ROMAN IGOREVICH KRIVOCHENITSER (NPI# 1336553874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336553874 |
Entity Type | Individual |
Full Name | ROMAN IGOREVICH KRIVOCHENITSER |
Credential | M.D. |
Practice Address |
9320 Grand Cordera Pkwy Ste 255 Colorado Springs CO 80924 |
Mailing Address |
9320 Grand Cordera Pkwy Ste 255 Colorado Springs CO 80924-7021 |
Practice Telephone | 7192581240 |
Mailing Telephone | 7346475299 |
Enumeration Date | 2014-06-12 |
Last Update Date | 2019-09-13 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207W00000X | Ophthalmology | 4301105291 | MI | Allopathic & Osteopathic Physicians |
Y | 207W00000X | Ophthalmology | DR0061743 | CO | Allopathic & Osteopathic Physicians |
N | 207W00000X | Ophthalmology | 5859-851 | WI | Allopathic & Osteopathic Physicians |
N | 207WX0009X |
Ophthalmology Specialization: Glaucoma Specialist |
DR0061743 | CO | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
1000 Wall Street, Ann Arbor, MI 481051912 | 7347644190 | |
600 Highland Ave, Madison, WI 537920001 | 6082635339 |
Street Address |
9320 GRAND CORDERA PKWY STE 255 |
City | COLORADO SPRINGS |
State | CO |
Zip Code | 80924 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134614555 | Kendra Weiler | Optometrist | 9320 Grand Cordera Pkwy Ste 255, Colorado Springs, CO 80924-7021 | 2018-06-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831714237 | Retina Consultants of Southern Colorado P C | Ophthalmology | 10035 Pearl Pass View, Suite 110, Colorado Springs, CO 80924 | 2020-06-11 |
1750808200 | Melody Living Associates, LLC | Assisted Living Facility | 7600 Sand Rock Point, Colorado Springs, CO 80924 | 2017-08-25 |
1891156436 | Kristin Speer | Pharmacist | 5215 Mount Cutler Ct, Colorado Springs, CO 80924 | 2016-03-10 |
1659790202 | Center At Centennial, LLC | Skilled Nursing Facility | 9208 Grand Cordera Parkway, Colorado Springs, CO 80924 | 2014-04-10 |
1487903076 | Flora N Dewald | Physical Therapist | 9559 Pancake Rocks Trail, Colorado Springs, CO 80924 | 2012-08-29 |
1760613863 | Nicole R Hartmann | Dentist | 9625 Prominent Point Suite 100, Colorado Springs, CO 80924 | 2009-08-06 |
1700020104 | Prominent Point Dental Group and Orthodontics, LLP | Dentist | 9625 Prominent Point, Suite 100, Colorado Springs, CO 80924 | 2009-04-29 |
1801087044 | James C Banich | Plastic Surgery | 9348 Grand Cordera Pkwy Ste 160, Colorado Springs, CO 80924 | 2007-08-05 |
1275747933 | Carefree Family Medicine | Family Medicine | 9320 Grand Cordera Parkway, Suite 235, Carefree Family Medicine, Colorado Springs, CO 80924 | 2007-05-10 |
1992883441 | Sara Jean Thinger | Physical Therapist | 9110 Lookout Mountain Ct, Colorado Springs, CO 80924 | 2006-11-01 |
Find all providers in zip 80924 |
Taxonomy Code | 207W00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Ophthalmology |
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831714237 | Retina Consultants of Southern Colorado P C | Ophthalmology | 10035 Pearl Pass View, Suite 110, Colorado Springs, CO 80924 | 2020-06-11 |
1609498906 | Simmons Eye Associates | Ophthalmology | 5278 N Nevada Ave Ste 120, Colorado Springs, CO 80918-8720 | 2020-05-11 |
1750790333 | W D Anderson Md PC | Ophthalmology | 3910 S Carefree Cir Ste A, Colorado Springs, CO 80917-3053 | 2014-08-07 |
1013250240 | Stanford Connolly Taylor | Ophthalmology | 2770 N Union Blvd Ste 140, Colorado Springs, CO 80909 | 2013-04-06 |
1538423652 | Erik William Anderson | Ophthalmology | 320 E Fontanero St #201, Colorado Springs, CO 80907 | 2012-07-03 |
1730400292 | Scott T Jones | Ophthalmology | 1715 N Weber St Ste 200, Colorado Springs, CO 80907-7553 | 2010-06-18 |
1437280856 | Thomas C Hoyle IIi | Ophthalmology | 3237 W Carefree Cir, Colorado Springs, CO 80917-3004 | 2007-03-08 |
1134229404 | John Merrill Christiansen | Ophthalmology | 555 E Pikes Peak Ave, Suite 102, Colorado Springs, CO 80903-3641 | 2006-09-25 |
1144239773 | Richard P Wetzig | Ophthalmology | 616 S Tejon St, Colorado Springs, CO 80903-4026 | 2006-08-05 |
1851310643 | Peter Allan Schunk | Ophthalmology | 7075 Campus Dr, Colorado Springs, CO 80920-6523 | 2006-07-19 |
Find all providers in COLORADO SPRINGS |
City | COLORADO SPRINGS |
Zip Code | 80924 |
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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.