CATHOLIC HEALTH INITIATIVES COLORADO (NPI# 1164828026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164828026 |
| Entity Type | Organization |
| Organization Name | CATHOLIC HEALTH INITIATIVES COLORADO |
| Other Organization Name | CENTURA HEALTH PHYSICIAN GROUP SAH INTERNAL MEDICINE |
| Practice Address |
11750 W 2nd Pl Suite 365 Lakewood CO 80228-1575 |
| Mailing Address |
Po Box 911057 Denver CO 80291-1057 |
| Practice Telephone | 7203218280 |
| Practice Fax Number | 7203218281 |
| Mailing Telephone | 3036431099 |
| Mailing Fax Number | 3036431176 |
| Enumeration Date | 2014-11-05 |
| Last Update Date | 2016-04-20 |
| Authorized Official Name | ANGELA SKINNER (OMA ADMINISTRATOR) |
| Authorized Official Telephone | 3036737175 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 53037375 | 05 |
| Other Name | Type Code |
|---|---|
| Centura Health Physician Group SAH Internal Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467064964 | Catholic Health Initiatives Colorado | Family Medicine | 32214 Ellingwood Trl Ste 210, Evergreen, CO 80439-9719 | 2020-08-18 |
| 1164033056 | Catholic Health Initiatives Colorado | Obstetrics & Gynecology | 1000 Granby Park Dr., Granby, CO 80446 | 2020-08-13 |
| 1023629383 | Catholic Health Initiatives Colorado | Family Medicine | 400 N Park Ave Ste 1a, Breckenridge, CO 80424-8709 | 2020-08-11 |
| 1437760790 | Catholic Health Initiatives Colorado | Obstetrics & Gynecology | 360 Peak One Dr Ste 260, Frisco, CO 80443-5948 | 2020-08-11 |
| 1982213328 | Catholic Health Initiatives Colorado | Internal Medicine | 1000 Granby Park Dr, Granby, CO 80446-0000 | 2020-07-30 |
| 1437768009 | Catholic Health Initiatives Colorado | Internal Medicine | 920 Rush Dr Ste A, Salida, CO 81201-9669 | 2020-07-29 |
| 1942819578 | Catholic Health Initiatives Colorado | Anesthesiology | 11700 W 2nd Pl Ste 225, Lakewood, CO 80228-1707 | 2020-07-29 |
| 1508475278 | Catholic Health Initiatives Colorado | Orthopaedic Surgery | 1263 Lake Plaza Dr Ste 210a, Colorado Springs, CO 80906-3564 | 2020-07-28 |
| 1770192502 | Catholic Health Initiatives Colorado | Clinic/Center | 17230 Jackson Creek Pkwy Ste 120, Monument, CO 80132-7302 | 2020-07-28 |
| 1801419197 | Catholic Health Initiatives Colorado | Clinic/Center | 5607 Barnes Rd Ste 140, Colorado Springs, CO 80917-1347 | 2020-05-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | CATHOLIC HEALTH INITIATIVES COLORADO | 9100 E. Mineral Circle, Centennial, CO 80112 |
| System for Award Management (SAM) Entities | CATHOLIC HEALTH INITIATIVES COLORADO | 9100 E Mineral Cir, Centennial, CO 80112-3401 |
| System for Award Management (SAM) Entities | CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION | 9100 E Mineral Cir Fl 4, Centennial, CO 80112-3401 |
| Colorado Business Entities | CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION | 2525 S. Downing St., 3rd Floor of Mason Hall, Denver, CO 80210 |
| Street Address |
11750 W 2ND PL SUITE 365 |
| City | LAKEWOOD |
| State | CO |
| Zip Code | 80228-1575 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386647543 | Colorado Professional Medical, Inc | Prosthetic/Orthotic Supplier | 11750 W 2nd Pl, St. Anthony Medical Plaza, Lakewood, CO 80228-1575 | 2005-05-23 |
| 1457718108 | Philip R. Yarnell, M.d., P.C. | Specialist | 11750 W 2nd Pl, Medical Plaza I Suite 255, Lakewood, CO 80228-1575 | 2016-01-26 |
| 1912363755 | Michael Kent Mcdermid | Nurse Practitioner | 11750 W 2nd Pl, Medical Plaza 1 Suite 255, Lakewood, CO 80228-1575 | 2016-01-09 |
