120 | 2019-07-05 |
| 1437642642 | Brent Charles Mowery | Dentist | 209 W Littleton Blvd Ste B, Littleton, CO 80120 | 2018-06-12 |
| 1225525066 | Christopher Charles Miller | Counselor | 7851 S. Elati St., Suite 203, Littleton, CO 80120 | 2018-04-17 |
| 1417455890 | Cynthia Cline Mcrae | Counselor | 7921 Southpark Plaza, Grace Counseling, Suite 204, Littleton, CO 80120 | 2018-01-31 |
| 1780113175 | Janine Marie Lopez | Case Manager/Care Coordinator | 5500 S Sycamore, Littleton, CO 80120 | 2017-06-08 |
| 1952845588 | Hilary Sparrow Morris | Counselor | 991 Southpark Drive, #200, Cerescan, Littleton, CO 80120 | 2016-12-16 |
| 1760837132 | Supported Change,llc | Social Worker | 609 W Littleton Blvd Suite 201, Littleton, CO 80120 | 2016-05-04 |
| 1598123994 | Jarod Williams | Counselor | 8151 Southpark Ln Unit 250, Littleton, CO 80120 | 2016-02-01 |
| 1770948085 | Susan Jean Sylvester | Counselor | 609 West Littleton Blvd., Suite 201, Littleton, CO 80120 | 2015-12-31 |
| Find all providers in zip 80120 | ||||
| Taxonomy Code | 207NS0135X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Procedural Dermatology |
| Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). |
| Notes: Source: American Board of Dermatology, 2007, www.abderm.org [1/1/2008: definition added, source added, title changed] Additional Resources: Some ABMS board certified dermatologists have completed a one-year ACGME approved fellowship in Procedural Dermatology, which has been offered since 2003. At this time the ABD does not offer subspecialty certification in Procedural Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497207864 | Perfect Skin Dermatology PC | Dermatology | 1259 Lake Plaza Dr, Suite 270, Colorado Springs, CO 80906-3504 | 2016-11-01 |
| 1386888428 | Maida L. Burrow M.d. | Dermatology | 790 Wellington Ave Ste 103, Grand Junction, CO 81501-6127 | 2009-04-20 |
| 1902898711 | Columbine Dermatology PC | Dermatology | 10359 Federal Blvd, Suite 210, Westminster, CO 80260-7452 | 2005-08-17 |
| 1730503350 | Columbine & Flatirons Dermatology Associates | Dermatology | 90 Health Park Dr, Suite 390, Louisville, CO 80027-9757 | 2014-02-18 |
| 1053449306 | Dermatology Specialists of Boulder, PC | Dermatology | 2880 Folsom St, Suite #200, Boulder, CO 80304-3739 | 2007-03-01 |
| 1003909458 | Theresa Pacheco | Dermatology | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2006-09-30 |
| 1003839358 | Sarolta Katalin Szabo | Dermatology | 206 W County Line Rd, Suite 340, Highlands Ranch, CO 80129-2318 | 2006-07-26 |
| 1265424063 | Lawrence Fred Barfield | Dermatology | 10359 Federal Blvd, Suite 210, Westminster, CO 80260-7452 | 2005-08-17 |
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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.