GERALD STEELE KIDD III


Address: 13952 Denver West Pkwy Ste 100, Lakewood, CO 80401-3141
Phone: 3036045000

GERALD STEELE KIDD III (NPI# 1265552210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265552210
Entity Type Individual
Full Name GERALD STEELE KIDD III
Credential PA-C
Practice Address 13952 Denver West Pkwy Ste 100
Lakewood
CO 80401-3141
Mailing Address 382 S Arthur Ave
Louisville
CO 80027-3094
Practice Telephone 3036045000
Practice Fax Number 7208900364
Mailing Telephone 3036045000
Mailing Fax Number 7208900364
Enumeration Date 2007-03-30
Last Update Date 2020-03-06
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
PA.0004075 CO Physician Assistants & Advanced Practice Nursing Providers
N 363AM0700X Physician Assistant
Specialization: Medical
689 AK Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
CO 90056868 05

Office Location

Street Address 13952 DENVER WEST PKWY STE 100
City LAKEWOOD
State CO
Zip Code 80401-3141

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609812668 Jon David Allison Physician Assistant 13952 Denver West Pkwy Ste 100, Lakewood, CO 80401-3141 2006-06-20
1629320742 Denver West Endoscopy Center, LLC Clinic/Center 13952 Denver West Pkwy Ste 100, Lakewood, CO 80401-3141 2012-10-12
1003163486 Matthew Seto Internal Medicine 13952 Denver West Pkwy Ste 100, Lakewood, CO 80401-3141 2012-08-05
1235387358 Taimur Khan Internal Medicine 13952 Denver West Pkwy Ste 100, Lakewood, CO 80401-3141 2008-09-03
1336364041 Rohan Courtney Clarke Internal Medicine 13952 Denver West Pkwy Ste 100, Lakewood, CO 80401-3141 2007-04-16

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NPI Name Taxonomy Address Enumeration
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1710408240 Catherine Camacho Psychologist 913 Arapahoe St, Golden, CO 80401 2017-07-06
1710420492 Colorado Complete Urgent Care Physicians LLC Clinic/Center 17101 S Golden Rd., Golden, CO 80401 2016-11-29
1366991051 Britta Marie Olson Physical Therapist 600 Golden Ridge Rd, Suite 130, Golden, CO 80401 2016-09-23
1003284209 Maria Alta Mcvey Dental Hygienist 2305 Jackson St., Golden, CO 80401 2015-09-04
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1508285776 Colorado Pain Practice, Pllc Anesthesiology 755 Heritage Road, Suite 100, Golden, CO 80401 2014-04-15
1942644844 Golden Kids Dental Dentist 2421 Ford St., Golden, CO 80401 2013-04-22
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457804973 Rachael Anne Ruscitto Physician Assistant 2298 Woodward Ave, Lakewood, OH 44107-5561 2016-08-02
1588047518 Geoffrey Slater Physician Assistant 285 Zang St Apt 2834, Lakewood, CO 80228-1032 2015-07-08
1225466824 Joseph Beren Physician Assistant 150 James St Ste 204, Lakewood, NJ 08701-4101 2013-10-17
1184962649 Rodger Howard Steinem Physician Assistant 5501 W Mississippi Ave, Lakewood, CO 80226-4811 2013-01-17
1942569553 Maria Elena Arredondo Physician Assistant 5712 Coldbrook Ave, Lakewood, CA 90713-1442 2012-05-16
1730496886 Johnna Jaynstein Physician Assistant 13300 W 6th Ave, Campus Box 44, Lakewood, CO 80228-1213 2010-09-10
1881878635 Christian Angelo Cruz Physician Assistant 2529 Greentop St, Lakewood, CA 90712-3609 2007-12-28
1649499054 Shinobu Inoue Physician Assistant 6210 75th St W Ste A200, Lakewood, WA 98499-8110 2007-04-24
1134257603 Michele Lee Saul-langford Physician Assistant 2425 Carson St., #22, Lakewood, CA 90712 2007-02-28
1407930456 Jon Derik Mortensen Physician Assistant 10510 Gravelly Lake Dr., Community Health Care - Lakewood Clinic, Lakewood, WA 98499 2006-10-25
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Competitor

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City LAKEWOOD
Zip Code 80401

Improve Information

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Dataset Information

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.

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