MR. SAMUEL ROLL (NPI# 1417313099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417313099 |
| Entity Type | Individual |
| Full Name | MR. SAMUEL ROLL |
| Credential | CNIM |
| Practice Address |
10103 Ridgegate Pkwy Ste 306 Lone Tree CO 80124-5525 |
| Practice Telephone | 3039211879 |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2016-01-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144332925 | Samuel Roll | Psychologist | 201 Tulane Dr Se, Albuquerque, NM 87106-1413 | 2006-08-31 |
| Street Address |
10103 RIDGEGATE PKWY STE 306 |
| City | LONE TREE |
| State | CO |
| Zip Code | 80124-5525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508807041 | Jonathan Hugh Churchill | Physician Assistant | 10103 Ridgegate Pkwy Ste 306, Lone Tree, CO 80124-5525 | 2006-06-08 |
| 1184013336 | Niel Hartwell | Clinical Nurse Specialist | 10103 Ridgegate Pkwy Ste 306, Lone Tree, CO 80124-5525 | 2015-01-12 |
| 1083013064 | Jefferson Lewis Hicks | Physician Assistant | 10103 Ridgegate Pkwy Ste 306, Lone Tree, CO 80124-5525 | 2014-08-15 |
| 1194153155 | Michael Richards | Specialist | 10103 Ridgegate Pkwy Ste 306, Lone Tree, CO 80124-5525 | 2013-10-29 |
| 1811333073 | Professional Oversight Consultants | Specialist | 10103 Ridgegate Pkwy Ste 306, Lone Tree, CO 80124-5525 | 2013-05-15 |
| 1316382666 | Heather Huber | Specialist/Technologist, Other | 10103 Ridgegate Pkwy Ste 306, Lone Tree, CO 80124-5525 | 2013-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700413788 | Adam Avant | Student in an Organized Health Care Education/Training Program | Sky Ridge Medical Center 10099 Ridgegate Pkwy, Ste 200, Lonetree, CO 80124 | 2020-03-27 |
| 1265069546 | Nikhilesh Srinivasan | Student in an Organized Health Care Education/Training Program | 10099 Ridgegate Parkway, #200, Lone Tree, CO 80124 | 2020-03-25 |
| 1487281200 | Caden Nowak | Student in an Organized Health Care Education/Training Program | 10099 Ridgegate Parkway #200, Lone Tree, CO 80124 | 2020-03-23 |
| 1427618305 | University of Colorado Hospital Authority | Clinic/Center | 9548 Park Meadows Dr, Lone Tree, CO 80124 | 2019-06-13 |
| 1225505746 | Justin Sean Ashurst | Registered Nurse | 10240 Meadows Dr, Lone Tree, CO 80124 | 2018-11-02 |
| 1396257143 | University Physicians, Incorporated | Family Medicine | 9548 Park Meadows Drive, Lone Tree, CO 80124 | 2017-11-02 |
| 1861928236 | Jennifer Kouri | Student in an Organized Health Care Education/Training Program | 10099 Ridgegate Parkway Ste 120, Rvu/sky Ridge Tri Residency, Lone Tree, CO 80124 | 2017-05-04 |
| 1013443787 | Graham Litchman | Surgery | 1099 Ridgegate Parkway, Graduate Medical Education Office Suite 120, Lone Tree, CO 80124 | 2017-05-02 |
| 1609324466 | Amy Lim | Registered Nurse | 10101 Ridge Gate Pkwy, Lone Tree, CO 80124 | 2016-09-21 |
| 1770933251 | Richard Kenyon French Jr. | Optometrist | 8455 Park Meadows Center Blvd, Lenscrafters At Macy's, Littleton, CO 80124 | 2016-06-15 |
| Find all providers in zip 80124 | ||||
| Taxonomy Code | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073137147 | Meridian Iom | Technician, Other | 10103 Ridgegate Pkwy, Lone Tree, CO 80124-5520 | 2020-06-03 |
| 1093855876 | Spinal Monitoring Services, Inc | Technician, Other | 10103 Ridgegate Pkwy, Suite 306, Lone Tree, CO 80124-5520 | 2007-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023654936 | South Monaco Neuromonitoring | Technician, Other | 8040 S Monaco Cir, Centennial, CO 80112-3020 | 2019-11-26 |
| 1770129165 | Tanya Kensley | Technician, Other | 1501 S Lemay Ave Ste 205, Fort Collins, CO 80524-4253 | 2019-11-21 |
| 1649715541 | Marilyn Janet Vargas | Technician, Other | 862 Main Ct, Carbondale, CO 81623-1857 | 2016-12-30 |
| 1316393325 | Sarah Christine Webb | Technician, Other | 2547 11th Ave Ste B, Greeley, CO 80631-1680 | 2016-05-09 |
| 1821450446 | Malayah Stamps | Technician, Other | 16202 E Alabama Dr, Aurora, CO 80017 | 2016-03-23 |
| 1285094631 | Robert Painter | Technician, Other | 3200 W 14th Ave, Apt. 675, Denver, CO 80204-2290 | 2016-02-28 |
| 1013375088 | Jana Neville | Technician, Other | 8177 S Franklin Ct, Centennial, CO 80122-3275 | 2016-02-05 |
| 1063880300 | Kenneth Allen Nierman | Technician, Other | 6871 Xavier Cir Unit 2, Westminster, CO 80030-5774 | 2015-09-03 |
| 1578951927 | Andrew Varipapa | Technician, Other | 1365 Corona St, Denver, CO 80218-2063 | 2015-01-07 |
| 1578974234 | Lana Kay Gallagher | Technician, Other | 4545 Wheaton Dr Unit B210, Fort Collins, CO 80525-7532 | 2014-05-15 |
| Find all providers with the same taxonomy | ||||
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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.