DR. MABEL A MARDONES (NPI# 1134446461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134446461 |
| Entity Type | Individual |
| Full Name | DR. MABEL A MARDONES |
| Credential | M.D. |
| Practice Address |
10107 Ridgegate Pkwy Ste 200 Lone Tree CO 80124 |
| Mailing Address |
10107 Ridgegate Pkwy Ste 200 Lone Tree CO 80124-5641 |
| Practice Telephone | 3039250700 |
| Practice Fax Number | 3033292599 |
| Mailing Telephone | 3039250700 |
| Mailing Fax Number | 3033292599 |
| Enumeration Date | 2010-04-26 |
| Last Update Date | 2018-09-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | P8274 | TX | Allopathic & Osteopathic Physicians |
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
DR0060709 | CO | Allopathic & Osteopathic Physicians |
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
P8274 | TX | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | RAILROAD | P01800849 | 01 |
| TX | 333672901 | 05 | |
| CO | 9000165257 | 05 | |
| TX | 333672902 | 05 |
| Street Address |
10107 RIDGEGATE PKWY STE 200 |
| City | LONE TREE |
| State | CO |
| Zip Code | 80124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518048412 | Jessica L Anderson | Nurse Practitioner | 10107 Ridgegate Pkwy Ste 200, Lone Tree, CO 80124-5641 | 2006-10-18 |
| 1841832102 | Courtney Welch | Nurse Practitioner | 10107 Ridgegate Pkwy Ste 200, Lone Tree, CO 80124-5641 | 2019-10-08 |
| 1396236295 | Crystal Fields-burdick | Social Worker | 10107 Ridgegate Pkwy Ste 200, Lone Tree, CO 80124 | 2018-05-25 |
| 1447677489 | Patrick J. Eulitt | Internal Medicine | 10107 Ridgegate Pkwy Ste 200, Lone Tree, CO 80124-5641 | 2014-03-27 |
| 1235416694 | Laura Ann Traylor | Nurse Practitioner | 10107 Ridgegate Pkwy Ste 200, Lone Tree, CO 80124-5641 | 2011-11-12 |
| 1376831180 | Stacy L Melville | Nurse Practitioner | 10107 Ridgegate Pkwy Ste 200, Lone Tree, CO 80124-5641 | 2011-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700413788 | Adam Avant | Student in an Organized Health Care Education/Training Program | Sky Ridge Medical Center 10099 Ridgegate Pkwy, Ste 200, Lonetree, CO 80124 | 2020-03-27 |
| 1265069546 | Nikhilesh Srinivasan | Student in an Organized Health Care Education/Training Program | 10099 Ridgegate Parkway, #200, Lone Tree, CO 80124 | 2020-03-25 |
| 1487281200 | Caden Nowak | Student in an Organized Health Care Education/Training Program | 10099 Ridgegate Parkway #200, Lone Tree, CO 80124 | 2020-03-23 |
| 1427618305 | University of Colorado Hospital Authority | Clinic/Center | 9548 Park Meadows Dr, Lone Tree, CO 80124 | 2019-06-13 |
| 1225505746 | Justin Sean Ashurst | Registered Nurse | 10240 Meadows Dr, Lone Tree, CO 80124 | 2018-11-02 |
| 1396257143 | University Physicians, Incorporated | Family Medicine | 9548 Park Meadows Drive, Lone Tree, CO 80124 | 2017-11-02 |
| 1861928236 | Jennifer Kouri | Student in an Organized Health Care Education/Training Program | 10099 Ridgegate Parkway Ste 120, Rvu/sky Ridge Tri Residency, Lone Tree, CO 80124 | 2017-05-04 |
| 1013443787 | Graham Litchman | Surgery | 1099 Ridgegate Parkway, Graduate Medical Education Office Suite 120, Lone Tree, CO 80124 | 2017-05-02 |
| 1609324466 | Amy Lim | Registered Nurse | 10101 Ridge Gate Pkwy, Lone Tree, CO 80124 | 2016-09-21 |
| 1770933251 | Richard Kenyon French Jr. | Optometrist | 8455 Park Meadows Center Blvd, Lenscrafters At Macy's, Littleton, CO 80124 | 2016-06-15 |
| Find all providers in zip 80124 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285242636 | Rocky Mountain Cancer Centers LLP | Internal Medicine | 10107 Ridgegate Pkwy Ste 300, Lone Tree, CO 80124-5642 | 2020-07-21 |
| 1386782902 | Thomas James Kenney IIi | Internal Medicine | 10240 Park Meadows Dr, Lone Tree, CO 80124-5425 | 2007-02-03 |
| 1598798761 | Lillian Klancar | Internal Medicine | 10240 Park Meadows Dr, Lone Tree, CO 80124-5425 | 2006-07-09 |
| 1982678975 | Stephen Armond Mayer | Internal Medicine | 10240 Park Meadows Dr, Lone Tree, CO 80124-5425 | 2006-02-15 |
| 1669457032 | Robert Matthew Jotte | Internal Medicine | 10103 Ridgegate Pkwy, Suite G01, Lone Tree, CO 80124-5520 | 2005-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184238578 | Scl Health Medical Group - Denver, LLC | Internal Medicine | 340 Exempla Cir, Lafayette, CO 80026-3384 | 2020-09-02 |
| 1356965529 | Platte Valley Medical Group, LLC | Internal Medicine | 1606 Prairie Center Pkwy Ste 270, Brighton, CO 80601-4005 | 2020-06-03 |
| 1457980617 | Poudre Valley Medical Group, LLC | Internal Medicine | 4050 Briargate Pkwy Ste C1100, Colorado Springs, CO 80920-7815 | 2020-04-08 |
| 1407351950 | University Physicians Incorporated | Internal Medicine | 13199 E Montview Blvd Ste 100, Aurora, CO 80045-7202 | 2018-03-27 |
| 1114439924 | Cancer Centers of Colorado, LLC | Internal Medicine | 1601 Lowell Blvd Ste 150, Denver, CO 80204-1545 | 2017-11-02 |
| 1760814644 | Cccric LLC | Internal Medicine | 799 E Hampden Ave Ste 500, Englewood, CO 80113-2777 | 2013-08-02 |
| 1336482769 | Tejas Patil | Internal Medicine | 12801 E 17th Ave Fl 81018, Aurora, CO 80045-2530 | 2013-04-04 |
| 1851667596 | Michelle A Levy | Internal Medicine | 1800 N Williams St Ste 200, Denver, CO 80218-1237 | 2012-03-27 |
| 1790818425 | Western Hematology Oncology Associates, P.C. | Internal Medicine | 34 Van Gordon St, Suite 160, Lakewood, CO 80228-1705 | 2007-03-13 |
| 1659306132 | High Plains Oncology,pllc | Internal Medicine | 2004 Lake Ave, Suite 110, Pueblo, CO 81004-3536 | 2006-07-12 |
| Find all providers with the same taxonomy | ||||
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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.