SPENCER PANKRATZ (NPI# 1003301979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003301979 |
| Entity Type | Individual |
| Full Name | SPENCER PANKRATZ |
| Credential | CNIM, R.EEG.T |
| Practice Address |
4600 S Ulster St Ste 125 Denver CO 80237-2848 |
| Mailing Address |
139 S 1200 E Apt 1 Salt Lake City UT 84102-1652 |
| Practice Telephone | 7202873093 |
| Mailing Telephone | 4352418505 |
| Enumeration Date | 2018-06-24 |
| Last Update Date | 2018-06-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
3187 | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
4600 S ULSTER ST STE 125 |
| City | DENVER |
| State | CO |
| Zip Code | 80237-2848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699386490 | Bridget Joy Roggow | Behavior Technician | Technology Way Apt 301, Denver, CO 80237 | 2020-08-14 |
| 1366085292 | Espire Dental Practice, LLC | Dentist | 8080 E Union Ave #140, Denver, CO 80237 | 2019-10-23 |
| 1861935512 | Developmental Disabilities Resource Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2510 S Flower St, Lakewood, CO 80237 | 2016-11-29 |
| 1144637372 | Robert Harling Di Carlo | Anesthesiology | 4083 So Wisteria Wy, Denver, CO 80237 | 2014-07-21 |
| 1750793386 | Jonathan Bautista | Physical Therapist | 8000 E Quincy Ave #1700, Sarahcare At Dtc, Denver, CO 80237 | 2014-06-02 |
| 1053740571 | Minjae An | Psychiatric Residential Treatment Facility | 4500 S Monaco Street Apt.1624, Denver, CO 80237 | 2013-11-05 |
| 1902240658 | Peter Nicholas Maniatis | Dentist | 4545 So. Monaco St., #444, Denver, CO 80237 | 2013-04-24 |
| 1114277480 | Logan Halliburton | Pharmacist | 8330 E Quincy Ave, A-309, Denver, CO 80237 | 2012-09-14 |
| 1770832016 | Healthpath, LLC | Clinic/Center | 3545 S. Tamarac Dr, Suite 170, Denver, CO 80237 | 2012-08-31 |
| 1790033322 | Seana B Medina | Acupuncturist | 3545 S Tamarac Dr., Ste #170, Denver, CO 80237 | 2012-08-29 |
| Find all providers in zip 80237 | ||||
| Taxonomy Code | 246ZE0600X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Electroneurodiagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518597855 | Intact Neuromonitoring, LLC | Specialist/Technologist, Other | 3295 Blake St Apt 304, Denver, CO 80205-2469 | 2020-01-24 |
| 1689042699 | Red State Reading | Specialist/Technologist, Other | 4600 S Ulster St Ste 1225, Denver, CO 80237-2696 | 2015-09-08 |
| 1871891457 | Kcm Neuromonitoring, LLC | Specialist/Technologist, Other | 1919 S Pearl St, Denver, CO 80210-4040 | 2011-03-07 |
| 1962710871 | Elite Neuromonitoring | Specialist/Technologist, Other | 3720 Newton St, Denver, CO 80211 | 2010-09-14 |
| 1861709271 | Thomas Niles Rubinson | Specialist/Technologist, Other | 2349 Glenarm Place, Denver, CO 80205 | 2010-09-07 |
| 1831334309 | Carmen Herrboldt | Specialist/Technologist, Other | 4500 S. Monaco St. Apt 734, Denver, CO 80237 | 2008-12-11 |
| 1851536569 | Tyler Stuart Root | Specialist/Technologist, Other | 6696 Warren Dr, Denver, CO 80221 | 2008-12-09 |
| 1053585174 | Brent Jeffrey Nienaber | Specialist/Technologist, Other | 6669 Morrison Dr, Denver, CO 80221 | 2008-04-18 |
| 1598951386 | Dianne Catherine Bunney Gallegos | Specialist/Technologist, Other | 1666 S Stuart St, Denver, CO 80219-4457 | 2007-09-14 |
| 1134322803 | Ervin Caballes | Specialist/Technologist, Other | 1651 Quebec St, Denver, CO 80220-1963 | 2007-06-08 |
| 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.