FRANK B WYDRA (NPI# 1467895623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467895623 |
| Entity Type | Individual |
| Full Name | FRANK B WYDRA |
| Credential | M.D. |
| Practice Address |
13001 E 17th Pl Aurora CO 80045 |
| Mailing Address |
100 E 14th St Apt 1809 Chicago IL 60605-2889 |
| Practice Telephone | 3037242974 |
| Practice Fax Number | 3037241593 |
| Mailing Telephone | 7083513634 |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2018-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
A152934 | CA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
13001 E 17TH PL |
| City | AURORA |
| State | CO |
| Zip Code | 80045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457323818 | Larry Warren Fisher | Social Worker | 13001 E 17th Pl, Va Outpatient Clinic, Aurora, CO 80010-7238 | 2006-02-01 |
| 1275141756 | Fabio Grassia | Student in an Organized Health Care Education/Training Program | 13001 E 17th Pl, Aurora, CO 80045-2570 | 2020-07-21 |
| 1033731609 | Evan Plys | Psychologist | 13001 E 17th Pl, Aurora, CO 80045-2570 | 2020-05-17 |
| 1669094843 | Jessica Megan Ross | Psychologist | 13001 E 17th Pl, Aurora, CO 80045-2570 | 2020-05-11 |
| 1356961254 | Sarah Quaratella | Student in an Organized Health Care Education/Training Program | 13001 E 17th Pl, Aurora, CO 80045-2570 | 2020-04-21 |
| 1376163493 | Robert Jordan Williams | Student in an Organized Health Care Education/Training Program | 13001 E 17th Pl, Aurora, CO 80045-2570 | 2020-04-18 |
| 1871113134 | Amy Franks | Student in an Organized Health Care Education/Training Program | 13001 E 17th Pl, Aurora, CO 80045-2570 | 2020-04-16 |
| 1346869740 | Jacob Hershey | Student in an Organized Health Care Education/Training Program | 13001 E 17th Pl, Aurora, CO 80045-2570 | 2020-04-15 |
| 1063031581 | Katherine Cecilia Branche | Student in an Organized Health Care Education/Training Program | 13001 E 17th Pl, Aurora, CO 80045-2570 | 2020-04-14 |
| 1841819372 | Elia R Rieder | Student in an Organized Health Care Education/Training Program | 13001 E 17th Pl, Aurora, CO 80045-2570 | 2020-04-14 |
| Find all providers in the same location | ||||
| 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 | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396919858 | Stephanie Watson Mayer | Orthopaedic Surgery | 13123 E 16th Ave # B060, Aurora, CO 80045-7106 | 2008-04-16 |
| 1023117850 | Rocky Mountain Trauma Services Proff LLC | Orthopaedic Surgery | 13918 E Mississippi Ave, Suite 473, Aurora, CO 80012 | 2006-09-21 |
| 1336533546 | Aubrey Marie Armento | Orthopaedic Surgery | 13001 E 17th Pl, University of Colorado School of Medicine Gme, Aurora, CO 80045 | 2015-03-25 |
| 1710398177 | Jamie Friedman | Orthopaedic Surgery | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2014-05-19 |
| 1093154361 | Jessica Hea Soo Lee | Orthopaedic Surgery | 1635 Aurora Ct Fl 4, Aurora, CO 80045-2541 | 2013-06-20 |
| 1467890145 | Craig Chike Akoh | Orthopaedic Surgery | 2111 Ogden Ave, Aurora, IL 60504-7597 | 2013-06-04 |
| 1720341738 | Ryan J Mcneilan | Orthopaedic Surgery | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2012-06-25 |
| 1861758435 | Michael Rose | Orthopaedic Surgery | 12605 E 16th Ave, Aurora, CO 80045 | 2012-04-08 |
| 1316211071 | Omer Y Mei-dan | Orthopaedic Surgery | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2012-02-28 |
| 1639497142 | Emily Sweeney | Orthopaedic Surgery | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2010-05-07 |
| 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.