PAUL S HIRATZKA (NPI# 1942295241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942295241 |
| Entity Type | Individual |
| Full Name | PAUL S HIRATZKA |
| Credential | MD |
| Practice Address |
2410 W 16th St Greeley CO 80634-6004 |
| Practice Telephone | 9703526353 |
| Practice Fax Number | 9703562264 |
| Mailing Telephone | 9703526353 |
| Mailing Fax Number | 9703562264 |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2011-06-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 23023 | CO | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | ROCKY MTN HEALTH | 840592369002 | 01 |
| CO | CAQH | 10384520 | 01 |
| CO | PACIFICARE | 002840592369 | 01 |
| CO | 01230234 | 05 | |
| CO | BCBS | HI98928 | 01 |
| Street Address |
2410 W 16TH ST |
| City | GREELEY |
| State | CO |
| Zip Code | 80634-6004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144702234 | Banner Health Physicians Colorado LLC | Clinic/Center | 2410 W 16th St, Greeley, CO 80634-6004 | 2018-09-05 |
| 1306358429 | Allison Polzin | Nurse Practitioner | 2410 W 16th St, Greeley, CO 80634 | 2017-10-30 |
| 1194093260 | Banner Health Physicians Colorado LLC | Clinic/Center | 2410 W 16th St, Greeley, CO 80634-6004 | 2011-12-05 |
| 1659652758 | Inhyup Kim | Psychiatry & Neurology | 2410 W 16th St, Greeley, CO 80634-6004 | 2011-09-01 |
| 1649579673 | Banner Greeley Specialists | Clinic/Center | 2410 W 16th St, Greeley, CO 80634-6004 | 2011-03-16 |
| 1306058599 | Chloe Melissa Mcculloch | Anesthesiology | 2410 W 16th St, Greeley, CO 80634-6004 | 2007-05-03 |
| 1528180023 | Women's Clinic of Greeley | Specialist | 2410 W 16th St, Greeley, CO 80634-6004 | 2007-04-04 |
| 1215093539 | Sean D Rockett | Physician Assistant | 2410 W 16th St, Greeley, CO 80634 | 2006-12-29 |
| 1841285970 | Neil Allen | Specialist | 2410 W 16th St, Greeley, CO 80634-6004 | 2005-09-14 |
| 1750376885 | Jean Pierre O'neal | Specialist | 2410 W 16th St, Greeley, CO 80634-6004 | 2005-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831707843 | Witting Medical, LLC | Pathology | 17 Dos Rios, Greeley, CO 80634 | 2020-07-15 |
| 1730706102 | Heart Centered Counseling | Counselor | 1770 W 25th Street #206, Greeley, CO 80634 | 2020-07-01 |
| 1396374237 | Kidstuff Child and Family Counseling, P.C. | Counselor | 1770 25th Ave., Ste. 102, Greeley, CO 80634 | 2020-04-03 |
| 1164055745 | Stephanie Alexis Balunda | Speech-Language Pathologist | Uchealth Physical Therapy and Rehabilitation Clinic, 6767 West 29th St., Greeley, CO 80634 | 2020-02-21 |
| 1407413727 | Stephen P Street Pllc | Counselor | 4657 W. 20th Street, Unit B, Greeley, CO 80634 | 2019-05-22 |
| 1043797749 | Burt Stewart Dmd Pllc | Clinic/Center | 6937 West 10th Street, Greeley, CO 80634 | 2018-07-25 |
| 1164913885 | Innovations Pediatric Therapy, LLC | Occupational Therapist | 3403 W 7th St Apt A, Greeley, CO 80634 | 2018-05-29 |
| 1003305319 | Austin Michael Lake | Physical Therapist | 4681 W 20th St Unit 202b, Greeley, CO 80634 | 2018-05-02 |
| 1225542004 | Kevin Lichner | Specialist/Technologist | 522 28th Ave, Greeley, CO 80634 | 2017-11-30 |
| 1538683909 | Stacie Jackson | Physician Assistant | 6500 West 29th St Ste 106, Greeley, CO 80634 | 2017-07-27 |
| Find all providers in zip 80634 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396085379 | Carey Ann Chapman | Specialist | 1831 13th St, Greeley, CO 80631-4549 | 2013-02-27 |
| 1548513666 | Alison Jones | Specialist | 1120 38th Ave Ste 1, Greeley, CO 80634-2579 | 2012-10-26 |
| 1780904771 | Yvonne Sofia Dunn | Specialist | 4635 W 20th Street Rd, Greeley, CO 80634-3246 | 2010-06-02 |
| 1720283914 | Surgical Clinic of Greeley, PC | Specialist | 6801 W. 20th St, Suite 202, Greeley, CO 80634 | 2007-06-18 |
| 1679797732 | Surgical Associates of Greeley | Specialist | 1800 15th St Ste 210, Greeley, CO 80631-4563 | 2007-04-12 |
| 1609918333 | Zachary Michael Meiu | Specialist | 3400 W. 16th Street, Greeley, CO 80634 | 2007-02-12 |
| 1689607491 | Christopher S Michael | Specialist | 16696 Cr 70, Greeley, CO 80631 | 2006-07-08 |
| 1548221344 | Jeffrey S Lee | Specialist | 1500 16th Avenue Ct, Greeley, CO 80631-4539 | 2006-03-31 |
| 1417920489 | Orest G Dubynsky | Specialist | 1601 25th Ave, Greeley, CO 80634-4907 | 2006-02-09 |
| 1922609023 | Alan E Benson, Md, PC | Specialist | 2918 W 10th St, Greeley, CO 80634-5457 | 2020-11-04 |
| Find all providers in GREELEY | ||||
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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.