COLORADO PERMANENTE MEDICAL GROUP, P.C. (NPI# 1134674021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134674021 |
| Entity Type | Organization |
| Organization Name | COLORADO PERMANENTE MEDICAL GROUP, P.C. |
| Other Organization Name | KAISER PERMANENTE SKYLINE MEDICAL OFFICES |
| Practice Address |
1375 E 20th Ave Denver CO 80205-5422 |
| Mailing Address |
10350 E Dakota Ave Denver CO 80247-1314 |
| Practice Telephone | 3033384545 |
| Mailing Telephone | 3033384545 |
| Enumeration Date | 2016-08-20 |
| Last Update Date | 2019-09-24 |
| Authorized Official Name | MATTHEW J SPLINTER (CPMG CFO) |
| Authorized Official Telephone | 3033447345 |
| Is Organization Subpart | Y |
| Parent Organization Name | COLORADO PERMANENTE MEDICAL GROUP, P.C. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | CO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 04710083 | 05 |
| Other Name | Type Code |
|---|---|
| Kaiser Permanente Skyline Medical Offices | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336775469 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 3920 N Union Blvd, Colorado Springs, CO 80907-4900 | 2020-03-20 |
| 1952937039 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 14701 E Exposition Ave, Aurora, CO 80012-2623 | 2020-03-20 |
| 1851927933 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 10240 Park Meadows Dr, Lone Tree, CO 80124-5425 | 2020-03-20 |
| 1669008744 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 8383 W Alameda Ave, Lakewood, CO 80226-3007 | 2020-03-20 |
| 1639641152 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 2625 W Pueblo Blvd, Pueblo, CO 80014-5833 | 2018-12-21 |
| 1083161152 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 226 Lusher Court, Ste 104, Frisco, CO 80443-7600 | 2016-09-07 |
| 1932655099 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 56 Edwards Village Blvd, Ste 208, Edwards, CO 81632-7802 | 2016-08-29 |
| 1487100541 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 215 S Parkside Dr, Ste 215, Colorado Springs, CO 80910-3131 | 2016-08-29 |
| 1205382363 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 1136 E Stuart St, Bldg 3, 2nd Floor, Fort Collins, CO 80525-1195 | 2016-08-29 |
| 1174079594 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 4318 Trail Boss Dr, Ste 100, Castle Rock, CO 80104-7512 | 2016-08-26 |
| Street Address |
1375 E 20TH AVE |
| City | DENVER |
| State | CO |
| Zip Code | 80205-5422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437146115 | Vadim Fayngersh | Internal Medicine | 1375 E 20th Ave, Denver, CO 80205-5422 | 2005-09-29 |
| 1588177745 | Amber Vargo | Registered Nurse | 1375 E 20th Ave, Denver, CO 80205-5422 | 2017-11-09 |
| 1386156248 | Kaiser Foundation Health Plan of Colorado | Clinical Medical Laboratory | 1375 E 20th Ave, Denver, CO 80205-5422 | 2017-11-01 |
| 1558889626 | Jennifer Ann Outcalt | Registered Nurse | 1375 E 20th Ave, Denver, CO 80205 | 2017-09-08 |
| 1528581956 | Michelle Lynn Eisenhauer | Respiratory Therapist, Certified | 1375 E 20th Ave, Denver, CO 80205-5422 | 2017-07-18 |
| 1437681962 | Daniel Scott Stevens | Family Medicine | 1375 E 20th Ave, Denver, CO 80205-5422 | 2017-04-03 |
| 1568903383 | Tyler Ashford | Registered Nurse | 1375 E 20th Ave, Denver, CO 80205-5422 | 2017-03-13 |
| 1124563291 | Mary Grey Branan | Registered Nurse | 1375 E 20th Ave, Denver, CO 80205-5422 | 2016-12-28 |
| 1700335833 | Elizabeth C Tran | Physician Assistant | 1375 E 20th Ave, Denver, CO 80205-5422 | 2016-09-30 |
| 1538617212 | Kelsie Rae Elder | Physician Assistant | 1375 E 20th Ave, Denver, CO 80205-5422 | 2016-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235769233 | Abigail Eileen Taylor | Occupational Therapy Assistant | 3241 N York St, Denver, CO 80205 | 2020-01-19 |
| 1609415694 | Blushing Bodies | Clinic/Center | 2040 East 28th Ave, Denver, CO 80205 | 2019-12-23 |
| 1053966564 | Paul Deutsch | Social Worker | 3836 York St, Denver, CO 80205 | 2019-08-02 |
| 1770062085 | New Health Pain Treatment Centers, LLC | General Practice | 3605 S Teller, Englewood, CO 80205 | 2018-08-08 |
| 1710474374 | Paloma Dental | Dentist | 1225 35th Street, Denver, CO 80205 | 2018-04-19 |
| 1720516677 | Volunteers of America, Colorado Branch | Voluntary or Charitable | 2660 Larimer St., Denver, CO 80205 | 2017-05-23 |
| 1760917637 | Rino Dental | Dentist | 3258 Larimer St, Suite 300, Denver, CO 80205 | 2017-04-27 |
| 1891233193 | Barbara Jordan | Physical Therapist | 13123 East 16th Avenue, Box 295, Denver, CO 80205 | 2017-02-07 |
| 1255877635 | Kaiser Permanente | Clinic/Center | 1451 24th Street, Apt 146, Denver, CO 80205 | 2017-01-10 |
| 1255887501 | Stephanie W Kwong | Speech-Language Pathologist | 158 S Pacific Avenue, Denver, CO 80205 | 2016-08-28 |
| Find all providers in zip 80205 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841817921 | Strive Health Pa LLC | Clinic/Center | 1600 Stout St Ste 2000, Denver, CO 80202-3113 | 2020-07-06 |
| 1881218683 | Strive Health Ky 2 LLC | Clinic/Center | 1400 Glenarm Pl Ste 302, Denver, CO 80202-5034 | 2020-06-08 |
| 1386267714 | University of Colorado Hospital Authority | Clinic/Center | 100 Cook Street, Suite 204, Denver, CO 80206-5307 | 2020-05-20 |
| 1407479975 | University of Colorado Hospital Authority | Clinic/Center | 100 Cook Street, Suite 102, Denver, CO 80206-5307 | 2020-05-19 |
| 1609415694 | Blushing Bodies | Clinic/Center | 2040 East 28th Ave, Denver, CO 80205 | 2019-12-23 |
| 1790328722 | Friends of Children With Down Syndrome of Colorado, Inc. | Clinic/Center | 4901 E Eastman Ave, Denver, CO 80222-7309 | 2019-10-22 |
| 1558921411 | University of Colorado Hospital Authority | Clinic/Center | 3055 Roslyn St Unit 220, Denver, CO 80238-3324 | 2019-06-13 |
| 1356901235 | University of Colorado Hospital Authority | Clinic/Center | 2000 S Colorado Blvd Ste 100, Denver, CO 80222-7917 | 2019-06-13 |
| 1669039475 | Options Treatment At Denver LLC | Clinic/Center | 1800 N Emerson St, Denver, CO 80218-1080 | 2019-05-28 |
| 1316429103 | Myheartlife Pllc | Clinic/Center | 425 S Cherry St Ste 160, Denver, CO 80246-1221 | 2018-08-29 |
| Find all providers in DENVER | ||||
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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.