MRS. KELLY PAVELICH (NPI# 1265883227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265883227 |
| Entity Type | Individual |
| Full Name | MRS. KELLY PAVELICH |
| Credential | PA-C |
| Practice Address |
9101 Harlan St Suite 155 Westminster CO 80031-2924 |
| Practice Telephone | 3034265000 |
| Practice Fax Number | 3034265031 |
| Mailing Telephone | 3034265000 |
| Mailing Fax Number | 3034265031 |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2017-09-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA.0004674 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
9101 HARLAN ST SUITE 155 |
| City | WESTMINSTER |
| State | CO |
| Zip Code | 80031-2924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457466401 | Petrea Ann Mah | Counselor | 9101 Harlan St, Suite 135, Westminster, CO 80031-2924 | 2006-08-20 |
| 1659758183 | Dylan Jones | Psychiatry & Neurology | 9101 Harlan St, Suite 315, Westminster, CO 80031 | 2015-05-05 |
| 1518365204 | Bmc Family Chiropractic LLC | Chiropractor | 9101 Harlan St, Ste 210, Westminster, CO 80031-2924 | 2014-12-11 |
| 1295175586 | Christopher Michael Hovendon | Chiropractor | 9101 Harlan St, Ste 210, Westminster, CO 80031-2924 | 2013-07-01 |
| 1699009670 | Covenant Home Services | Hospice Care, Community Based | 9101 Harlan St, Suite 135, Westminster, CO 80031-2924 | 2009-09-24 |
| 1457591000 | Covenant Home Services | In Home Supportive Care | 9101 Harlan St, #135, Westminster, CO 80031-2924 | 2009-02-23 |
| 1710140512 | Monica Rose Boyle | Dermatology | 9101 Harlan St, Suite 155, Westminster, CO 80031-2924 | 2008-07-02 |
| 1336318377 | Bryon L. Berge, D.o., P.C. | Family Medicine | 9101 Harlan St, 306, Westminster, CO 80031-2924 | 2008-02-25 |
| 1952582637 | Sheila Rose Boyle | Dermatology | 9101 Harlan St, Ste 155, Westminster, CO 80031-2924 | 2007-11-21 |
| 1740360510 | Maxim Healthcare Services, Inc. | Home Health | 9101 Harlan St, Suite 225, Westminster, CO 80031-2924 | 2006-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851904023 | 100 Chiro Peterson Three LLC | Chiropractor | 5714 W 89th Ave, Westminster, CO 80031 | 2020-08-28 |
| 1629686894 | Panorama Orthopedics & Spine Center, PC | Clinic/Center | 5540 Main Street, Suite #200, Westminster, CO 80031 | 2020-07-14 |
| 1801352851 | Hope Pediatric Dentistry, Pllc | Clinic/Center | 5724 W. 89th Avenue, Westminster, CO 80031 | 2019-02-14 |
| 1265921860 | Gregory Kyle Guarneros | Acupuncturist | 8428 Princeton St, Westminster, CO 80031 | 2018-05-09 |
| 1316464076 | Boulder Valley Iom, LLC | Psychiatry & Neurology | 4375 W 118th Place, Westminster, CO 80031 | 2017-08-24 |
| 1063936383 | Andrea Presnall | Counselor | 8787 Turnpike Pkwy, Ste 270, Westminster, CO 80031 | 2017-07-28 |
| 1497278261 | Katherine Sara Taylor | Counselor | 8787 Turnpike Drive, #120, Westminster, CO 80031 | 2017-07-24 |
| 1881135796 | Steele Family Counseling, LLC | Marriage & Family Therapist | 8778 Wolff Court, Suite 202, Westminster, CO 80031 | 2017-03-10 |
| 1235599762 | Katie Coyle | Licensed Practical Nurse | 3964 Main St, 104, Westminster, CO 80031 | 2016-02-25 |
| 1467838037 | James Weiss | Counselor | 8407 N Bryant St., Wetminister, CO 80031 | 2015-08-06 |
| Find all providers in zip 80031 | ||||
| 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 |
|---|---|---|---|---|
| 1154941920 | Panorama Orthopedics & Spine Center, PC | Physician Assistant | 8510 Bryant St Ste 120, Westminster, CO 80031-3845 | 2020-04-22 |
| 1821631441 | Huan Nguyen | Physician Assistant | 10161 Bolsa Ave Ste 206c, Westminster, CA 92683-6775 | 2019-10-27 |
| 1801442694 | Kevin Chivacharoen | Physician Assistant | 14371 Riverton St, Westminster, CA 92683-4692 | 2019-08-16 |
| 1598249799 | Madeleine Ruth Courvoisier | Physician Assistant | 826 Washington Rd Ste 204a, Westminster, MD 21157-5780 | 2018-09-24 |
| 1205354602 | Summer Nguyen | Physician Assistant | 7181 21st St Apt 10, Westminster, CA 92683-7900 | 2017-09-06 |
| 1831614353 | Khanh Ngoc Cong Huyen Ton Nu | Physician Assistant | 7382 Natal Dr, Westminster, CA 92683-2245 | 2017-08-04 |
| 1366817306 | Asiya Raifovna O'marra | Physician Assistant | 410 Malcolm Dr Ste E, Westminster, MD 21157-6160 | 2015-12-02 |
| 1144649492 | Westminster Dermatology, LLC | Physician Assistant | 532 Baltimore Blvd Ste 211, Westminster, MD 21157-6117 | 2014-04-15 |
| 1932548898 | Kelly Anne Spring | Physician Assistant | 4641 W 109th Pl, Westminster, CO 80031-2016 | 2013-06-24 |
| 1679809263 | Thai Gia Dieu Tran | Physician Assistant | 13421 Chestnut St, Westminster, CA 92683-2607 | 2009-11-02 |
| Find all providers in WESTMINSTER | ||||
| City | WESTMINSTER |
| Zip Code | 80031 |
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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.