SOUTH DOWNING PROFESSIONAL, LLC (NPI# 1073953162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073953162 |
| Entity Type | Organization |
| Organization Name | SOUTH DOWNING PROFESSIONAL, LLC |
| Practice Address |
5756 Genoa Way # 205 Aurora CO 80019-2090 |
| Mailing Address |
Po Box 237 Osakis MN 56360-0237 |
| Practice Telephone | 7203084567 |
| Mailing Telephone | 7203084567 |
| Mailing Fax Number | 3034595180 |
| Enumeration Date | 2013-07-03 |
| Last Update Date | 2015-03-24 |
| Authorized Official Name | ADRIAN PANTHER (OWNER) |
| Authorized Official Telephone | 7203084567 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
5756 GENOA WAY # 205 |
| City | AURORA |
| State | CO |
| Zip Code | 80019-2090 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972717700 | South Downing | Specialist/Technologist, Other | 5756 Genoa Way, # 205, Aurora, CO 80019-2090 | 2007-05-10 |
| 1912347006 | Bhlh Reading, LLC | Specialist/Technologist, Other | 5756 Genoa Way, # 205, Aurora, CO 80019-2090 | 2013-07-03 |
| 1972717718 | Professional Reading, LLC | Specialist/Technologist, Other | 5756 Genoa Way, #205, Aurora, CO 80019-2090 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801360367 | Rejane Gabriella Branch | Registered Nurse | 19448 E 59th Ave, Aurora, CO 80019-2009 | 2019-01-17 |
| 1487217030 | Comfort Care Transit LLC | Non-emergency Medical Transport (VAN) | 19951 E 59th Dr, Aurora, CO 80019-2017 | 2019-04-19 |
| 1659885630 | Diane Ariel Ream | Registered Nurse | 19701 E 58th Pl, Aurora, CO 80019-2030 | 2017-11-28 |
| 1639708415 | Olga Berezenko | Marriage & Family Therapist | 6750 N Dunkirk St, Aurora, CO 80019-2107 | 2020-04-03 |
| 1912554858 | Joel Transport | Non-emergency Medical Transport (VAN) | 6299 N Fundy St, Aurora, CO 80019-2125 | 2019-08-26 |
| 1497302442 | Seyoum Woldemariam | Driver | 6299 N Fundy St, Aurora, CO 80019-2125 | 2019-08-23 |
| 1841708708 | Multi-community Home Care | Homemaker | 19622 E 63rd Dr, Aurora, CO 80019-2127 | 2018-01-12 |
| 1669981593 | Chelsea Nicole Bristow | Counselor | 19420 E 61st Dr, Aurora, CO 80019-2141 | 2017-09-22 |
| 1083273528 | Kyandra Ogunlowo | Licensed Practical Nurse | 6466 N Espana Ct, Aurora, CO 80019-2169 | 2019-06-09 |
| Taxonomy Code | 246ZE0600X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Electroneurodiagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730421892 | Mark Matibag | Specialist/Technologist, Other | 2657 S Macon Ct, Aurora, CO 80014-1825 | 2013-03-26 |
| 1972717700 | South Downing | Specialist/Technologist, Other | 5756 Genoa Way, # 205, Aurora, CO 80019-2090 | 2007-05-10 |
| 1912347006 | Bhlh Reading, LLC | Specialist/Technologist, Other | 5756 Genoa Way, # 205, Aurora, CO 80019-2090 | 2013-07-03 |
| 1972717718 | Professional Reading, LLC | Specialist/Technologist, Other | 5756 Genoa Way, #205, Aurora, CO 80019-2090 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073135794 | Denise Hostetler | Specialist/Technologist, Other | 1861 Castlewood Dr, Franktown, CO 80116-9009 | 2020-05-15 |
| 1447887898 | Altitude Neuromonitoring, LLC | Specialist/Technologist, Other | 236 E Rabbit Ct, Silverthorne, CO 80498-9209 | 2020-03-25 |
| 1518597855 | Intact Neuromonitoring, LLC | Specialist/Technologist, Other | 3295 Blake St Apt 304, Denver, CO 80205-2469 | 2020-01-24 |
| 1538635982 | Casey Ryko Jestrovich | Specialist/Technologist, Other | 2318 Hall Ave, Grand Junction, CO 81501-6234 | 2018-10-23 |
| 1376019679 | Taylor Kaufman | Specialist/Technologist, Other | 5460 Ward Rd Ste 220, Arvada, CO 80002-1818 | 2018-10-15 |
| 1598246282 | Multiverse Surgical, LLC | Specialist/Technologist, Other | 2085 Driver Ln, Erie, CO 80516-4707 | 2018-08-22 |
| 1003301979 | Spencer Pankratz | Specialist/Technologist, Other | 4600 S Ulster St Ste 125, Denver, CO 80237-2848 | 2018-06-24 |
| 1780174169 | Nervepro | Specialist/Technologist, Other | 79 County Road 4103, Granby, CO 80446 | 2018-05-11 |
| 1871000588 | Peak Neuro Monitoring LLC | Specialist/Technologist, Other | 4164 Austin Bluffs Pkwy Unit 603, Colorado Springs, CO 80918-2928 | 2018-01-03 |
| 1548792401 | Breanna Singleton | Specialist/Technologist, Other | 280 E 1st Ave Unit 727, Broomfield, CO 80038-2229 | 2017-03-30 |
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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.