HEALOGICS SPECIALTY PHYSICIANS OF COLORADO-PROFESSIONAL, LLC (NPI# 1114331006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114331006 |
| Entity Type | Organization |
| Organization Name | HEALOGICS SPECIALTY PHYSICIANS OF COLORADO-PROFESSIONAL, LLC |
| Practice Address |
9399 Crown Crest Blvd Ste 430 Parker CO 80138-8527 |
| Mailing Address |
5220 Belfort Rd Ste 130 Jacksonville FL 32256-6018 |
| Practice Telephone | 3032692310 |
| Practice Fax Number | 3032692319 |
| Mailing Telephone | 9044463451 |
| Mailing Fax Number | 9044463032 |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2020-03-03 |
| Authorized Official Name | DAVID BASSIN (CEO) |
| Authorized Official Telephone | 8556895105 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| N | 208D00000X | General Practice | Allopathic & Osteopathic Physicians | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 364S00000X | Clinical Nurse Specialist | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 2083P0011X |
Preventive Medicine Specialization: Undersea and Hyperbaric Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | NPI | 1114331006 | 01 |
| CO | 35233559 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619590890 | Healogics Specialty Physicians of Colorado-professional, LLC | Preventive Medicine | 2222 N Nevada Ave, Colorado Springs, CO 80907-6819 | 2020-05-22 |
| 1114559572 | Healogics Specialty Physicians of Colorado-professional, LLC | Preventive Medicine | 6001 E Woodmen Rd, Colorado Springs, CO 80923-2601 | 2020-02-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Healogics Specialty Physicians of Colorado-Professional, LLC | 5220 Belfort Rd., Suite 130, Jacksonville, FL 32256 |
| Street Address |
9399 CROWN CREST BLVD STE 430 |
| City | PARKER |
| State | CO |
| Zip Code | 80138-8527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306443718 | Douglas County Christian Counseling Inc. | Counselor | 9030 Miller Road, Parker, CO 80138 | 2020-10-08 |
| 1568081198 | Dr. Trathen & Associates, PC | Clinic/Center | 19284 Cottonwood Dr., Suite 202, Parker, CO 80138 | 2020-04-14 |
| 1427601228 | Mendalyn Berry | Counselor | 19751 Mainstreet, Suite 395, Parker, CO 80138 | 2019-07-20 |
| 1366925349 | Deborah Kolker Mastin | Social Worker | 19753 E. Pikes Peak Ave, Parker, CO 80138 | 2018-09-14 |
| 1861988131 | Premere Rehab LLC | Occupational Therapist | 19160 Cottonwood Dr, Parker, CO 80138 | 2018-07-10 |
| 1043737315 | Ponderosa Counseling Center LLC | Nurse Practitioner | 19753 E Pikes Peak Ave, Suite 202, Parker, CO 80138 | 2017-08-27 |
| 1942674502 | Brittany Caitlin Peters | Occupational Therapist | 12169 S Hidden Trail Ct, Parker, CO 80138 | 2015-11-19 |
| 1548650799 | Robyn Looze | Social Worker | 19563 East Mainstreet Suite, 204, Parker, CO 80138 | 2015-01-27 |
| 1013328426 | Dena Dobbs | Dietitian, Registered | 9397 Crown Crest Blvd, Suite 440, Parker, CO 80138 | 2014-05-20 |
| 1811322092 | Aba At Legacy | Behavioral Analyst | 19751 E. Mainstreet Ste. 215, Parker, CO 80138 | 2013-09-06 |
| Find all providers in zip 80138 | ||||
| Taxonomy Code | 2083P0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Undersea and Hyperbaric Medicine |
| A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114997087 | Northern Colorado Hyperbaric Physicians, LLP | Preventive Medicine | 2121 E. Harmony Rd, Ste, Fort Collins, CO 80528 | 2006-01-24 |
| 1619590890 | Healogics Specialty Physicians of Colorado-professional, LLC | Preventive Medicine | 2222 N Nevada Ave, Colorado Springs, CO 80907-6819 | 2020-05-22 |
| 1114559572 | Healogics Specialty Physicians of Colorado-professional, LLC | Preventive Medicine | 6001 E Woodmen Rd, Colorado Springs, CO 80923-2601 | 2020-02-04 |
| 1245719756 | Colorado Hyperbaric Physicians, LLC | Preventive Medicine | 1400 E Boulder St, Department of Hyperbaric Medicine, Colorado Springs, CO 80909 | 2018-08-07 |
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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.