KELLY MAIZE (NPI# 1366816662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366816662 |
| Entity Type | Individual |
| Full Name | KELLY MAIZE |
| Practice Address |
12631 E 17th Ave Ste 2001 Aurora CO 80045-2527 |
| Practice Telephone | 3037241764 |
| Enumeration Date | 2015-11-24 |
| Last Update Date | 2016-02-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367H00000X | Anesthesiologist Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
12631 E 17TH AVE STE 2001 |
| City | AURORA |
| State | CO |
| Zip Code | 80045-2527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447646229 | Mark Robitaille | Anesthesiology | 12631 E 17th Ave Ste 2001, Aurora, CO 80045-2527 | 2015-04-08 |
| 1366948341 | Carly Jacobs | Student in an Organized Health Care Education/Training Program | 12631 E 17th Ave Ste 2001, Aurora, CO 80045 | 2018-03-30 |
| 1649706565 | Lauren Eagelston | Student in an Organized Health Care Education/Training Program | 12631 E 17th Ave Ste 2001, Aurora, CO 80045-2527 | 2017-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942817408 | Salwa Mourtada Bamba | Nurse Practitioner | University of Colorado Medicine, 12631 East 17th Avenue, Aurora, CO 80045 | 2020-09-29 |
| 1114545233 | Chun Cheong Tsui | Student in an Organized Health Care Education/Training Program | 12801 E. 17th Avenue, Ms 8117, Aurora, CO 80045 | 2020-07-07 |
| 1487278719 | James Charles Tuka IIi | Social Worker | 1700 North Wheeling, Aurora, CO 80045 | 2020-06-02 |
| 1427677806 | Justin Yu | Student in an Organized Health Care Education/Training Program | 12631 E. 17th Ave. Ms B205, Aurora, CO 80045 | 2020-04-15 |
| 1558980011 | Erik Von Polsdofer | Student in an Organized Health Care Education/Training Program | Academic Office 1; Department of Pathology, 12631 East 17th Avenue, Aurora, CO 80045 | 2020-04-14 |
| 1831718568 | Luke Porter Bacon | Student in an Organized Health Care Education/Training Program | 3001 East 17th Place, Aurora, CO 80045 | 2020-04-13 |
| 1366061368 | Hilary Novatt | Student in an Organized Health Care Education/Training Program | 12631 E 17th Ave, B198-6, Room 4007, Aurora, CO 80045 | 2020-04-10 |
| 1376195362 | Katie Tuck | Pharmacist | 1700 North Wheeling Street (119), Fs-111o, Aurora, CO 80045 | 2019-07-10 |
| 1518529130 | Ronak Kamal Kapadia | Student in an Organized Health Care Education/Training Program | 12700 E. 19th Ave, Ms B182 Rm 5104, Aurora, CO 80045 | 2019-07-03 |
| 1245898253 | Rasha Elbadry Ahmed | Student in an Organized Health Care Education/Training Program | Childrens Hospital Colorado Pediatric Neurosurgery, 13123e. 16th Ave, B330, Aurora, CO 80045 | 2019-06-04 |
| Find all providers in zip 80045 | ||||
| Taxonomy Code | 367H00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Anesthesiologist Assistant |
| An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494620 | Elan Webb | Anesthesiologist Assistant | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2020-10-14 |
| 1174163232 | Reeve Lewis Sanders | Anesthesiologist Assistant | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2020-01-07 |
| 1538707757 | Ryan James Quigg | Anesthesiologist Assistant | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2019-12-18 |
| 1497399174 | Karen Payne Turner | Anesthesiologist Assistant | 12401 E 17th Ave Fl 7, Aurora, CO 80045-2548 | 2019-11-05 |
| 1750924098 | Serena Younes | Anesthesiologist Assistant | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2019-10-18 |
| 1538632484 | Jordi Garcia-timko | Anesthesiologist Assistant | 12401 E 17th Ave, Aurora, CO 80045-2548 | 2019-01-03 |
| 1194296061 | Nicole Boerema | Anesthesiologist Assistant | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2018-12-17 |
| 1497238349 | Rafail Grigoryevich Pinkhasov | Anesthesiologist Assistant | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2018-09-06 |
| 1912490616 | Andrew Gorton Current | Anesthesiologist Assistant | 1501 S Potomac St, Aurora, CO 80012-5411 | 2018-06-07 |
| 1184132102 | Michelle Boyle | Anesthesiologist Assistant | 12605 E 16th Ave, Aurora, CO 80045 | 2018-01-11 |
| Find all providers in AURORA | ||||
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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.