AVALON SURGICAL PC (NPI# 1962896563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962896563 |
| Entity Type | Organization |
| Organization Name | AVALON SURGICAL PC |
| Practice Address |
700 Colorado Blvd Ste 115 Denver CO 80206-4084 |
| Mailing Address |
Po Box 1288 Crosby TX 77532-1288 |
| Practice Telephone | 2813245660 |
| Mailing Telephone | 2813245660 |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2015-03-23 |
| Authorized Official Name | FRED J DISS (REGISTERED AGENT) |
| Authorized Official Telephone | 2813245660 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
CO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
700 COLORADO BLVD STE 115 |
| City | DENVER |
| State | CO |
| Zip Code | 80206-4084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982747374 | Eileen M Fish | Internal Medicine | 700 Colorado Blvd, # 719, Denver, CO 80206-4084 | 2007-02-15 |
| 1417493727 | Breanna Curry | Physical Therapy Assistant | 700 Colorado Blvd, Ste. 318, Denver, CO 80206-4084 | 2017-01-10 |
| 1992240345 | Norman Eckman | Physical Therapy Assistant | 700 Colorado Blvd, Suite 318, Denver, CO 80206-4084 | 2016-12-21 |
| 1497204259 | Design View Construction, LLC | Contractor | 700 Colorado Blvd, 421, Denver, CO 80206-4084 | 2016-09-22 |
| 1194271858 | Rachel Hahn | Physical Therapy Assistant | 700 Colorado Blvd, Suite 318, Denver, CO 80206-4084 | 2016-08-31 |
| 1699123091 | Maureen Maria Tanner-wray | Occupational Therapy Assistant | 700 Colorado Blvd, Denver, CO 80206-4084 | 2016-05-26 |
| 1336492420 | Ambulatory Medical Associates-co, Pllc | Anesthesiology | 700 Colorado Blvd, #627, Denver, CO 80206-4084 | 2012-10-26 |
| 1124347935 | Brian Sean Bradley | Physical Therapy Assistant | 700 Colorado Blvd, Ste 318, Denver, CO 80206-4084 | 2010-05-19 |
| 1417275215 | Brooklyn Deborah Montana | Nurse's Aide | 700 Colorado Blvd, Suite 318, Denver, CO 80206-4084 | 2010-05-04 |
| 1265768493 | Virginia Rodriguez | Nurse's Aide | 700 Colorado Blvd, Suite 318, Denver, CO 80206-4084 | 2009-10-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609495373 | Mindy Lieberman | Behavior Technician | 1151 Monroe St. #2, Denver, CO 80206 | 2020-04-13 |
| 1356992879 | Danielle Higgins | Counselor | 3003 E 3rd Ave # B-106, Denver, CO 80206 | 2019-09-25 |
| 1396224788 | Neuro Interpretive Services LLC | Clinic/Center | 700 Colorado Blvd Ste 668, Denver, CO 80206 | 2018-08-07 |
| 1578072252 | Ashleigh Rankin | Social Worker | 1890 Gaylord Street, Denver, CO 80206 | 2017-09-25 |
| 1407379092 | Todd C. Ognibene | Psychologist | 1544 York Street, Third Floor, Denver, CO 80206 | 2017-07-25 |
| 1104363811 | Zhanna Bayerman | In Home Supportive Care | 3222 E. 1st Ave, # 725, Denver, CO 80206 | 2017-01-20 |
| 1467995340 | Julie Huff | Massage Therapist | 155 Cook, 351, Denver, CO 80206 | 2016-11-28 |
| 1457807778 | Amrita Singh Comer | Nursing Care | 2111 Champa Street, Denver, CO 80206 | 2016-08-28 |
| 1245683952 | Emily Rose Popiel | Psychologist | 3107 East Colfax Avenue, Denver, CO 80206 | 2016-07-18 |
| 1689036998 | Emma Jean Maki-gianani | Counselor | 2925 E. Colfax, Denver, CO 80206 | 2016-03-25 |
| Find all providers in zip 80206 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356805626 | Heather Free | Physician Assistant | 3653 N Josephine St, Denver, CO 80205-3545 | 2019-01-30 |
| 1255804910 | Jessie P Larson | Physician Assistant | 7847 Downing St, Denver, CO 80229-5961 | 2019-01-05 |
| 1174917405 | Depeche Assisting, PC | Physician Assistant | 700 Colorado Blvd Ste 115, Denver, CO 80206-4084 | 2015-03-25 |
| 1609281864 | Dayana Olivares | Physician Assistant | 1960 N Ogden St Ste 690, Denver, CO 80218-3673 | 2014-06-26 |
| 1457632697 | Rose Gabrielle Christensen | Physician Assistant | 1830 Franklin St Ste 450, Denver, CO 80218-1128 | 2011-09-01 |
| 1538459391 | Simmons Surgical Services LLC | Physician Assistant | 8007 E Lehigh Dr, Denver, CO 80237-1534 | 2011-04-13 |
| 1962718841 | Justin M Call | Physician Assistant | 1721 E 19th Ave Ste 434, Denver, CO 80218-1242 | 2010-08-30 |
| 1043337736 | Lynn Cameron Zollin | Physician Assistant | 1521 Pontiac St, Denver, CO 80220-1827 | 2007-03-26 |
| 1083746986 | Gregory J. Engelken | Physician Assistant | 950 E Harvard Ave Ste 550, Denver, CO 80210-7000 | 2007-03-09 |
| 1104817519 | Eric M Washychyn | Physician Assistant | 8101 E Lowry Blvd, Suite 260, Denver, CO 80230-7196 | 2005-11-03 |
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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.