BROOKE DISTEFANO (NPI# 1124001649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124001649 |
| Entity Type | Individual |
| Full Name | BROOKE DISTEFANO |
| Credential | P.A. |
| Practice Address |
7800 E Orchard Rd Suite 100 Greenwood Village CO 80111-2583 |
| Practice Telephone | 3036977463 |
| Practice Fax Number | 3037831200 |
| Mailing Telephone | 3036977463 |
| Mailing Fax Number | 3037831200 |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2012-09-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
3413 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
7800 E ORCHARD RD SUITE 100 |
| City | GREENWOOD VILLAGE |
| State | CO |
| Zip Code | 80111-2583 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063405678 | Denver Spine Center Professional LLC | Orthopaedic Surgery | 7800 E Orchard Rd, Suite 100, Greenwood Village, CO 80111-2583 | 2005-08-30 |
| 1831500750 | Brittany Kaitlin Shoemaker | Psychologist | 7800 E Orchard Rd, Greenwood Village, CO 80111-2583 | 2014-05-13 |
| 1730519695 | Spinal Therapy LLC | Clinic/Center | 7800 E Orchard Rd, Suite 350, Greenwood Village, CO 80111-2583 | 2013-11-13 |
| 1457787616 | Optimal Motion Chiropractic | Chiropractor | 7800 E Orchard Rd, Ste 320, Greenwood Village, CO 80111-2583 | 2013-09-19 |
| 1366877532 | Marc Edward Sorensen | Chiropractor | 7800 E Orchard Rd, Suite 320, Greenwood Village, CO 80111-2583 | 2013-09-06 |
| 1538594080 | Lynda Bess | Acupuncturist | 7800 E Orchard Rd, Suite 350, Greenwood Village, CO 80111-2583 | 2013-09-03 |
| 1184977670 | Barb Divver | Mechanotherapist | 7800 E Orchard Rd, 120, Greenwood Village, CO 80111-2583 | 2012-10-21 |
| 1366795858 | Susan Tobin | Mechanotherapist | 7800 E Orchard Rd, 120, Greenwood Village, CO 80111-2583 | 2012-10-21 |
| 1013271576 | Denver Back Pain Specialists | Clinic/Center | 7800 E Orchard Rd, Suite 100, Greenwood Village, CO 80111-2583 | 2012-06-29 |
| 1366700114 | Jatanaspine PC | Orthopaedic Surgery | 7800 E Orchard Rd, Suite 100, Greenwood Village, CO 80111-2583 | 2012-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922637552 | Aaron Joseph Rushing | Anesthesiologist Assistant | Us Anesthesia Partners of Colorado, Inc, 8000 E. Maplewood Ave., Suite 200, Greenwood Village, CO 80111 | 2020-04-06 |
| 1003381252 | Bing Xu | Non-emergency Medical Transport (VAN) | 9000 E Caley Way, Greenwood Village, CO 80111 | 2018-10-03 |
| 1669963146 | Deborah G. Aragon | Physician Assistant | 6229 S. Iola Wy, Englewood, CO 80111 | 2018-05-21 |
| 1902343718 | Jennifer Bielefeld | Registered Nurse | 6162 South Willow Dr., Suite 100, Greenwood Village, CO 80111 | 2017-01-31 |
| 1225589807 | Osama M Kassab | Chiropractor | 5690 Dtc Blvd Ste 140e, Greenwood Village, CO 80111 | 2016-10-19 |
| 1891242400 | Samantha Fiegel | Counselor | 6021 S Syracuse Way Ste 216, Greenwood Village, CO 80111 | 2016-09-01 |
| 1831644368 | Melissa Fischer Alconcel | Dentist | 8940 E. Crescent Parkway, Suite 370, Greenwood Village, CO 80111 | 2016-08-25 |
| 1245680263 | Carron Maclean | Counselor | 5310 Dtc Pkwy Ste A, Greenwood Village, CO 80111 | 2016-06-21 |
| 1326493792 | Insight Psychotherapy LLC | Counselor | 7350 E Progress Place, Suite 100, Greenwood Village, CO 80111 | 2016-05-04 |
| 1457705410 | Amy Flora | Occupational Therapist | 5750 Dtc Pkwy #170, Greenwood Village, CO 80111 | 2016-04-15 |
| Find all providers in zip 80111 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396077384 | Kristen Dorak Viehman | Physician Assistant | 5351 S Roslyn St Ste 200, Greenwood Village, CO 80111-2132 | 2010-02-02 |
| 1447703558 | Surgical Specialists of Centennial | Physician Assistant | 5380 Autumn Dr, Greenwood Village, CO 80111-3424 | 2016-07-26 |
| 1114180932 | Ross J Gallucci | Physician Assistant | 7800 E Orchard Rd, Suite 100, Greenwood Village, CO 80111-2583 | 2008-07-02 |
| 1003015306 | Westlake, LLC | Physician Assistant | 7800 E Orchard Rd, Suite 100, Greenwood Village, CO 80111-2583 | 2007-07-16 |
| 1275751315 | Deja Marie Simmons | Physician Assistant | 4950 S Yosemite St, F2-242, Greenwood Village, CO 80111-1349 | 2007-04-23 |
| 1386669463 | Renee L Kirchner | Physician Assistant | 7800 E Orchard Rd, #100, Greenwood Village, CO 80111-2583 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033737366 | Wound Solutions Inc | Physician Assistant | 130 Old Laramie Trl Ste 100, Lafayette, CO 80026-7014 | 2020-07-13 |
| 1295396513 | Joseph D Timmermeyer | Physician Assistant | 324 Fossil Dr, Johnstown, CO 80534-7452 | 2019-06-26 |
| 1356805626 | Heather Free | Physician Assistant | 3653 N Josephine St, Denver, CO 80205-3545 | 2019-01-30 |
| 1255804910 | Jessie P Larson | Physician Assistant | 7847 Downing St, Denver, CO 80229-5961 | 2019-01-05 |
| 1710453543 | Lindsay Marie Bergman | Physician Assistant | 1140 Edwards Village II, B-105, Edwards, CO 81632 | 2018-10-19 |
| 1225533136 | Rafael Eduardo Castillo | Physician Assistant | 6200 Habitat Dr Apt 2052, Boulder, CO 80301-3235 | 2018-03-25 |
| 1972026276 | Sophia Jane Wagner | Physician Assistant | 2643 Patterson Rd Ste 403, Grand Junction, CO 81506-1937 | 2017-07-19 |
| 1326588732 | Elise Nicole Van Etten | Physician Assistant | 13123 E 16th Ave # 323, Anschutz Medical Campus, Aurora, CO 80045-7106 | 2017-03-03 |
| 1336691914 | Patrick Craig Ford | Physician Assistant | 6500 29th St Ste 106, Greeley, CO 80634-8386 | 2016-10-28 |
| 1942751904 | 5280 Surgical Assisting Professional LLC | Physician Assistant | 10233 Bluffmont Dr, Lone Tree, CO 80124-5559 | 2016-10-14 |
| Find all providers with the same taxonomy | ||||
| City | GREENWOOD VILLAGE |
| Zip Code | 80111 |
Please comment or provide details below to improve the information on BROOKE DISTEFANO.
| 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.