DR. GARY JAMES CANTRELL JR. (NPI# 1245686674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245686674 |
| Entity Type | Individual |
| Full Name | DR. GARY JAMES CANTRELL JR. |
| Credential | D.O |
| Practice Address |
12105 W Alameda Pkwy Ste 100 Lakewood CO 80228-2832 |
| Mailing Address |
11123 Lands End Chase Port Saint Lucie FL 34986-3009 |
| Practice Telephone | 3039883600 |
| Mailing Telephone | 7726074652 |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2019-07-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | DR.0062666 | CO | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3700 S Main St, Blacksburg, VA 240607017 | 5409533528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053466003 | Gary David Cantrell | Social Worker | 15785 Medical Arts Dr, Hammond, LA 70403-1447 | 2007-01-23 |
| Street Address |
12105 W ALAMEDA PKWY STE 100 |
| City | LAKEWOOD |
| State | CO |
| Zip Code | 80228-2832 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114531522 | Scl Health Medical Group - Denver, LLC | Family Medicine | 1726 Cole Blvd Ste 350, Lakewood, CO 80401-3213 | 2020-09-02 |
| 1952913774 | Scl Health Medical Group - Denver, LLC | Family Medicine | 325 S Teller St Ste 250, Lakewood, CO 80226-7429 | 2020-08-21 |
| 1356860803 | Front Range Clinic Inc. | Family Medicine | 1410 Vance St Ste 201, Lakewood, CO 80214-5435 | 2017-09-15 |
| 1912433756 | Julie Ann Foucher-urcuyo | Family Medicine | 14601 Detroit Ave, Fl 2, Lakewood, OH 44107 | 2017-05-11 |
| 1225563661 | Elizabeth Ann Rainbolt | Family Medicine | 14601 Detroit Ave Fl 2, Lakewood, OH 44107 | 2017-04-24 |
| 1083148324 | Stephanie Baker | Family Medicine | 255 S Routt St, Lakewood, CO 80228-2271 | 2017-04-13 |
| 1043766413 | Paladina Health, LLC | Family Medicine | 3701 Michelson St, Lakewood, CA 90712-1402 | 2016-08-26 |
| 1073967394 | Mirna S Rizkalla | Family Medicine | 3650 South St Ste 404, Lakewood, CA 90712 | 2016-04-22 |
| 1194145656 | Mile High Wound and Hyperbaric Medicine Pllc | Family Medicine | 12065 W Auburn Dr, Lakewood, CO 80228-4765 | 2014-04-23 |
| 1235579038 | Minh-triet Dinh Vo | Family Medicine | 9537 Gravelly Lake Dr Sw, Lakewood, WA 98499-1513 | 2013-06-26 |
| 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.