| 1760806038 | Catholic Health Initiatives Colorado | Neurological Surgery | 11750 W 2nd Pl, Medical Plaza 1, Ste. 255, Lakewood, CO 80228-1575 | 2014-02-07 |
| 1578852042 | Laura Jeanne Friedlander | Psychiatry & Neurology | 11750 W 2nd Pl, Ste 255, Lakewood, CO 80228-1575 | 2011-04-05 |
| 1235462813 | Leon Stor | Physician Assistant | 11750 W 2nd Pl, Suite 255, Lakewood, CO 80228-1575 | 2009-09-14 |
| 1376772624 | Allison Beauneir | Internal Medicine | 11750 W 2nd Pl, Suite 365, Lakewood, CO 80228-1575 | 2009-07-08 |
| 1588891782 | Star Viviette Fowler | Internal Medicine | 11750 W 2nd Pl, Suite 365, Lakewood, CO 80228-1575 | 2009-06-15 |
| 1982869251 | Wesley D. Reynolds | Psychiatry & Neurology | 11750 W 2nd Pl, Ste 255, Lakewood, CO 80228-1575 | 2008-07-25 |
| 1881856342 | Mark M. Murray | Psychiatry & Neurology | 11750 W 2nd Pl, Ste 255, Lakewood, CO 80228-1575 | 2008-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174083570 | Lindsey Mae Beverly | Physician Assistant | Medical Plaza 2, 11700 W 2nd Pl, #350, Lakewood, CO 80228 | 2019-03-21 |
| 1881119931 | Cory J Frazier | Nurse Practitioner | 11600 W. 2nd Pl, Lakewood, CO 80228 | 2017-08-10 |
| 1508213885 | Chelsea Tucker | Counselor | 12157 W Cedar Dr Ste 207, Lakewood, CO 80228 | 2016-05-17 |
| 1972963841 | Shastin Gerbracht | Counselor | 12055 W 2nd Pl, Ste 200, Lakewood, CO 80228 | 2016-03-04 |
| 1073983375 | Suzanne Phillips | Behavioral Analyst | 200 Union Blvd. Ste. 200, Lakewood, Co. 80228, Denver, CO 80228 | 2015-09-29 |
| 1700265667 | April Mearsha | Doula | 12977 W Cedar Dr, 2-305, Lakewood, CO 80228 | 2015-05-26 |
| 1306233713 | Caleb Hedberg | Internal Medicine | 165 S Union Blvd Ste 800, Lakewood, CO 80228 | 2015-04-23 |
| 1972996288 | David Lindsey Currie | Counselor | 12055 W 2nd Place, Jefferson Ctr for Mental Health, Lakewood, CO 80228 | 2015-03-11 |
| 1619365533 | Michelle Broberg II | Technician | 12055 West 2nd Plaza, Lakewood, CO 80228 | 2014-12-30 |
| 1750789012 | Kayla Morrison | Social Worker | 12005 W 2nd Place, Lakewood, CO 80228 | 2014-12-18 |
| Find all providers in zip 80228 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346859014 | Scl Physicians - Rmpc LLC | Internal Medicine | 8585 W 14th Ave Ste B-2, Lakewood, CO 80215-4860 | 2020-07-28 |
| 1972165637 | Bellevue Medical Clinic LLC | Internal Medicine | 8725 S Tacoma Way, Lakewood, WA 98499-4544 | 2019-07-02 |
| 1578031910 | Promed Service Center Inc. | Internal Medicine | 4910 Castana Ave, Lakewood, CA 90712-3234 | 2018-11-04 |
| 1992271597 | Trinity Medical Care | Internal Medicine | 3650 South St Ste 110, Lakewood, CA 90712-1534 | 2018-10-22 |
| 1235646191 | Lake Point Medical Group,llc | Internal Medicine | 15800 Detroit Ave Ste 2a, Lakewood, OH 44107-3748 | 2018-01-01 |
| 1376065730 | Fareeha Khan | Internal Medicine | 12540 Edgewater Drive, Apt 411, Lakewood, OH 44107 | 2017-07-07 |
| 1073961710 | Susan S Rupp | Internal Medicine | 1840 S Manor Ln, Lakewood, CO 80232-7144 | 2016-06-02 |
| 1285001610 | Margaret Toth | Internal Medicine | 2217 Woodward Ave, Lakewood, OH 44107-5734 | 2015-09-02 |
| 1306233713 | Caleb Hedberg | Internal Medicine | 165 S Union Blvd Ste 800, Lakewood, CO 80228 | 2015-04-23 |
| 1871865287 | Sam W. Abdelmelek,md,inc. | Internal Medicine | 5750 Downey Ave Ste 201, Lakewood, CA 90712-1468 | 2012-01-31 |
| Find all providers in LAKEWOOD | ||||
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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.