MR. JUSTIN JAMES HANNEGAN (NPI# 1255508313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255508313 |
| Entity Type | Individual |
| Full Name | MR. JUSTIN JAMES HANNEGAN |
| Credential | CNIM |
| Practice Address |
15047 W 54th Dr Golden CO 80403-2915 |
| Mailing Address |
3875 Kalakala Cir S Salem OR 97306-9709 |
| Practice Telephone | 7203084567 |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2008-05-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
1497 | MA | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
15047 W 54TH DR |
| City | GOLDEN |
| State | CO |
| Zip Code | 80403-2915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578777306 | Golden Medical | Physiological Laboratory | 15047 W 54th Dr, Golden, CO 80403-2915 | 2007-05-10 |
| 1578849576 | Wyoming Reading LLC | Specialist | 15047 W 54th Dr, Golden, CO 80403-2915 | 2011-10-24 |
| 1811166010 | Terrell Howard Mccasland Jr. | Specialist/Technologist, Other | 15047 W 54th Dr, Golden, CO 80403-2915 | 2008-02-21 |
| 1255516191 | Neurotech Monitoring LLC | Specialist/Technologist, Other | 15047 W 54th Dr, Golden, CO 80403-2915 | 2008-01-09 |
| 1972788818 | Cerviom LLC | Physiological Laboratory | 15047 W 54th Dr, Golden, CO 80403-2915 | 2008-01-09 |
| 1730393554 | Red Dot Medical LLC | Physiological Laboratory | 15047 W 54th Dr, Golden, CO 80403-2915 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417229394 | Dami Ann Hughes | Massage Therapist | 19562 W 57th Circle, Golden, CO 80403 | 2012-02-07 |
| 1942446075 | Laura Brett | Speech-Language Pathologist | 16941 W 60th Dr, Arvada, CO 80403 | 2008-12-18 |
| 1952453664 | Jan M. Oxman | Psychologist | 17830 W. 53rd Drive, Golden, CO 80403 | 2007-01-16 |
| 1609935337 | Julie Ann Lindsay | Physical Therapist | 109 Rubey Dr, Suite G-h, Golden, CO 80403 | 2006-12-08 |
| 1285660936 | Theraphysics Partners of Colorado, Inc. | Physical Therapist | 112 N Rubey Dr Unit 135, Golden, CO 80403 | 2006-06-24 |
| 1811930043 | Cynthia K Petrinovic | Occupational Therapist | 3935 Douglas Mtn Drive, Golden, CO 80403 | 2006-06-14 |
| 1245716075 | Brittany Horrigan | Nurse Practitioner | 5920 Mcintyre St, Golden, CO 80403 | 2018-07-15 |
| 1710463765 | Ciara Falzone | Physician Assistant | 5920 Mcintyre St, Golden, CO 80403 | 2018-07-12 |
| 1982199899 | Elizabeth Mweru Wambugu | Nurse Practitioner | 5920 Mcintyre St, Golden, CO 80403 | 2018-06-25 |
| 1114463882 | Summit Speech and Language Therapy, LLC | Speech-Language Pathologist | 16941 W 60th Dr, Arvada, CO 80403 | 2017-01-18 |
| Find all providers in zip 80403 | ||||
| Taxonomy Code | 246ZE0600X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Electroneurodiagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376972117 | Nervewatch, LLC | Specialist/Technologist, Other | 1530 Arbutus Ct, Golden, CO 80401-3533 | 2013-11-02 |
| 1538325006 | Christopher M Bolinger | Specialist/Technologist, Other | 886 Cole St, Golden, CO 80401 | 2008-08-04 |
| 1881864031 | Neuriom, LLC | Specialist/Technologist, Other | 607 10th Street, Suite 104, Golden, CO 80401 | 2008-03-04 |
| 1639575251 | Anna Jean Hundermark | Specialist/Technologist, Other | 607 10th St, Ste 104, Golden, CO 80401-5817 | 2014-11-10 |
| 1497178297 | James Walsh | Specialist/Technologist, Other | 1530 Arbutus Ct, Golden, CO 80401-3533 | 2014-01-29 |
| 1083865778 | Mid-town Neuromonitoring | Specialist/Technologist, Other | 607 10th St, Suite 104, Golden, CO 80401-5817 | 2008-10-01 |
| 1811166010 | Terrell Howard Mccasland Jr. | Specialist/Technologist, Other | 15047 W 54th Dr, Golden, CO 80403-2915 | 2008-02-21 |
| 1255516191 | Neurotech Monitoring LLC | Specialist/Technologist, Other | 15047 W 54th Dr, Golden, CO 80403-2915 | 2008-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073135794 | Denise Hostetler | Specialist/Technologist, Other | 1861 Castlewood Dr, Franktown, CO 80116-9009 | 2020-05-15 |
| 1447887898 | Altitude Neuromonitoring, LLC | Specialist/Technologist, Other | 236 E Rabbit Ct, Silverthorne, CO 80498-9209 | 2020-03-25 |
| 1518597855 | Intact Neuromonitoring, LLC | Specialist/Technologist, Other | 3295 Blake St Apt 304, Denver, CO 80205-2469 | 2020-01-24 |
| 1538635982 | Casey Ryko Jestrovich | Specialist/Technologist, Other | 2318 Hall Ave, Grand Junction, CO 81501-6234 | 2018-10-23 |
| 1376019679 | Taylor Kaufman | Specialist/Technologist, Other | 5460 Ward Rd Ste 220, Arvada, CO 80002-1818 | 2018-10-15 |
| 1598246282 | Multiverse Surgical, LLC | Specialist/Technologist, Other | 2085 Driver Ln, Erie, CO 80516-4707 | 2018-08-22 |
| 1003301979 | Spencer Pankratz | Specialist/Technologist, Other | 4600 S Ulster St Ste 125, Denver, CO 80237-2848 | 2018-06-24 |
| 1780174169 | Nervepro | Specialist/Technologist, Other | 79 County Road 4103, Granby, CO 80446 | 2018-05-11 |
| 1871000588 | Peak Neuro Monitoring LLC | Specialist/Technologist, Other | 4164 Austin Bluffs Pkwy Unit 603, Colorado Springs, CO 80918-2928 | 2018-01-03 |
| 1548792401 | Breanna Singleton | Specialist/Technologist, Other | 280 E 1st Ave Unit 727, Broomfield, CO 80038-2229 | 2017-03-30 |
| 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.