CATHOLIC HEALTH INITIATIVES COLORADO (NPI# 1992975213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992975213 |
| Entity Type | Organization |
| Organization Name | CATHOLIC HEALTH INITIATIVES COLORADO |
| Other Organization Name | ST ANTHONY HEALTH CENTERS PRIMARY CARE SERVICES |
| Practice Address |
1921 Sheridan Blvd Unit C Edgewater CO 80214-1314 |
| Mailing Address |
Po Box 911057 Denver CO 80291-1057 |
| Practice Telephone | 7203218880 |
| Practice Fax Number | 7203218881 |
| Mailing Telephone | 3036431099 |
| Mailing Fax Number | 3036431176 |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2016-04-28 |
| Authorized Official Name | DAVID L WATSON (C.M.O.) |
| Authorized Official Telephone | 3036737181 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians | ||
| N | 367A00000X | Advanced Practice Midwife | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 69336814 | 05 |
| Other Name | Type Code |
|---|---|
| St Anthony Health Centers Primary Care Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467064964 | Catholic Health Initiatives Colorado | Family Medicine | 32214 Ellingwood Trl Ste 210, Evergreen, CO 80439-9719 | 2020-08-18 |
| 1164033056 | Catholic Health Initiatives Colorado | Obstetrics & Gynecology | 1000 Granby Park Dr., Granby, CO 80446 | 2020-08-13 |
| 1023629383 | Catholic Health Initiatives Colorado | Family Medicine | 400 N Park Ave Ste 1a, Breckenridge, CO 80424-8709 | 2020-08-11 |
| 1437760790 | Catholic Health Initiatives Colorado | Obstetrics & Gynecology | 360 Peak One Dr Ste 260, Frisco, CO 80443-5948 | 2020-08-11 |
| 1982213328 | Catholic Health Initiatives Colorado | Internal Medicine | 1000 Granby Park Dr, Granby, CO 80446-0000 | 2020-07-30 |
| 1437768009 | Catholic Health Initiatives Colorado | Internal Medicine | 920 Rush Dr Ste A, Salida, CO 81201-9669 | 2020-07-29 |
| 1942819578 | Catholic Health Initiatives Colorado | Anesthesiology | 11700 W 2nd Pl Ste 225, Lakewood, CO 80228-1707 | 2020-07-29 |
| 1508475278 | Catholic Health Initiatives Colorado | Orthopaedic Surgery | 1263 Lake Plaza Dr Ste 210a, Colorado Springs, CO 80906-3564 | 2020-07-28 |
| 1770192502 | Catholic Health Initiatives Colorado | Clinic/Center | 17230 Jackson Creek Pkwy Ste 120, Monument, CO 80132-7302 | 2020-07-28 |
| 1801419197 | Catholic Health Initiatives Colorado | Clinic/Center | 5607 Barnes Rd Ste 140, Colorado Springs, CO 80917-1347 | 2020-05-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | CATHOLIC HEALTH INITIATIVES COLORADO | 9100 E. Mineral Circle, Centennial, CO 80112 |
| System for Award Management (SAM) Entities | CATHOLIC HEALTH INITIATIVES COLORADO | 9100 E Mineral Cir, Centennial, CO 80112-3401 |
| System for Award Management (SAM) Entities | CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION | 9100 E Mineral Cir Fl 4, Centennial, CO 80112-3401 |
| Colorado Business Entities | CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION | 2525 S. Downing St., 3rd Floor of Mason Hall, Denver, CO 80210 |
| Street Address |
1921 SHERIDAN BLVD UNIT C |
| City | EDGEWATER |
| State | CO |
| Zip Code | 80214-1314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710325022 | Patrick F Carroll | Dentist | 1921 Sheridan Blvd, Edgewater, CO 80214-1325 | 2013-06-08 |
| 1033473145 | Adam Jeffrey Gentry | Dentist | 1921 Sheridan Blvd, Edgewater, CO 80214-1325 | 2012-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982266128 | Audra Perez | Social Worker | 1750 Pierce Street Suite C, Lakewood, CO 80214 | 2019-07-08 |
| 1508347758 | Robin Noel Mackin | Speech-Language Pathologist | 2401 Lamar Street, Edgewater, CO 80214 | 2018-08-26 |
| 1932636065 | Tamika Thomas | Counselor | 950 Wadsworth Blvd Ste 203, Lakewood, CO 80214 | 2017-05-19 |
| 1902353568 | Holly Carpenter | Counselor | 1410 Vance St, Lakewood, CO 80214 | 2016-09-01 |
| 1285094672 | Danijela Jankovic | Dentist | 7611 W.colfax Avenue, Suite D, Lakewood, CO 80214 | 2016-02-29 |
| 1053784207 | Dale Kim | Dentist | 1921 Sheridan Blvd Unit F, Edgewater, CO 80214 | 2015-11-10 |
| 1164890604 | Kingston Dialysis LLC | Clinic/Center | 1750 Pierce St Ste A, Lakewood, CO 80214 | 2015-09-14 |
| 1558747923 | Hv Lakewood | Optometrist | 6695 W. Colfax Ave., Lakewood, CO 80214 | 2015-08-07 |
| 1265879498 | Diana M Arvizo | Occupational Therapy Assistant | 1685 Eaton St., Lakewood, CO 80214 | 2013-05-29 |
| 1528332731 | Jennifer Anderson | Physical Therapist | 5354 W 25th Ave, Edgewater, CO 80214 | 2012-03-06 |
| Find all providers in zip 80214 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861653404 | Terry Lee Everhart | Family Medicine | 3169 Braverton Street, Suite 201, Edgewater, MD 21037-2690 | 2008-06-17 |
| 1386748606 | Sajida S Chaudry | Family Medicine | 137 Mitchells Chance Rd Ste 180, Edgewater, MD 21037 | 2006-09-08 |
| 1154384436 | Susan A Hole | Family Medicine | 346 N Ridgewood Ave, Suite A, Edgewater, FL 32132-1671 | 2006-04-08 |
| 1174594295 | Sharon L Shelton | Family Medicine | 2984 S Ridgewood Ave Ste A, Edgewater, FL 32141-7527 | 2006-01-27 |
| 1205824778 | Margaret Chang | Family Medicine | 1404 S Ridgewood Ave, Edgewater, FL 32132-2720 | 2005-10-10 |
| 1285627778 | Stephen E Killian | Family Medicine | 3169 Braverton St, Suite 201, Edgewater, MD 21037-2679 | 2005-08-30 |
| 1033116744 | Edward J Milcarsky | Family Medicine | 239 N Ridgewood Ave, Edgewater, FL 32132-1734 | 2005-07-07 |
| 1215346218 | Adam Alex, LLC | Family Medicine | 725 River Rd, Suite 27, Edgewater, NJ 07020-1171 | 2014-08-05 |
| 1033456124 | Global Medical Guardians | Family Medicine | 103 River Rd, Suite 101, Edgewater, NJ 07020-1016 | 2013-01-09 |
| 1952695793 | Valerie N Owings | Family Medicine | 137 Mitchells Chance Rd Ste 180, Edgewater, MD 21037 | 2011-06-08 |
| Find all providers in EDGEWATER | ||||
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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.