COLORADO PAIN CARE, LLC (NPI# 1528400082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528400082 |
| Entity Type | Organization |
| Organization Name | COLORADO PAIN CARE, LLC |
| Practice Address |
755 Heritage Rd Suite 100 Golden CO 80401-3600 |
| Mailing Address |
1355 S Colorado Blvd Suite 700 Denver CO 80222-3305 |
| Practice Telephone | 3032770700 |
| Enumeration Date | 2013-07-25 |
| Last Update Date | 2013-07-25 |
| Authorized Official Name | ROBERT Z MOGHIM (MEMBER) |
| Authorized Official Telephone | 3037631416 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
DR0039871 | CO | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Colorado Pain Care, LLC | 1355 South Colorado Boulevard, Suite 700, Denver, CO 80222 |
| Street Address |
755 HERITAGE RD SUITE 100 |
| City | GOLDEN |
| State | CO |
| Zip Code | 80401-3600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245282862 | Robert Z Moghim | Anesthesiology | 755 Heritage Rd, Suite 100, Golden, CO 80401-3600 | 2006-05-16 |
| 1063943611 | Hortense Mbwenze Ngoe | Nurse Practitioner | 755 Heritage Rd, Ste 100, Golden, CO 80401-3600 | 2017-03-24 |
| 1982062337 | Emmanuela Agwu | Nurse Practitioner | 755 Heritage Rd, Ste 100, Golden, CO 80401-3600 | 2016-01-31 |
| 1073986980 | Rachael Passafaro | Physician Assistant | 755 Heritage Rd, Suite 100, Golden, CO 80401-3600 | 2015-11-02 |
| 1619344066 | Arizona Pain Specialists, Pllc | Anesthesiology | 755 Heritage Rd, Suite 100, Golden, CO 80401-3600 | 2015-09-01 |
| 1962796342 | Ajay Rajkumar Vellore | Anesthesiology | 755 Heritage Rd, Suite 100, Golden, CO 80401-3600 | 2011-06-03 |
| 1174750707 | Amanda Fraser Wallace | Anesthesiology | 755 Heritage Rd, Golden, CO 80401-3600 | 2009-06-22 |
| 1134331101 | Jordanna Quinn | Physical Medicine & Rehabilitation | 755 Heritage Rd, Suite 100, Golden, CO 80401-3600 | 2007-05-04 |
| 1881726891 | Red Rocks Center for Rehabilitation | Specialist | 755 Heritage Rd, Sutie 100, Golden, CO 80401-3600 | 2007-03-12 |
| 1124107909 | Jeffrey Kesten | Physical Medicine & Rehabilitation | 755 Heritage Rd, #100, Golden, CO 80401-3600 | 2006-11-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093315152 | Ruth Lucia Settak | Social Worker | 17301 W. Colfax Ave., Ste 200, Golden, CO 80401 | 2020-10-28 |
| 1811457088 | Evening Elegance LLC | Prosthetic/Orthotic Supplier | 14500 W Colfax Ave Unit 246, Lakewood, CO 80401 | 2019-03-22 |
| 1255853826 | Angela Kathryn Brickman | Behavior Technician | 714 Ridgeside Drive, Golden, CO 80401 | 2017-07-14 |
| 1710408240 | Catherine Camacho | Psychologist | 913 Arapahoe St, Golden, CO 80401 | 2017-07-06 |
| 1710420492 | Colorado Complete Urgent Care Physicians LLC | Clinic/Center | 17101 S Golden Rd., Golden, CO 80401 | 2016-11-29 |
| 1366991051 | Britta Marie Olson | Physical Therapist | 600 Golden Ridge Rd, Suite 130, Golden, CO 80401 | 2016-09-23 |
| 1003284209 | Maria Alta Mcvey | Dental Hygienist | 2305 Jackson St., Golden, CO 80401 | 2015-09-04 |
| 1548644479 | Christine Rodriguez | Dental Hygienist | 2305 Jackson Street, Golden, CO 80401 | 2015-07-09 |
| 1508285776 | Colorado Pain Practice, Pllc | Anesthesiology | 755 Heritage Road, Suite 100, Golden, CO 80401 | 2014-04-15 |
| 1942644844 | Golden Kids Dental | Dentist | 2421 Ford St., Golden, CO 80401 | 2013-04-22 |
| Find all providers in zip 80401 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508285776 | Colorado Pain Practice, Pllc | Anesthesiology | 755 Heritage Road, Suite 100, Golden, CO 80401 | 2014-04-15 |
| 1932387966 | Daniel Alan Drennan | Anesthesiology | 400 Indiana St Ste 320, Golden, CO 80401-5033 | 2008-01-31 |
| 1245282862 | Robert Z Moghim | Anesthesiology | 755 Heritage Rd, Suite 100, Golden, CO 80401-3600 | 2006-05-16 |
| 1619344066 | Arizona Pain Specialists, Pllc | Anesthesiology | 755 Heritage Rd, Suite 100, Golden, CO 80401-3600 | 2015-09-01 |
| 1447631361 | Andrew J Wendahl | Anesthesiology | 400 Indiana St Ste 320, Golden, CO 80401-5033 | 2015-06-16 |
| 1457600231 | Daniel S Bennett Md PC | Anesthesiology | 14828 W 6th Ave, Ste 16-b, Golden, CO 80401-5000 | 2012-09-07 |
| 1447496377 | Ambulatory Anesthesia Consultants PC | Anesthesiology | 1819 Denver West Dr, Suite 200, Golden, CO 80401-3118 | 2008-12-24 |
| 1902999352 | Jason Krutsch | Anesthesiology | 755 Heritage Rd, #100, Golden, CO 80401-3600 | 2006-09-30 |
| 1255355467 | Daniel S Bennett | Anesthesiology | 14828 W 6th Ave, Ste 16-b, Golden, CO 80401-5000 | 2006-07-27 |
| 1396726436 | Donna Fleitz Mitchell | Anesthesiology | 1819 Denver West Dr, 26-200, Golden, CO 80401-3118 | 2005-11-07 |
| Find all providers in GOLDEN | ||||
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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.