EPIPHANY DERMATOLOGY OF COLORADO, LLC (NPI# 1992297469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992297469 |
| Entity Type | Organization |
| Organization Name | EPIPHANY DERMATOLOGY OF COLORADO, LLC |
| Practice Address |
3773 E Cherry Creek North Dr Denver CO 80209-3804 |
| Mailing Address |
6601 Vaught Ranch Rd Ste 200 Austin TX 78730-2309 |
| Practice Telephone | 3033885629 |
| Practice Fax Number | 3033217586 |
| Mailing Telephone | 5126280465 |
| Mailing Fax Number | 5126280468 |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2018-05-31 |
| Authorized Official Name | GHEORGHE PUSTA (CEO) |
| Authorized Official Telephone | 5126280465 |
| Is Organization Subpart | Y |
| Parent Organization Name | EPIPHANY BUSINESS SERVICES, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194340802 | Epiphany Dermatology of Colorado, LLC | Dermatology | 2530 N 8th St Ste 205, Grand Junction, CO 81501-8858 | 2020-06-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Epiphany Dermatology of Colorado, LLC | 6601 Vaught Ranch Road, Suite #200, C/O Epiphany Business Services, LLC, Austin, TX 78730 |
| Street Address |
3773 E CHERRY CREEK NORTH DR |
| City | DENVER |
| State | CO |
| Zip Code | 80209-3804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295865111 | Erica Viggiano | Social Worker | 3773 E Cherry Creek North Dr, Suite 575, Denver, CO 80209-3804 | 2007-03-07 |
| 1275176513 | Brandon Lee Moore | Dentist | 3773 E Cherry Creek North Dr, Denver, CO 80209-3804 | 2019-10-18 |
| 1093264327 | Anissa Marie Cordova | Counselor | 3773 E Cherry Creek North Dr, Suite 575, Denver, CO 80209-3804 | 2016-09-28 |
| 1548682412 | Mindy Horwitz | Counselor | 3773 E Cherry Creek North Dr, Suite 901, Denver, CO 80209-3804 | 2014-01-13 |
| 1770905648 | Kristen Joy | Counselor | 3773 E Cherry Creek North Dr, Suite 901, Denver, CO 80209-3804 | 2014-01-13 |
| 1174805345 | William Raymond Todd Iv | Psychologist | 3773 E Cherry Creek North Dr, Suite 735 - East Tower, Denver, CO 80209-3804 | 2011-09-14 |
| 1831406594 | Ashley Roseanna Henes | Physician Assistant | 3773 E Cherry Creek North Dr, Suite 970 West Tower, Denver, CO 80209-3804 | 2010-09-01 |
| 1669638433 | Anne Hazelton | Preventive Medicine | 3773 E Cherry Creek North Dr, #450, Denver, CO 80209-3804 | 2008-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841817400 | Wesley Stanton | Dentist | 3773 Cherry Creek Drive N, Denver, CO 80209 | 2020-06-30 |
| 1619452489 | Open and Affordable Dental Cherry Creek Pllc | Dentist | 3773 Cherry Creek Dr, Unit 120, Denver, CO 80209 | 2018-09-27 |
| 1952894842 | Anna Rose Schwartz | Dietitian, Registered | 155 S. Madison St. Suite 328, Denver, CO 80209 | 2018-06-14 |
| 1417440652 | Christina Sternitzke | Psychiatry & Neurology | 300 S Jackson St Ste 240, Denver, CO 80209 | 2018-06-12 |
| 1912442542 | Neil David Wright | Counselor | 121 S Madison St Ste C, Denver, CO 80209 | 2017-01-05 |
| 1336681287 | Brianne Wiese | Counselor | 359 E Bayaud Ave # 106, Denver, CO 80209 | 2016-11-09 |
| 1275910671 | Sarah Ashley Robbins | Family Medicine | 360 S Garfield St Ste 500, Denver, CO 80209 | 2015-05-05 |
| 1871992404 | Egert-kreider Dental | Dentist | 3955 E. Expostition Ave, Suite 312, Denver, CO 80209 | 2014-08-20 |
| 1811309164 | Aurora G. Burluc D.d.s, PC | Dentist | 3773 Cherry Creek Dr. North, #120, Denver, CO 80209 | 2014-05-21 |
| 1770995110 | Elizabeth Gateley | Counselor | 50 S Steele St Ste 435, Denver, CO 80209 | 2014-05-20 |
| Find all providers in zip 80209 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700496668 | Sorkin Dermatology Associates Professional LLC | Dermatology | 1960 N. Ogden Street, Suite 555, Denver, CO 80218-3602 | 2020-08-05 |
| 1316577323 | Medical Man Cave Pllc | Dermatology | 250 Steele Street, Suite 350, Denver, CO 80206-5242 | 2020-01-17 |
| 1942696232 | Chante Karimkhani Aksut | Dermatology | 3920 S Hillcrest Dr, Denver, CO 80237-1110 | 2015-04-13 |
| 1245625763 | Elizabeth S Robinson | Dermatology | 3540 S Poplar St Ste 300, Denver, CO 80237-1364 | 2015-04-01 |
| 1033559646 | Shelley Yang | Dermatology | 155 S Madison St Ste 226, Denver, CO 80209-3013 | 2013-06-27 |
| 1588003628 | Phillip Herman Albright | Dermatology | 1 Polo Club Dr, Denver, CO 80209-3309 | 2013-06-21 |
| 1003173154 | Drew Michael Taylor | Dermatology | 3773 E Cherry Creek North Dr Ste 970, Denver, CO 80209-9809 | 2012-04-13 |
| 1013203769 | Danielle Marie Nelson | Dermatology | 2970 Quebec St, Suite 200, Denver, CO 80207-2931 | 2011-06-21 |
| 1659515658 | Jessica Olander | Dermatology | 425 S Cherry St Ste 907, Denver, CO 80246-1242 | 2009-04-22 |
| 1295924454 | Zeina A.w. Dajani | Dermatology | 4500 E 9th Ave Ste 640, Denver, CO 80220-3925 | 2007-10-23 |
| Find all providers in DENVER | ||||
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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.