SHALOM PARK PROFESSIONAL SERVICES LLC (NPI# 1528232402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528232402 |
Entity Type | Organization |
Organization Name | SHALOM PARK PROFESSIONAL SERVICES LLC |
Practice Address |
14800 E Belleview Drive Aurora CO 80015-2258 |
Practice Telephone | 3036805000 |
Practice Fax Number | 3036994300 |
Mailing Telephone | 3036805000 |
Mailing Fax Number | 3036994300 |
Enumeration Date | 2008-04-22 |
Last Update Date | 2009-03-18 |
Authorized Official Name | DAN STENERSEN (CEO) |
Authorized Official Telephone | 3036805000 |
Is Organization Subpart | Y |
Parent Organization Name | BETH ISRAEL FOUNDATION FOR THE AGED |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
1565633 | CO | Allopathic & Osteopathic Physicians |
Street Address |
14800 E BELLEVIEW DRIVE |
City | AURORA |
State | CO |
Zip Code | 80015-2258 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679128326 | Heather Hartleroad | Counselor | 21699 E Quincy Ave Unit F, #352, Aurora, CO 80015 | 2019-08-08 |
1033602792 | 4abilities, LLC. | Non-emergency Medical Transport (VAN) | 5105 S Valdai Street, Aurora, CO 80015 | 2018-06-07 |
1952827719 | 1st Centennial Home Health LLP | Home Health | 5418 S Danube Way, Centennial, CO 80015 | 2017-08-14 |
1881132157 | 1st Allergy Asthma and Pediatrics Too, Inc. | Specialist | 15470 E Smoky Hill Road, Aurora, CO 80015 | 2017-02-07 |
1467909028 | Silver Touch Home Care | In Home Supportive Care | 21804 E. Lake Pl, Aurora, CO 80015 | 2016-09-01 |
1417302514 | Michelle Dinges | Dietitian, Registered | 5606 S Helena Ct, Centennial, CO 80015 | 2016-04-27 |
1043664907 | Gomgom Siregar | Home Health Aide | 5235 S Liverpool Way, Centennial, CO 80015 | 2016-04-18 |
1104280528 | Lloyd Reliford | Custodial Care Facility | 5556 S Jericho Way, Centennial, CO 80015 | 2016-04-12 |
1003279563 | Victoria Care Services | Respite Care | 17285 E Wagontrail Pkwy, Aurora, CO 80015 | 2016-04-01 |
1699130104 | Gina Michelle Fernandez | Physician Assistant | 14813 E Radcliff Pl, Aurora, CO 80015 | 2015-12-28 |
Find all providers in zip 80015 |
Taxonomy Code | 207RG0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Geriatric Medicine |
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
---|---|---|---|---|
1932528247 | Ian Reynolds | Internal Medicine | 13001 E 17th Pl # P, Aurora, CO 80045-2570 | 2014-04-15 |
1821289752 | William A Solomon, Md, P.C. | Internal Medicine | 3140 S Peoria St # 266, Aurora, CO 80014-3178 | 2007-08-06 |
1700950615 | Paul Joseph Wright | Internal Medicine | 3551 Chambers Rd, Aurora, CO 80011-1330 | 2006-11-20 |
1588625214 | William A Solomon | Internal Medicine | 3124 S Parker Rd # A2-266, Aurora, CO 80014-6215 | 2006-03-31 |
1972069375 | Colorado Senior Care Services, P.C. | Internal Medicine | 1400 S Potomac St Ste 150, Aurora, CO 80012-4541 | 2019-02-11 |
1679052377 | University Physicians Incorporated | Internal Medicine | 1635 Aurora Ct Fl 5, Aurora, CO 80045-2541 | 2018-08-13 |
1679936629 | Sarah Tietz | Internal Medicine | 13001 E 17th Pl, Aurora, CO 80045-2570 | 2016-03-29 |
1275813297 | Preferred Provider Services, LLC | Internal Medicine | 3025 S Parker Rd, Suite 100, Aurora, CO 80014-2911 | 2011-08-22 |
1245523539 | Bobaker Saddek Elalem | Internal Medicine | 2550 S Parker Rd, Suite 400, Aurora, CO 80014-1622 | 2011-05-19 |
1346567195 | Carolyn Pickeral Horney | Internal Medicine | 12605 E 16th Ave, University of Colorado Hospital, Aurora, CO 80045-2545 | 2010-05-03 |
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.