TABLE MOUNTAIN FOOT AND ANKLE CLINIC PC (NPI# 1982076832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982076832 |
| Entity Type | Organization |
| Organization Name | TABLE MOUNTAIN FOOT AND ANKLE CLINIC PC |
| Practice Address |
255 Union Blvd Suite 310 Lakewood CO 80228-1810 |
| Mailing Address |
3555 Lutheran Pkwy Suite 150 Wheat Ridge CO 80033-6021 |
| Practice Telephone | 3039851212 |
| Enumeration Date | 2015-10-30 |
| Last Update Date | 2015-10-30 |
| Authorized Official Name | ANTHONY VALENTI III (PRESIDENT) |
| Authorized Official Telephone | 3034226043 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | Y |
| Parent Organization Name | TABLE MOUNTAIN FOOT AND ANKLE CLINIC PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | 547 | CO | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
324 | CO | Podiatric Medicine & Surgery Service Providers |
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
544 | CO | Podiatric Medicine & Surgery Service Providers |
| Street Address |
255 UNION BLVD SUITE 310 |
| City | LAKEWOOD |
| State | CO |
| Zip Code | 80228-1810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083612055 | Randall S Hall | Dentist | 255 Union Blvd, Suite 495, Lakewood, CO 80228-1810 | 2005-07-13 |
| 1295286128 | Beate Knoche | Pharmacist | 255 Union Blvd, Suite 100, Lakewood, CO 80228-1810 | 2016-10-14 |
| 1124492392 | Audiology Services & Hearing Aids Inc | Audiologist-Hearing Aid Fitter | 255 Union Blvd, Ste 220, Lakewood, CO 80228-1810 | 2015-11-25 |
| 1265810709 | Freison Family Dentistry | Clinic/Center | 255 Union Blvd, Suite 495, Lakewood, CO 80228-1810 | 2015-05-17 |
| 1730577651 | Front Range Orthotics | Durable Medical Equipment & Medical Supplies | 255 Union Blvd, Suite 380, Lakewood, CO 80228-1810 | 2014-12-30 |
| 1902204357 | Chris Cumsille | Orthotist | 255 Union Blvd, Suite 380, Lakewood, CO 80228-1810 | 2014-12-17 |
| 1679973226 | Kirby Miller | Orthotist | 255 Union Blvd, Ste 380, Lakewood, CO 80228-1810 | 2014-09-02 |
| 1093053159 | Rebecca Kr Freeman | Nurse Practitioner | 255 Union Blvd, 120, Lakewood, CO 80228-1810 | 2013-01-24 |
| 1184986184 | Chad Malcolm Reader | Dentist | 255 Union Blvd, Suite 420, Lakewood, CO 80208-1852 | 2012-06-14 |
| 1770843591 | Colorado Family Dentistry, P.C. | Dentist | 255 Union Blvd, Suite 410, Lakewood, CO 80228-1810 | 2012-05-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174083570 | Lindsey Mae Beverly | Physician Assistant | Medical Plaza 2, 11700 W 2nd Pl, #350, Lakewood, CO 80228 | 2019-03-21 |
| 1881119931 | Cory J Frazier | Nurse Practitioner | 11600 W. 2nd Pl, Lakewood, CO 80228 | 2017-08-10 |
| 1508213885 | Chelsea Tucker | Counselor | 12157 W Cedar Dr Ste 207, Lakewood, CO 80228 | 2016-05-17 |
| 1972963841 | Shastin Gerbracht | Counselor | 12055 W 2nd Pl, Ste 200, Lakewood, CO 80228 | 2016-03-04 |
| 1073983375 | Suzanne Phillips | Behavioral Analyst | 200 Union Blvd. Ste. 200, Lakewood, Co. 80228, Denver, CO 80228 | 2015-09-29 |
| 1700265667 | April Mearsha | Doula | 12977 W Cedar Dr, 2-305, Lakewood, CO 80228 | 2015-05-26 |
| 1306233713 | Caleb Hedberg | Internal Medicine | 165 S Union Blvd Ste 800, Lakewood, CO 80228 | 2015-04-23 |
| 1972996288 | David Lindsey Currie | Counselor | 12055 W 2nd Place, Jefferson Ctr for Mental Health, Lakewood, CO 80228 | 2015-03-11 |
| 1619365533 | Michelle Broberg II | Technician | 12055 West 2nd Plaza, Lakewood, CO 80228 | 2014-12-30 |
| 1750789012 | Kayla Morrison | Social Worker | 12005 W 2nd Place, Lakewood, CO 80228 | 2014-12-18 |
| Find all providers in zip 80228 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972086882 | Tagaloa-tulifau Foot and Ankle Center, Inc. | Podiatrist | 5220 Clark Ave Ste 315, Lakewood, CA 90712-2635 | 2018-09-07 |
| 1679008049 | Adrienne Yoshiko Doi | Podiatrist | 3700 East South Street, Lakewood, CA 90712 | 2017-04-24 |
| 1215291562 | David Charles Graham | Podiatrist | 5220 Clark Ave Ste 125, Lakewood, CA 90712-2623 | 2012-07-02 |
| 1093948051 | Manooj Prasad Dpm LLC | Podiatrist | 637 River Ave Ste B, Lakewood, NJ 08701-5227 | 2009-08-25 |
| 1144262718 | Center for Advanced Foot & Ankle Care | Podiatrist | 1195 Rt 70, Unit 12, Lakewood, NJ 08701 | 2006-06-11 |
| 1740282607 | Jerome Lamendola | Podiatrist | 15810 Detroit Ave, Lakewood, OH 44107-3711 | 2005-08-11 |
| 1871083766 | Flippin Foot and Ankle LLC | Podiatrist | 9255 W Alameda Ave Ste F, Lakewood, CO 80226-2802 | 2018-05-16 |
| 1407390974 | Balance: Foot and Ankle, LLC | Podiatrist | 14200 Madison Ave, Lakewood, OH 44107-4510 | 2016-12-18 |
| 1356892681 | Balance Medical and Wellness Group LLC | Podiatrist | 14200 Madison Ave, Lakewood, OH 44107-4510 | 2016-10-21 |
| 1760830285 | Nathanael Smith | Podiatrist | 5220 Clark Ave Ste 125, Lakewood, CA 90712-2623 | 2016-05-25 |
| Find all providers in LAKEWOOD | ||||
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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.