EDMOND SPINE AND ORTHOPEDICS SERVICES LLC (NPI# 1205825882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205825882 |
| Entity Type | Organization |
| Organization Name | EDMOND SPINE AND ORTHOPEDICS SERVICES LLC |
| Practice Address |
4900 S. Monaco St #210 Denver CO 80237-3486 |
| Practice Telephone | 3035848000 |
| Practice Fax Number | 3035848141 |
| Mailing Telephone | 3035848000 |
| Mailing Fax Number | 3035848141 |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2012-10-22 |
| Authorized Official Name | WILLIAM M SMITHAM (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3035848000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100122800B | 05 |
| Street Address |
4900 S. MONACO ST #210 |
| City | DENVER |
| State | CO |
| Zip Code | 80237-3486 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295021434 | Wesley Physicians - Cardiovascular LLC | Clinic/Center | 4900 S. Monaco St, #210, Denver, CO 80237-3486 | 2011-06-27 |
| 1023304268 | Wesley Physicians - Anesthesiologist LLC | Clinic/Center | 4900 S. Monaco St, #210, Denver, CO 80237-3486 | 2011-06-27 |
| 1316231459 | Wesley Physicians Primary Care | Clinic/Center | 4900 S. Monaco St, #210, Denver, CO 80237-3486 | 2011-06-07 |
| 1699069732 | Wesley Physicians Medical Specialties LLC | Clinic/Center | 4900 S. Monaco St, #210, Denver, CO 80237-3486 | 2011-06-07 |
| 1780978825 | Welsey Physicians Obstetrics and Gynecology LLC | Clinic/Center | 4900 S. Monaco St, #210, Denver, CO 80237-3486 | 2011-06-07 |
| 1225322365 | Wesley Physicians Surgical Specialties LLC | Clinic/Center | 4900 S. Monaco St, #210, Denver, CO 80237-3486 | 2011-06-07 |
| 1568774297 | Heartland Women's Group At Wesley LLC | Clinic/Center | 4900 S. Monaco St, #210, Denver, CO 80237-3486 | 2010-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699386490 | Bridget Joy Roggow | Behavior Technician | Technology Way Apt 301, Denver, CO 80237 | 2020-08-14 |
| 1366085292 | Espire Dental Practice, LLC | Dentist | 8080 E Union Ave #140, Denver, CO 80237 | 2019-10-23 |
| 1861935512 | Developmental Disabilities Resource Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2510 S Flower St, Lakewood, CO 80237 | 2016-11-29 |
| 1144637372 | Robert Harling Di Carlo | Anesthesiology | 4083 So Wisteria Wy, Denver, CO 80237 | 2014-07-21 |
| 1750793386 | Jonathan Bautista | Physical Therapist | 8000 E Quincy Ave #1700, Sarahcare At Dtc, Denver, CO 80237 | 2014-06-02 |
| 1053740571 | Minjae An | Psychiatric Residential Treatment Facility | 4500 S Monaco Street Apt.1624, Denver, CO 80237 | 2013-11-05 |
| 1902240658 | Peter Nicholas Maniatis | Dentist | 4545 So. Monaco St., #444, Denver, CO 80237 | 2013-04-24 |
| 1114277480 | Logan Halliburton | Pharmacist | 8330 E Quincy Ave, A-309, Denver, CO 80237 | 2012-09-14 |
| 1770832016 | Healthpath, LLC | Clinic/Center | 3545 S. Tamarac Dr, Suite 170, Denver, CO 80237 | 2012-08-31 |
| 1790033322 | Seana B Medina | Acupuncturist | 3545 S Tamarac Dr., Ste #170, Denver, CO 80237 | 2012-08-29 |
| Find all providers in zip 80237 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891200218 | Verus, LLC | Orthopaedic Surgery | 1685 S Colorado Blvd Ste 318, Denver, CO 80222-4000 | 2017-12-07 |
| 1679742829 | R Shay Bess Md PC | Orthopaedic Surgery | Dept 2155, Denver, CO 80291-0001 | 2008-02-21 |
| 1487672440 | Timothy Ray Kuklo | Orthopaedic Surgery | 1601 E 19th Ave Ste 3800, Denver, CO 80218-1252 | 2006-07-18 |
| 1174132690 | Portercare Adventist Health System | Orthopaedic Surgery | 2535 S Downing St Ste 180f, Denver, CO 80210-5847 | 2020-07-30 |
| 1629687769 | Portercare Adventist Health System | Orthopaedic Surgery | 2490 W 26th Ave Ste 120a, Denver, CO 80211-5317 | 2020-07-24 |
| 1578576567 | Timothy James Birney | Orthopaedic Surgery | 1830 Franklin St, Suite 450, Denver, CO 80218-1128 | 2006-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255813671 | Catholic Health Initiatives Colorado | Orthopaedic Surgery | 314 South 6th Street, Montrose, CO 81401-5719 | 2018-09-01 |
| 1033617394 | Spine Cin of Denver LLC | Orthopaedic Surgery | 255 Union Blvd Ste 150-236, Lakewood, CO 80228-1810 | 2018-01-31 |
| 1225536584 | Joint Replacement Cin of Denver LLC | Orthopaedic Surgery | 255 Union Blvd Ste 150-237, Lakewood, CO 80228-1810 | 2018-01-31 |
| 1962821777 | Shahbaaz Sabri | Orthopaedic Surgery | 12631 E 17th Ave Rm 4602, Aurora, CO 80045 | 2014-04-09 |
| 1497049753 | Larry Victor Lee | Orthopaedic Surgery | 15530 E Broncos Pkwy Unit 100, Centennial, CO 80112-7111 | 2011-06-04 |
| 1699070193 | Rocky Mountain Orthopedic Specialists | Orthopaedic Surgery | 5285 Mcwhinney Blvd Ste 140, Loveland, CO 80538-8707 | 2011-01-14 |
| 1295966307 | Christopher A Gallus | Orthopaedic Surgery | 9695 S Yosemite St Ste 255b, Lone Tree, CO 80124-2890 | 2009-08-06 |
| 1912183625 | Robert Bess Md, Facs Orthopaedic Surgery Inc | Orthopaedic Surgery | 8500 Park Meadows Dr, Suite 210, Lone Tree, CO 80124-2742 | 2008-01-11 |
| 1689612889 | Zaki G Ibrahim | Orthopaedic Surgery | 15530 E Broncos Pkwy, #100, Centennial, CO 80112-7111 | 2006-06-02 |
| 1346228889 | John D Ray | Orthopaedic Surgery | 2021 Battlecreek Dr, Unit D, Fort Collins, CO 80528-5119 | 2006-01-05 |
| Find all providers with the same taxonomy | ||||
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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.