JODY L MATHIE (NPI# 1508991936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508991936 |
| Entity Type | Individual |
| Full Name | JODY L MATHIE |
| Credential | M.D. |
| Practice Address |
4900 E Kentucky Ave Denver CO 80246-2365 |
| Practice Telephone | 3037560101 |
| Practice Fax Number | 3037561408 |
| Mailing Telephone | 3037560101 |
| Mailing Fax Number | 3037561408 |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 24963 | CO | Allopathic & Osteopathic Physicians |
| Street Address |
4900 E KENTUCKY AVE |
| City | DENVER |
| State | CO |
| Zip Code | 80246-2365 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942265624 | Cherry Creek Pediatrics, PC | Pediatrics | 4900 E Kentucky Ave, Denver, CO 80246-2365 | 2006-04-18 |
| 1477194991 | Christian Cole Stephens | Physician Assistant | 4900 E Kentucky Ave, Denver, CO 80246-2365 | 2019-10-06 |
| 1659899789 | Kirstin Lea Bergstrom | Physician Assistant | 4900 E Kentucky Ave, Denver, CO 80246-2365 | 2017-09-08 |
| 1659734036 | Ali Nell Russell | Pediatrics | 4900 E Kentucky Ave, Denver, CO 80246-2365 | 2016-04-01 |
| 1063732899 | Mandy Elyse Hyatt | Pediatrics | 4900 E Kentucky Ave, Denver, CO 80246-2365 | 2010-06-03 |
| 1922321355 | Laura Cecile Forest | Physician Assistant | 4900 E Kentucky Ave, Denver, CO 80246-2365 | 2010-03-12 |
| 1881926194 | Rachel Schmela | Nurse Practitioner | 4900 E Kentucky Ave, Denver, CO 80246-2365 | 2010-02-11 |
| 1467694562 | Amy Alison Pierce | Pediatrics | 4900 E Kentucky Ave, Denver, CO 80246-2365 | 2009-04-03 |
| 1982739223 | Matthew Patrick Dorighi | Pediatrics | 4900 E Kentucky Ave, Denver, CO 80246-2365 | 2007-02-23 |
| 1104951458 | Richard Gustafson | Pediatrics | 4900 E Kentucky Ave, Denver, CO 80246-2365 | 2007-02-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043872377 | Anisha M Boggiano | Occupational Therapy Assistant | 4500 S Cherry Creek Dr, Suite 710, Denver, CO 80246 | 2019-07-08 |
| 1558824961 | Whitney Lynn Frisch | Licensed Practical Nurse | 4500 Cherry Creek S. Drive, Suite 710, Glendale, CO 80246 | 2019-04-11 |
| 1952865834 | Toni Qualantone | Counselor | 720 S Colorado Blvd., North Tower Penthouse, Suite 1353n, Denver, CO 80246 | 2019-01-25 |
| 1790255313 | Core Dermatology, Pllc | Dermatology | 425 South Cherry Suite 907, Glendale, CO 80246 | 2018-11-26 |
| 1689160194 | Alexia Bounkhong | Optometrist | 850 S Dahlia Circle, Apt F105, Denver, CO 80246 | 2018-07-09 |
| 1811494214 | Freedom Career Services LLC | Case Manager/Care Coordinator | 5300 E Cherry Creek South Dr Apt 522, Denver, CO 80246 | 2018-04-11 |
| 1801398094 | Megan Reynolds | Counselor | 1017 S. Birch St., B106, Glendale, CO 80246 | 2018-03-02 |
| 1295242014 | Seth Cameron Bender | Counselor | 720 S. Colorado Blvd., North Penthouse Tower, Suite 1353n, Denver, CO 80246 | 2018-01-02 |
| 1679093991 | Jeffery Washington | Counselor | 1066 S. Dahlia St. E32, Denver, CO 80246 | 2017-06-27 |
| 1013457795 | Jeff Johnston Dds PC | Dentist | 4500 East Cherry Creek Dr South, 100, Denver, CO 80246 | 2017-03-01 |
| Find all providers in zip 80246 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932715323 | Healthone Clinic Services - Pediatric Specialties LLC | Pediatrics | 2055 N High St Ste 330, Denver, CO 80205-5545 | 2020-09-21 |
| 1184230591 | Healthone Clinic Services - Pediatric Specialties LLC | Pediatrics | 2055 N High St Ste 360, Denver, CO 80205-5666 | 2020-09-21 |
| 1992310627 | Carolinas Physicians Network Inc | Pediatrics | 1585 Forney Creek Pkwy Ste 2100, Denver, NC 28037-9520 | 2020-09-10 |
| 1275186470 | Pediatrics At Cherry Creek,llc | Pediatrics | 3401 Quebec St Ste 3900, Denver, CO 80207-2344 | 2019-07-17 |
| 1134781057 | Lighthouse Complex Care Ltd | Pediatrics | 1240 S Parker Rd Ste 100, Denver, CO 80231-2177 | 2019-07-01 |
| 1306307665 | Stapleton Pediatrics | Pediatrics | 1258 S Pearl St Ste 110, Denver, CO 80210-1538 | 2019-03-28 |
| 1033683917 | Jenna Elizabeth Mtui | Pediatrics | 1535 W 43rd Ave, Denver, CO 80211-2425 | 2019-01-14 |
| 1275029712 | Caitlin Comerford | Pediatrics | 1601 E 19th Ave Ste 6600, Denver, CO 80218-1292 | 2018-07-09 |
| 1497286439 | Kimberly Lauren Mickey | Pediatrics | 1625 N Marion St, Denver, CO 80218-1514 | 2017-03-22 |
| 1811350341 | Lauren Ashley Welch | Pediatrics | 2650 18th Street Suite 100, Denver, CO 80211 | 2016-04-01 |
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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.