LARRY D. TICE MD PC (NPI# 1558663286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558663286 |
| Entity Type | Organization |
| Organization Name | LARRY D. TICE MD PC |
| Practice Address |
1120 Wellington Ave Suite 206 Grand Junction CO 81501-6129 |
| Mailing Address |
551 Kokopelli Blvd Fruita CO 81521-6305 |
| Practice Telephone | 9702418013 |
| Practice Fax Number | 9702411308 |
| Mailing Telephone | 9708582603 |
| Mailing Fax Number | 9708583211 |
| Enumeration Date | 2010-12-01 |
| Last Update Date | 2010-12-01 |
| Authorized Official Name | DR. LARRY D TICE (PRESIDENT) |
| Authorized Official Telephone | 9708582603 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
1120 WELLINGTON AVE SUITE 206 |
| City | GRAND JUNCTION |
| State | CO |
| Zip Code | 81501-6129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164426102 | Tephi Ann Mannlein | Physician Assistant | 1120 Wellington Ave, Grand Junction, CO 81501-6129 | 2005-06-08 |
| 1346800471 | Physician Management Services of Colorado II, LLC | Family Medicine | 1120 Wellington Ave, Grand Junction, CO 81501-6129 | 2019-06-20 |
| 1861990699 | Primary Care Partners, Inc. | Family Medicine | 1120 Wellington Ave, Grand Junction, CO 81501-6129 | 2018-01-26 |
| 1083168678 | Deborah A Wheeler Md LLC | Anesthesiology | 1120 Wellington Ave, Suite 206, Grand Junction, CO 81501-6129 | 2016-08-11 |
| 1669821682 | Desiree Rachele Gholson | Social Worker | 1120 Wellington Ave, Grand Junction, CO 81501-6129 | 2016-06-09 |
| 1467809517 | Anna M Jones | Family Medicine | 1120 Wellington Ave, Grand Junction, CO 81501-6129 | 2016-05-18 |
| 1881040707 | David Stuart | Family Medicine | 1120 Wellington Ave, Grand Junction, CO 81501-6129 | 2016-05-10 |
| 1942624630 | Debra Jo Landoll | Counselor | 1120 Wellington Ave, Grand Junction, CO 81501-6129 | 2014-02-14 |
| 1669818498 | Joshua M Hulst | Family Medicine | 1120 Wellington Ave, Grand Junction, CO 81501-6129 | 2013-05-20 |
| 1699038315 | Anne Chamberlin Siler | Family Medicine | 1120 Wellington Ave, Grand Junction, CO 81501-6129 | 2012-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700430261 | Brianne Tanae Harper | Physician Assistant | 2530 N 8th St Suite 205, Grand Junction, CO 81501 | 2019-08-01 |
| 1497318059 | Shellen H Pinnt | Counselor | 660 White Avene, Grand Junction, CO 81501 | 2019-04-19 |
| 1477011658 | Gaylene Ludwig | Counselor | 622 Rood Ave, Grand Junction, CO 81501 | 2019-03-07 |
| 1639676158 | Chris De Bruin | Counselor | Grand Junction Metro Treatment Center, 1001 Wellington Ave, Grand Junction, CO 81501 | 2018-04-11 |
| 1568971125 | Michael Sprague | Counselor | 1001 Wellington Avenue, Grand Junction, CO 81501 | 2017-09-27 |
| 1609393560 | Karin Vandervelde | Midwife | 2241 7th Street, Bloomin' Babies Birth Center, Grand Junction, CO 81501 | 2017-08-23 |
| 1225550361 | Critical Nurse Staffing, LLC | Home Health | 1114 N 1st St, Suite 200, Grand Junction, CO 81501 | 2017-07-11 |
| 1003344094 | Mac Aarron Fish | Counselor | 622 Rood Ave Ste C, Grand Junction, CO 81501 | 2017-06-02 |
| 1467994566 | A New Life Counseling, Inc | Counselor | 623 North 8th St, Grand Junction, CO 81501 | 2016-11-07 |
| 1801342597 | Paragon Restoration & Building, Inc. | Contractor | 205 S. 15th St., Grand Junction, CO 81501 | 2016-09-01 |
| Find all providers in zip 81501 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982698148 | Brian P Witwer | Neurological Surgery | 750 Wellington Ave Ste 3a, Grand Junction, CO 81501-6132 | 2005-09-02 |
| 1831703313 | Scl Health Medical Group - Grand Junction, LLC | Neurological Surgery | 750 Wellington Ave Ste 3a, Grand Junction, CO 81501-6132 | 2020-09-02 |
| 1861006496 | Scl Health Medical Group - Grand Junction, LLC | Neurological Surgery | 627 25 1/2 Rd, Grand Junction, CO 81505-6401 | 2020-09-01 |
| 1588677017 | Robert H Fox | Neurological Surgery | 750 Wellington Ave Ste 3a, Grand Junction, CO 81501-6132 | 2006-08-14 |
| 1730112772 | Edward Eugene Maurin IIi | Neurological Surgery | 750 Wellington Ave, Grand Junction, CO 81501 | 2006-07-09 |
| 1154365153 | Basheal M. Agrawal | Neurological Surgery | 750 Wellington Ave, Suite 3a, Grand Junction, CO 81501-6132 | 2006-06-16 |
| 1477504066 | John Anthony Lopez | Neurological Surgery | 750 Wellington Ave, Suite 3a, Grand Junction, CO 81501-6132 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396358578 | Scl Health Medical Group - Grand Junction, LLC | Neurological Surgery | 350 Market St Unit 1, Basalt, CO 81621-7410 | 2020-08-26 |
| 1154933786 | Neurosurgery One PC | Neurological Surgery | 9695 S Yosemite St Ste 377, Lone Tree, CO 80124-2826 | 2020-08-17 |
| 1477180255 | Healthone Clinic Services - Surgery Neurological LLC | Neurological Surgery | 1721 E 19th Ave Ste 500, Denver, CO 80218-1242 | 2020-03-24 |
| 1497382246 | Neurosurgery One PC | Neurological Surgery | 9397 Crown Crest Blvd Ste 411, Parker, CO 80138-8789 | 2020-03-23 |
| 1013543891 | Scl Health Medical Group - Denver, LLC | Neurological Surgery | 3455 Lutheran Pkwy Ste 285, Wheat Ridge, CO 80033-6034 | 2020-03-12 |
| 1598300790 | Valley View Hospital Association | Neurological Surgery | 0377 Sylvan Lake Rd, Eagle, CO 81631-0129 | 2019-11-12 |
| 1194369926 | Valley View Hospital Association | Neurological Surgery | 350 Market St Unit 200, Basalt, CO 81621-7403 | 2019-11-05 |
| 1326565177 | Fredric M Sonstein Md Mba Pllc | Neurological Surgery | 333 W Hampden Ave Ste 800, Englewood, CO 80110 | 2017-08-23 |
| 1447773601 | Edin Nevzati | Neurological Surgery | 665 Clermont St, Denver, CO 80220-5023 | 2017-07-19 |
| 1306385752 | Resilience Surgical LLC | Neurological Surgery | 99 Inverness Dr E Ste 100, Englewood, CO 80112-5127 | 2017-02-17 |
| Find all providers with the same taxonomy | ||||
| City | GRAND JUNCTION |
| Zip Code | 81501 |
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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.