DR. KRISTIN L THANAVARO (NPI# 1487813721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487813721 |
| Entity Type | Individual |
| Full Name | DR. KRISTIN L THANAVARO |
| Credential | MD |
| Practice Address |
11700 W 2nd Pl Suite 350 Lakewood CO 80228-1704 |
| Practice Telephone | 3035952727 |
| Practice Fax Number | 3035952727 |
| Mailing Telephone | 3035952727 |
| Mailing Fax Number | 3035952626 |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2015-02-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
0053810 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 31489273 | 05 |
| Street Address |
11700 W 2ND PL SUITE 350 |
| City | LAKEWOOD |
| State | CO |
| Zip Code | 80228-1704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780680777 | John D Altman | Internal Medicine | 11700 W 2nd Pl, Suite 350, Lakewood, CO 80228-1710 | 2005-06-23 |
| 1174165765 | Shelby L Potter | Dietitian, Registered | 11700 W 2nd Pl, Lakewood, CO 80228-1704 | 2019-10-15 |
| 1689045932 | Jeanine Ashley | Genetic Counselor, MS | 11700 W 2nd Pl, Medical Plaza 2, Suite 100, Lakewood, CO 80228-1704 | 2015-10-13 |
| 1306226550 | Chelsea Ann Springer | Internal Medicine | 11700 W 2nd Pl, Med Plaza 2 Ste 450, Lakewood, CO 80228-1719 | 2015-06-03 |
| 1609254929 | Sepehr Pazand | Pharmacist | 11700 W 2nd Pl, Suite 235, Lakewood, CO 80228-1704 | 2015-05-07 |
| 1508268368 | Rachel Michelle Houseal | Physician Assistant | 11700 W 2nd Pl, Lakewood, CO 80228-1704 | 2014-09-23 |
| 1134547383 | Pible Dialysis LLC | Clinic/Center | 11700 W 2nd Pl, Ste 325, Lakewood, CO 80228 | 2014-04-04 |
| 1427470590 | Erin Roark | Nurse Practitioner | 11700 W 2nd Pl, Suite 210, Lakewood, CO 80228-1704 | 2014-01-09 |
| 1457783235 | Total Renal Care Inc | Clinic/Center | 11700 W 2nd Pl, Ste 325, Lakewood, CO 80228-1704 | 2013-08-05 |
| 1144663816 | Elizabeth Ann Gordon | Audiologist | 11700 W 2nd Pl, Suite 435, Lakewood, CO 80228-1704 | 2013-04-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174083570 | Lindsey Mae Beverly | Physician Assistant | Medical Plaza 2, 11700 W 2nd Pl, #350, Lakewood, CO 80228 | 2019-03-21 |
| 1881119931 | Cory J Frazier | Nurse Practitioner | 11600 W. 2nd Pl, Lakewood, CO 80228 | 2017-08-10 |
| 1508213885 | Chelsea Tucker | Counselor | 12157 W Cedar Dr Ste 207, Lakewood, CO 80228 | 2016-05-17 |
| 1972963841 | Shastin Gerbracht | Counselor | 12055 W 2nd Pl, Ste 200, Lakewood, CO 80228 | 2016-03-04 |
| 1073983375 | Suzanne Phillips | Behavioral Analyst | 200 Union Blvd. Ste. 200, Lakewood, Co. 80228, Denver, CO 80228 | 2015-09-29 |
| 1700265667 | April Mearsha | Doula | 12977 W Cedar Dr, 2-305, Lakewood, CO 80228 | 2015-05-26 |
| 1306233713 | Caleb Hedberg | Internal Medicine | 165 S Union Blvd Ste 800, Lakewood, CO 80228 | 2015-04-23 |
| 1972996288 | David Lindsey Currie | Counselor | 12055 W 2nd Place, Jefferson Ctr for Mental Health, Lakewood, CO 80228 | 2015-03-11 |
| 1619365533 | Michelle Broberg II | Technician | 12055 West 2nd Plaza, Lakewood, CO 80228 | 2014-12-30 |
| 1750789012 | Kayla Morrison | Social Worker | 12005 W 2nd Place, Lakewood, CO 80228 | 2014-12-18 |
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| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215564125 | Healthone Clinic Services - Cardiovascular LLC | Internal Medicine | 3333 S Wadsworth Blvd Unit 217, Lakewood, CO 80227-5172 | 2020-03-23 |
| 1902432057 | Healthone Clinic Services - Cardiovascular LLC | Internal Medicine | 3333 S Wadsworth Blvd Unit 218, Lakewood, CO 80227-5172 | 2020-03-20 |
| 1518135920 | Thomas Edward Levy | Internal Medicine | 9645 W Dakota Ave, Lakewood, CO 80226-2722 | 2008-02-19 |
| 1144313768 | Hed Ahmadpour Md Facc, Inc | Internal Medicine | 3650 E South Street, Suite 110b, Lakewood, CA 90712-1502 | 2006-10-02 |
| 1376565507 | Rajesh Mohan | Internal Medicine | 101 Prospect Street, Suite 210, Lakewood, NJ 08701 | 2006-07-24 |
| 1093740151 | Irwin Roseff | Internal Medicine | One Route 70, Lakewood, NJ 08701 | 2006-07-11 |
| 1407886898 | German L Neri | Internal Medicine | 14601 Detroit Ave Ste 730, Lakewood, OH 44107-4251 | 2006-07-03 |
| 1467419366 | William L Madrid | Internal Medicine | 3650 South St Ste 310, Lakewood, CA 90712-1519 | 2006-04-26 |
| 1780649830 | Isaac Eisenstein | Internal Medicine | 3560 E. South St., #310, Lakewood, CA 90712 | 2006-04-20 |
| 1629032669 | James H Beckmann | Internal Medicine | 11700 W 2nd Pl Ste 350, Lakewood, CO 80228-1710 | 2006-04-14 |
| Find all providers in LAKEWOOD | ||||
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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.