CARLY KLEIMAN (NPI# 1174863575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174863575 |
| Entity Type | Individual |
| Full Name | CARLY KLEIMAN |
| Credential | PA |
| Practice Address |
50 Buck Creek Road Suite 200 Avon CO 81620 |
| Mailing Address |
Po Box 4330 Avon CO 81620-4330 |
| Practice Telephone | 9709266340 |
| Practice Fax Number | 9709266348 |
| Mailing Telephone | 9709266340 |
| Mailing Fax Number | 9709266348 |
| Enumeration Date | 2013-02-21 |
| Last Update Date | 2016-09-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 3964 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA22838 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
50 BUCK CREEK ROAD SUITE 200 |
| City | AVON |
| State | CO |
| Zip Code | 81620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376549550 | Rochelle S. Bernstein | Acupuncturist | 50 Buck Creek Road, Suite 200, Avon, CO 81620 | 2005-06-22 |
| 1033745419 | Morrika Wolford | Counselor | 50 Buck Creek Road, Suite 200, Avon, CO 81620 | 2020-03-18 |
| 1285131110 | Eileen Jennings Hancock | Psychologist | 50 Buck Creek Road, Suite 200, Avon, CO 81620 | 2018-04-08 |
| 1083167563 | Dana Walenta | Registered Nurse | 50 Buck Creek Road, Suite 200, Avon, CO 81620 | 2016-08-01 |
| 1982053807 | Kidney Center of The Rockies LLC | Clinic/Center | 50 Buck Creek Road, Suite 110, Avon, CO 81620-9769 | 2016-06-10 |
| 1033572615 | Avon Emergency and Urgent Care Center, LLC | Clinic/Center | 50 Buck Creek Road, Avon, CO 81620 | 2016-04-01 |
| 1144635640 | Jennifer L. Pope | Physician Assistant | 50 Buck Creek Road, Suite 200, Avon, CO 81620 | 2014-06-24 |
| 1417360637 | Justine Maedeker Smith | Nurse Practitioner | 50 Buck Creek Road, Suite 200, Avon, CO 81620 | 2014-06-05 |
| 1659791119 | Morgan Rogers Godin | Ophthalmology | 50 Buck Creek Road, #200, Avon, CO 81620 | 2014-04-23 |
| 1669740452 | Andrea P Hutchinson | Nurse Practitioner | 50 Buck Creek Road, Suite 200, Avon, CO 81620 | 2011-12-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316555386 | Comfort of Your Home Psychiatry | Nurse Practitioner | 175 Hurd Lane, Unit 3212, Avon, CO 81620 | 2020-07-16 |
| 1467076182 | Melina Bjornson | Dentist | 50 Buck Creek Rd #305, Avon, CO 81620 | 2020-05-29 |
| 1598391971 | Jennifer Arens | Acupuncturist | 2170 A Long Spur, Avon, CO 81620 | 2020-03-18 |
| 1093361842 | Vail Clinic, Inc. | Clinic/Center | 1280 Village Rd, Avon, CO 81620 | 2019-08-16 |
| 1295381390 | Vail Clinic, Inc. | Clinic/Center | 126 Riverfront Lane, Suite 101, Avon, CO 81620 | 2019-08-14 |
| 1730747445 | Colorado Mountain Medical, LLC | Obstetrics & Gynecology | 50 Buck Creek Road, Suite 200, Avon, CO 81620 | 2019-05-29 |
| 1891358164 | Mary Elizabeth Harper | Pharmacist | 171 Yodder Ave, Avon, CO 81620 | 2019-04-22 |
| 1679036933 | Sean Thomas Veilleux | Pharmacist | 171 Yoder Ave, Avon, CO 81620 | 2019-04-12 |
| 1447727656 | Casey Aberth | Speech-Language Pathologist | 998 W Beaver Creek Blvd, 311, Avon, CO 81620 | 2018-10-25 |
| 1063924447 | Diana Hellestrae Marshall | Massage Therapist | Ascent Physical Therapy, 90 Lake St, Avon, CO 81620 | 2017-10-25 |
| Find all providers in zip 81620 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831702570 | Nathan Dean Hailey | Physician Assistant | 1115 Ronald Reagan Pkwy Ste 247, Avon, IN 46123-6911 | 2020-08-24 |
| 1841848298 | Kayla Nichole Kawiecki | Physician Assistant | 2351 Chelsea St, Avon, OH 44011-5227 | 2019-08-29 |
| 1831591791 | Michael Czajka | Physician Assistant | 33100 Cleveland Clinic Blvd # 2-2, Avon, OH 44011-1390 | 2014-09-23 |
| 1043558596 | Kelly L Foutch | Physician Assistant | 8607 E Us Highway 36 Ste 300, Avon, IN 46123-7960 | 2013-01-17 |
| 1215291943 | Mari E. Friedman | Physician Assistant | 1115 Ronald Reagan Pkwy Ste 348, Avon, IN 46123 | 2012-06-27 |
| 1346523636 | Amanda Duncan | Physician Assistant | 33100 Cleveland Clinic Blvd # 2-1, Avon, OH 44011-1390 | 2011-09-22 |
| 1134376304 | Katherine B Bares | Physician Assistant | 8 Canal Ct, Avon, CT 06001-3726 | 2008-08-19 |
| 1205059185 | Peter J. Dolan | Physician Assistant | 2077 Lakeville Rd, Suite 3, Avon, NY 14414 | 2007-04-10 |
| 1689640948 | Scott D. Petersen | Physician Assistant | 33300 Cleveland Clinic Blvd, Mail Code Avh4-143, Avon, OH 44011 | 2006-02-27 |
| 1467459206 | Don Armenoff | Physician Assistant | 8244 E Us Highway 36 Ste 1100, Avon, IN 46123-9627 | 2005-07-07 |
| Find all providers in AVON | ||||
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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.