MATTHEW CARL PODLOGAR (NPI# 1073033734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073033734 |
| Entity Type | Individual |
| Full Name | MATTHEW CARL PODLOGAR |
| Credential | PHD |
| Practice Address |
1700 N Wheeling St Aurora CO 80045-7211 |
| Mailing Address |
2591 Iola St Aurora CO 80010-1182 |
| Practice Telephone | 3033998020 |
| Mailing Telephone | 3032493182 |
| Enumeration Date | 2017-06-23 |
| Last Update Date | 2020-04-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
5241 | CO | Behavioral Health & Social Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2591 Iola St, Aurora, CO 800101182 | 3032493182 | |
| 1738 Wynkoop St Ste 303, Denver, CO 802021000 | 8448437279 |
| Street Address |
1700 N WHEELING ST |
| City | AURORA |
| State | CO |
| Zip Code | 80045-7211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750657755 | Nathaniel Joseph Brown | Anesthesiology | 1700 N Wheeling St, Rocky Mountain Regional Vamc -- Anesthesiology, Aurora, CA 80045 | 2012-03-24 |
| 1629639380 | Jasmine Shewen Fu | Pharmacist | 1700 N Wheeling St, (119), Aurora, CO 80045 | 2019-06-24 |
| 1972162923 | Kha Nguyen | Podiatrist | 1700 N Wheeling St, Aurora, CO 80045-8004 | 2019-06-12 |
| 1497169155 | Stephanie Cowherd Ryder | Physical Medicine & Rehabilitation | 1700 N Wheeling St, K-1-11sc, Aurora, CO 80045 | 2014-06-19 |
| 1114342920 | Sydney Gurnitz | Dietitian, Registered | 1700 N Wheeling St, Aurora, CO 80045-7211 | 2014-03-03 |
| 1750625638 | Allison Kathleen Wostenberg | Nurse Practitioner | 1700 N Wheeling St, Rmr Va Medical Center (f2-111a), Aurora, CO 80045 | 2012-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942817408 | Salwa Mourtada Bamba | Nurse Practitioner | University of Colorado Medicine, 12631 East 17th Avenue, Aurora, CO 80045 | 2020-09-29 |
| 1114545233 | Chun Cheong Tsui | Student in an Organized Health Care Education/Training Program | 12801 E. 17th Avenue, Ms 8117, Aurora, CO 80045 | 2020-07-07 |
| 1487278719 | James Charles Tuka IIi | Social Worker | 1700 North Wheeling, Aurora, CO 80045 | 2020-06-02 |
| 1427677806 | Justin Yu | Student in an Organized Health Care Education/Training Program | 12631 E. 17th Ave. Ms B205, Aurora, CO 80045 | 2020-04-15 |
| 1558980011 | Erik Von Polsdofer | Student in an Organized Health Care Education/Training Program | Academic Office 1; Department of Pathology, 12631 East 17th Avenue, Aurora, CO 80045 | 2020-04-14 |
| 1831718568 | Luke Porter Bacon | Student in an Organized Health Care Education/Training Program | 3001 East 17th Place, Aurora, CO 80045 | 2020-04-13 |
| 1366061368 | Hilary Novatt | Student in an Organized Health Care Education/Training Program | 12631 E 17th Ave, B198-6, Room 4007, Aurora, CO 80045 | 2020-04-10 |
| 1376195362 | Katie Tuck | Pharmacist | 1700 North Wheeling Street (119), Fs-111o, Aurora, CO 80045 | 2019-07-10 |
| 1518529130 | Ronak Kamal Kapadia | Student in an Organized Health Care Education/Training Program | 12700 E. 19th Ave, Ms B182 Rm 5104, Aurora, CO 80045 | 2019-07-03 |
| 1245898253 | Rasha Elbadry Ahmed | Student in an Organized Health Care Education/Training Program | Childrens Hospital Colorado Pediatric Neurosurgery, 13123e. 16th Ave, B330, Aurora, CO 80045 | 2019-06-04 |
| Find all providers in zip 80045 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659980704 | Diana L. Slaviero, Ph.d., P.C. | Psychologist | 75 Executive Dr Ste 429, Aurora, IL 60504-8112 | 2020-07-24 |
| 1164066528 | Cynthia Guadalupe Penne | Psychologist | 2794 Rosehall Ln, Aurora, IL 60503-5682 | 2019-10-29 |
| 1669015913 | Briana Lucia Robustelli | Psychologist | 1700 Wheeling St # 554-116w, Aurora, CO 80045-7211 | 2019-10-18 |
| 1750899910 | Michael W Kirkwood | Psychologist | Dept of Rehab, B285; Children's Hospital Colorado, 13123 E. 16th Ave, Aurora, CO 80045 | 2018-01-22 |
| 1043731409 | Horizon Psychology Services, LLC | Psychologist | 2261 Reflections Dr, Aurora, IL 60502-7310 | 2017-07-06 |
| 1144626888 | Diana Hinojosa | Psychologist | 10680 Del Mar Pkwy, Aurora, CO 80010 | 2014-11-06 |
| 1639597446 | Todd Huenecke | Psychologist | 2135 Colonial St, Aurora, IL 60503-4611 | 2014-03-31 |
| 1932538717 | Erica Stephens | Psychologist | 3131 S Vaughn Way Ste 110, Aurora, CO 80014 | 2013-11-02 |
| 1588942585 | Charles Harrison | Psychologist | 13123 E 16th Ave # B505, Aurora, CO 80045-7106 | 2011-07-26 |
| 1619138070 | Irene Gutierrez Ellis | Psychologist | 2101 S Blackhawk St., Ste 240, Rm 4, Aurora, CO 80014-1475 | 2008-06-18 |
| Find all providers in AURORA | ||||
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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.