COLORADO PAIN PRACTICE, PLLC (NPI# 1154846939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154846939 |
| Entity Type | Organization |
| Organization Name | COLORADO PAIN PRACTICE, PLLC |
| Other Organization Name | COLORADO PAIN PRACTICE, PLLC |
| Practice Address |
2696 S Colorado Blvd Ste 100 Denver CO 80222 |
| Mailing Address |
1355 S Colorado Blvd Ste 700 Denver CO 80222-3325 |
| Practice Telephone | (303) 963-9182 |
| Mailing Telephone | 3039639182 |
| Enumeration Date | 2017-08-14 |
| Last Update Date | 2018-11-01 |
| Authorized Official Name | DR. ROBERT MOGHIM (PHYSICIAN OWNER) |
| Authorized Official Telephone | 3038882219 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Colorado Pain Practice, PLLC | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508285776 | Colorado Pain Practice, Pllc | Anesthesiology | 755 Heritage Road, Suite 100, Golden, CO 80401 | 2014-04-15 |
| Street Address |
2696 S COLORADO BLVD STE 100 |
| City | DENVER |
| State | CO |
| Zip Code | 80222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629625389 | Vi-thuy Vo | Student in an Organized Health Care Education/Training Program | 4141 E Dickenson Pl # 264b, Denver, CO 80222 | 2019-08-19 |
| 1255827143 | Megan Whitehead | Nurse Practitioner | 2696 S Colorado Blvd Ste 110, Denver, CO 80222 | 2018-07-03 |
| 1255859732 | Kathleen Goldman | Occupational Therapist | 6343 E Girard Place, Unit 442, Denver, CO 80222 | 2017-09-05 |
| 1891213435 | Caron Cottman | Counselor | Maria Droste Counseling Center 1355 S Colorado Blvd., Denver, CO 80222 | 2017-09-04 |
| 1831610021 | Danielle V Jones | Counselor | 4141 E. Dickerson Place, Denver, CO 80222 | 2017-06-28 |
| 1629508247 | Capable Conversations, LLC | Speech-Language Pathologist | 3451 S Elm Street, Denver, CO 80222 | 2017-06-15 |
| 1235672031 | Julie Reichenberger, Ma, Lpc, Pllc | Counselor | 1780 South Bellaire Street, Suite 485, Denver, CO 80222 | 2016-11-28 |
| 1346797925 | Encompass Home Health of Colorado, LLC | Hospice Care, Community Based | 1355 S Colorado Blvd Ste 604, Denver, CO 80222 | 2016-09-01 |
| 1124574363 | Shannon Barfield | Case Manager/Care Coordinator | Mental Health Center of Denver 4141 E. Dickenson Pl, Denver, CO 80222 | 2016-08-28 |
| 1609237353 | Travis Walker | Counselor | 4141 E Dickenson Place, Denver, CO 80222 | 2016-03-09 |
| Find all providers in zip 80222 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811507924 | Portercare Adventist Health System | Anesthesiology | 2535 S Downing St Ste 180, Denver, CO 80210-5863 | 2020-08-04 |
| 1407481740 | Colorado Pain Practice, LLC | Anesthesiology | 1355 S Colorado Blvd Ste 700, Denver, CO 80222-3325 | 2020-03-06 |
| 1871100529 | Dr Vanston Masri Pllc | Anesthesiology | 1601 E 19th Ave Ste 3600, Denver, CO 80218-1252 | 2020-09-27 |
| 1114480035 | Portercare Adventist Health System | Anesthesiology | 2535 S Downing St Ste 180f, Denver, CO 80210-5847 | 2019-04-08 |
| 1245682970 | Arizona Pain Specialists, Pllc | Anesthesiology | 2696 S Colorado Blvd, Suite 110, Denver, CO 80222-5945 | 2016-07-06 |
| 1821289331 | Denver Pain, PC | Anesthesiology | 850 E Harvard Ave, Ste 125, Denver, CO 80210-5073 | 2007-08-08 |
| 1740317759 | Philip A Chitwood | Anesthesiology | 2045 N Franklin St, Denver, CO 80205-5437 | 2007-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942819578 | Catholic Health Initiatives Colorado | Anesthesiology | 11700 W 2nd Pl Ste 225, Lakewood, CO 80228-1707 | 2020-07-29 |
| 1699300376 | Colorado Pain Practice, LLC | Anesthesiology | 1189 S Perry St Ste 230, Castle Rock, CO 80104-1959 | 2020-03-03 |
| 1225553050 | Colorado Health Providers LLC | Anesthesiology | 3810 N. Grant Ave, Loveland, CO 80538-8412 | 2017-08-14 |
| 1487179214 | Colorado Health Providers LLC | Anesthesiology | 7251 W 20th St Unit N, Greeley, CO 80634-4626 | 2017-08-14 |
| 1669998498 | Colorado Health Providers LLC | Anesthesiology | 3000 Center Green Dr Ste 120, Boulder, CO 80301-2364 | 2017-08-14 |
| 1104365451 | Martin J Verhey M.d. LLC | Anesthesiology | 380 Paisley Dr, Colorado Springs, CO 80906-8251 | 2017-02-20 |
| 1336509694 | The Pain Remedy Institute | Anesthesiology | 14991 E Hampden Ave Ste 165, Aurora, CO 80014-3980 | 2016-02-29 |
| 1396129334 | Integrated Medical Consultants | Anesthesiology | 28374 County Road, #317, Buena Vista, CO 81211-9158 | 2015-07-18 |
| 1508285776 | Colorado Pain Practice, Pllc | Anesthesiology | 755 Heritage Road, Suite 100, Golden, CO 80401 | 2014-04-15 |
| 1235578378 | Lauren Claire Mclaughlin-abrams | Anesthesiology | 145 Inverness Dr E Ste 350, Englewood, CO 80112-5173 | 2013-06-21 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on COLORADO PAIN PRACTICE, PLLC.
| 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.