MR. DANIEL S KLEPACZ (NPI# 1164781555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164781555 |
Entity Type | Individual |
Full Name | MR. DANIEL S KLEPACZ |
Credential | P.A.-C |
Practice Address |
401 Kendall Drive Lamar CO 81052-3942 |
Practice Telephone | 7193366767 |
Practice Fax Number | 7193367217 |
Mailing Telephone | 7193366767 |
Mailing Fax Number | 7193367217 |
Enumeration Date | 2012-05-07 |
Last Update Date | 2019-09-05 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
P.A.0005812 | CO | Physician Assistants & Advanced Practice Nursing Providers |
N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA07333 | TX | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
401 KENDALL DRIVE |
City | LAMAR |
State | CO |
Zip Code | 81052-3942 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174511414 | Prowers County Hospital District | Home Health | 401 Kendall Drive, Lamar, CO 81052-3942 | 2005-10-11 |
1790912764 | Prowers County Hospital District | Durable Medical Equipment & Medical Supplies | 401 Kendall Drive, Lamar, CO 81052-3942 | 2009-06-17 |
1326246141 | Prowers County Hospital District | Emergency Medicine | 401 Kendall Drive, Lamar, CO 81052-3942 | 2007-07-03 |
1508064379 | Prowers County Hospital District | Internal Medicine | 401 Kendall Drive, Lamar, CO 81052-3942 | 2007-07-03 |
1821052929 | Prowers County Hospital District | General Acute Care Hospital | 401 Kendall Drive, Lamar, CO 81052-3942 | 2006-04-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952912370 | Tamela Ray Marie Williams | Registered Nurse | 1001 S Main Street, Lamar, CO 81052 | 2020-08-10 |
1912557513 | Sabra Perdue | Registered Nurse | 1001 S. Main St, Lamar, CO 81052 | 2019-09-16 |
1134687676 | Mary Lou Montez | Licensed Practical Nurse | 3501 S. Main St., Lamar, CO 81052 | 2019-03-04 |
1700316593 | Charles Nolan Philpy | Optometrist | 1607 S Main St, Lamar, CO 81052 | 2017-06-14 |
1740650431 | Sand and Sage Personal Care Agency | Home Health | 117 West Elm Street, Lamar, CO 81052 | 2015-10-07 |
1396152641 | Colorado Plains Home Health LLC | Home Health | 109 W Lee St., #15, Lamar, CO 81052 | 2014-07-18 |
1033541362 | Tammie L Clark | Registered Nurse | 1001 South Main, Lamar, CO 81052 | 2013-08-09 |
1417200163 | Karen A Loveless | Case Manager/Care Coordinator | 100 Kendall Dr., Lamar, CO 81052 | 2012-10-18 |
1366614075 | Lamar Chiropractic | Chiropractor | 103 E Elm St, Lamar, CO 81052 | 2008-04-02 |
1740451996 | Gerald A Branes | Dentist | 109 West Lee, No. 5, Lamar, CO 81052 | 2008-03-17 |
Find all providers in zip 81052 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710960497 | Timothy L Bewley | Physician Assistant | 2221 Wellness Way, Lamar, CO 81052-3867 | 2005-11-28 |
1336518950 | Joshua Norman | Physician Assistant | 201 Kendall Dr, Lamar, CO 81052-3939 | 2015-09-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629677240 | Monique Minter | Physician Assistant | 5504 Malta St, Denver, CO 80249-8649 | 2020-10-23 |
1700430261 | Brianne Tanae Harper | Physician Assistant | 2530 N 8th St Suite 205, Grand Junction, CO 81501 | 2019-08-01 |
1013478445 | Robin Elise Feldman | Physician Assistant | 17033 E Dorado Dr, Centennial, CO 80015-3029 | 2019-03-28 |
1780141895 | Wendy Mc Bui | Physician Assistant | 1530 S Florence Way Unit 312, Aurora, CO 80247 | 2019-02-25 |
1639650252 | Jade Golden | Physician Assistant | 101 Founders Pl Ste 109, Aspen, CO 81611-1476 | 2018-08-22 |
1861902157 | Hannah Ellen Martin | Physician Assistant | Children's Hospital Colorado 13123 East 16th Avenue, Box 060, Aurora, CO 80045-0600 | 2017-10-02 |
1861901878 | Stephanie J Dyck IIi | Physician Assistant | 3800 North York St, Denver, CO 80205-3540 | 2017-09-21 |
1932622719 | Brooke Annette Albert | Physician Assistant | 2801 Youngfield St Ste 150, Golden, CO 80401-0209 | 2017-07-24 |
1912433400 | Wendy Miller | Physician Assistant | 4041 E Forbes Ct, Greenwood Village, CO 80121-3943 | 2017-05-03 |
1154863249 | Zachary A Hitchcock | Physician Assistant | 1107 S Lemay Ave Ste 240, Fort Collins, CO 80524-3959 | 2016-11-07 |
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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.