DR. MICHAEL R MENACHOF (NPI# 1396871265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396871265 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL R MENACHOF |
| Credential | MD |
| Practice Address |
7400 E Crestline Cir Suite 100 Greenwood Village CO 80111-3656 |
| Practice Telephone | 3037923242 |
| Practice Fax Number | 3037929403 |
| Mailing Telephone | 3037923242 |
| Mailing Fax Number | 3037929403 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2013-06-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
31645 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 01316454 | 05 | |
| CO | NPI | 1710065446 | 01 |
| CO | NPI | 1396871265 | 01 |
| CO | 48138274 | 05 |
| Street Address |
7400 E CRESTLINE CIR SUITE 100 |
| City | GREENWOOD VILLAGE |
| State | CO |
| Zip Code | 80111-3656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053355263 | Jaimee R Pacheco | Physician Assistant | 7400 E Crestline Cir, Suite 100, Greenwood Village, CO 80111-3652 | 2006-06-16 |
| 1245614551 | Catherine Vieregger Dds, PC | Dentist | 7400 E Crestline Cir, Suite #230, Greenwood Village, CO 80111-3652 | 2015-07-16 |
| 1598038820 | Catherine Vieregger Dds PC | Non-Pharmacy Dispensing Site | 7400 E Crestline Cir, Suite 230, Greenwood Village, CO 80111-3652 | 2012-02-16 |
| 1194028159 | Carrie Ann Chanos | Physician Assistant | 7400 E Crestline Cir, Ste 100, Greenwood Village, CO 80111-3652 | 2010-12-14 |
| 1598931099 | Per Terje Reiakvam | Dentist | 7400 E Crestline Cir, Suite #240, Greenwood Village, CO 80111-3652 | 2008-05-05 |
| 1164692042 | Christine Molek | Audiologist | 7400 E Crestline Cir, Suite 100, Greenwood Village, CO 80111-3656 | 2008-03-06 |
| 1184808628 | Kristi Holzheimer Reed | Audiologist | 7400 E Crestline Cir, Suite 100, Greenwood Village, CO 80111-3652 | 2007-12-19 |
| 1275724932 | Dan Alexandru Sdrulla | Otolaryngology | 7400 E Crestline Cir, Suite 100, Greenwood Village, CO 80111-3652 | 2007-08-07 |
| 1609941327 | Aldo F Leopardi | Dentist | 7400 E Crestline Cir, Ste 235, Greenwood Village, CO 80111 | 2006-11-21 |
| 1710065446 | Advanced Ear, Nose & Throat, PC | Otolaryngology | 7400 E Crestline Cir, Suite 100, Greenwood Village, CO 80111-3656 | 2006-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922637552 | Aaron Joseph Rushing | Anesthesiologist Assistant | Us Anesthesia Partners of Colorado, Inc, 8000 E. Maplewood Ave., Suite 200, Greenwood Village, CO 80111 | 2020-04-06 |
| 1003381252 | Bing Xu | Non-emergency Medical Transport (VAN) | 9000 E Caley Way, Greenwood Village, CO 80111 | 2018-10-03 |
| 1669963146 | Deborah G. Aragon | Physician Assistant | 6229 S. Iola Wy, Englewood, CO 80111 | 2018-05-21 |
| 1902343718 | Jennifer Bielefeld | Registered Nurse | 6162 South Willow Dr., Suite 100, Greenwood Village, CO 80111 | 2017-01-31 |
| 1225589807 | Osama M Kassab | Chiropractor | 5690 Dtc Blvd Ste 140e, Greenwood Village, CO 80111 | 2016-10-19 |
| 1891242400 | Samantha Fiegel | Counselor | 6021 S Syracuse Way Ste 216, Greenwood Village, CO 80111 | 2016-09-01 |
| 1831644368 | Melissa Fischer Alconcel | Dentist | 8940 E. Crescent Parkway, Suite 370, Greenwood Village, CO 80111 | 2016-08-25 |
| 1245680263 | Carron Maclean | Counselor | 5310 Dtc Pkwy Ste A, Greenwood Village, CO 80111 | 2016-06-21 |
| 1326493792 | Insight Psychotherapy LLC | Counselor | 7350 E Progress Place, Suite 100, Greenwood Village, CO 80111 | 2016-05-04 |
| 1457705410 | Amy Flora | Occupational Therapist | 5750 Dtc Pkwy #170, Greenwood Village, CO 80111 | 2016-04-15 |
| Find all providers in zip 80111 | ||||
| Taxonomy Code | 207YX0905X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otolaryngology/Facial Plastic Surgery |
| An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316439052 | Sarah Tapley | Otolaryngology | 7400 E. Crestline Circle, Suite 100, Greenwood Village, CO 80111 | 2018-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366062994 | Vanguard Medical Specialists LLC | Otolaryngology | 109 Latigo Ln Ste F, Canon City, CO 81212-8113 | 2020-04-23 |
| 1336461227 | Ronald D Shippert | Otolaryngology | 6248 S Troy Cir, Centennial, CO 80111-6484 | 2010-02-19 |
| 1285745695 | Alfred Nathan Carr | Otolaryngology | 2030 Mountain View Ave Ste 500, Longmont, CO 80501-3183 | 2006-08-31 |
| 1164421582 | Colorado Center for Otolaryngology, Professional LLC | Otolaryngology | 3920 N Union Blvd, Suite 310, Colorado Springs, CO 80907-4900 | 2005-07-18 |
| 1376955245 | David Archibald Md PC | Otolaryngology | 2352 Meadows Blvd, Suite 290, Castle Rock, CO 80109-8406 | 2014-05-27 |
| 1093986986 | Western Otolaryngology | Otolaryngology | 3550 Lutheran Pkwy W, Ste 102, Wheat Ridge, CO 80033-6013 | 2008-03-18 |
| 1619155538 | Alfred N Carr Md | Otolaryngology | 2030 Mountain View Ave, Ste 500, Longmont, CO 80501-3178 | 2008-02-01 |
| 1518184399 | Associates of Otolaryngology, P.C. | Otolaryngology | 850 E Harvard Ave, Ste # 505, Denver, CO 80210-5073 | 2007-04-20 |
| 1871620682 | Douglas P Peller Do LLC | Otolaryngology | 9141 Grant St, Suite 240, Thornton, CO 80229-4374 | 2007-02-28 |
| 1083754600 | Douglas Paul Peller | Otolaryngology | 9025 Grant St, Suite 201, Thornton, CO 80229-4378 | 2007-02-07 |
| Find all providers with the same taxonomy | ||||
| City | GREENWOOD VILLAGE |
| Zip Code | 80111 |
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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.