CHARLES CALEB JENNINGS (NPI# 1558747246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558747246 |
| Entity Type | Individual |
| Full Name | CHARLES CALEB JENNINGS |
| Credential | PA-C |
| Practice Address |
9005 Grant St Suite 200 Thornton CO 80229-4300 |
| Practice Telephone | 3032872800 |
| Practice Fax Number | 3032877357 |
| Mailing Telephone | 3032872800 |
| Mailing Fax Number | 3032877357 |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2015-08-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA.0004290 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558359398 | Charles A Jennings | Internal Medicine | 1120 Lexington Ave, Fort Smith, AR 72901-5136 | 2005-10-06 |
| 1790186708 | Charles Anthony Jennings | Nurse Practitioner | 1550 Hotel Cir N, Suite 450, San Diego, CA 92108-2901 | 2014-09-09 |
| 1205132461 | Charles Jennings | Counselor | 6130 Cochise Dr, West Bloomfield, MI 48322-2361 | 2011-02-07 |
| 1255496154 | Charles Ray Jennings | Physician Assistant | 735 N Foreman St, Vinita, OK 74301-1422 | 2006-12-22 |
| 1023045226 | Charles D Jennings | Specialist | 500 15th Ave S, Suite 1, Great Falls, MT 59405-4324 | 2006-06-26 |
| Street Address |
9005 GRANT ST SUITE 200 |
| City | THORNTON |
| State | CO |
| Zip Code | 80229-4300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245239268 | Musculoskeletal Surgery Center of Colorado | Clinic/Center | 9005 Grant St, Suite #300, Thornton, CO 80229-4300 | 2005-07-20 |
| 1609274851 | Cher, LLC | Radiology | 9005 Grant St, Suite 400, Thornton, CO 80229-4300 | 2014-12-19 |
| 1184021057 | Vera Sekula | Nurse Practitioner | 9005 Grant St, Suite 200, Thornton, CO 80229-4300 | 2014-11-20 |
| 1396141958 | Nathan Adams | Physician Assistant | 9005 Grant St, Suite 200, Thornton, CO 80229-4300 | 2014-11-10 |
| 1003170333 | Eric C Kuhlman | Podiatrist | 9005 Grant St, Suite 200, Thornton, CO 80229-4300 | 2012-07-02 |
| 1245504067 | Devin Michael Jacobs | Physician Assistant | 9005 Grant St, Suite 200, Thornton, CO 80229-4300 | 2012-02-24 |
| 1326315961 | Lindsay Wells Shillinglaw | Physician Assistant | 9005 Grant St, Ste 200, Thornton, CO 80229-4384 | 2011-11-28 |
| 1841598547 | Rachel J Cengia | Physician Assistant | 9005 Grant St, Ste 200, Thornton, CO 80229-4300 | 2011-03-03 |
| 1295031714 | Katherine M. Weisenborn | Physician Assistant | 9005 Grant St, Suite 200, Thornton, CO 80229-4300 | 2011-01-31 |
| 1861797243 | Spine Surgery Assistants PC | Physician Assistant | 9005 Grant St, Suite 200, Thornton, CO 80229-4300 | 2011-01-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063045045 | Nicole Brooke Lindel | Dietitian, Registered | 10001 N. Washington Ave., Thornton, CO 80229 | 2020-02-18 |
| 1093299679 | Brittany Michele Nielsen | Nurse Practitioner | 9141 Grant St Ste 115, Thornton, CO 80229 | 2018-09-19 |
| 1891296224 | Discovery Avenues L.L.C. | Day Training, Developmentally Disabled Services | 300 Russell Blvd Apt F9, Thornton, CO 80229 | 2018-02-21 |
| 1265886725 | Ryan De' Angelo Pro | Massage Therapist | 10321 Washington Street, Suite 103, Thronton, CO 80229 | 2016-04-20 |
| 1912351800 | Concentra Medical | Clinic/Center | 550 East Thornton Pkwy, Suite 110, Thornton, CO 80229 | 2016-04-18 |
| 1114288636 | Senior Hub | Home Health | 9025 Grant St Ste 150, Thornton, CO 80229 | 2012-05-31 |
| 1578848545 | Kimberly Westhoff | Pharmacist | 10337 Washington Street, Thornton, CO 80229 | 2011-10-20 |
| 1003105636 | James C. Higham-kessler | Internal Medicine | 10001 N. Washington Street, Upper Level, Thornton, CO 80229 | 2011-04-05 |
| 1871899534 | Richard Walter Rybicki | Social Worker | 9981 N. Washington St., Ste 17, Thornton, CO 80229 | 2011-01-28 |
| 1114248911 | Smile Seven Professionals LLC | Dentist | 13691 Colorado Blvd Ste109, Thornton, CO 80229 | 2010-06-15 |
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| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366784167 | Made LLC | Physician Assistant | 1882 E 104th Ave Unit 936, Thornton, CO 80233-4336 | 2013-03-20 |
| 1457474462 | Eric Mark Lindholm | Physician Assistant | 970 E 133rd Dr, Thornton, CO 80241-1141 | 2007-04-06 |
| 1396141958 | Nathan Adams | Physician Assistant | 9005 Grant St, Suite 200, Thornton, CO 80229-4300 | 2014-11-10 |
| 1245504067 | Devin Michael Jacobs | Physician Assistant | 9005 Grant St, Suite 200, Thornton, CO 80229-4300 | 2012-02-24 |
| 1861797243 | Spine Surgery Assistants PC | Physician Assistant | 9005 Grant St, Suite 200, Thornton, CO 80229-4300 | 2011-01-17 |
| 1740359439 | Alicia Michelle Mccown | Physician Assistant | 9005 Grant St, Suite 200, Thornton, CO 80229-4300 | 2006-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033737366 | Wound Solutions Inc | Physician Assistant | 130 Old Laramie Trl Ste 100, Lafayette, CO 80026-7014 | 2020-07-13 |
| 1295396513 | Joseph D Timmermeyer | Physician Assistant | 324 Fossil Dr, Johnstown, CO 80534-7452 | 2019-06-26 |
| 1356805626 | Heather Free | Physician Assistant | 3653 N Josephine St, Denver, CO 80205-3545 | 2019-01-30 |
| 1255804910 | Jessie P Larson | Physician Assistant | 7847 Downing St, Denver, CO 80229-5961 | 2019-01-05 |
| 1710453543 | Lindsay Marie Bergman | Physician Assistant | 1140 Edwards Village II, B-105, Edwards, CO 81632 | 2018-10-19 |
| 1225533136 | Rafael Eduardo Castillo | Physician Assistant | 6200 Habitat Dr Apt 2052, Boulder, CO 80301-3235 | 2018-03-25 |
| 1972026276 | Sophia Jane Wagner | Physician Assistant | 2643 Patterson Rd Ste 403, Grand Junction, CO 81506-1937 | 2017-07-19 |
| 1326588732 | Elise Nicole Van Etten | Physician Assistant | 13123 E 16th Ave # 323, Anschutz Medical Campus, Aurora, CO 80045-7106 | 2017-03-03 |
| 1336691914 | Patrick Craig Ford | Physician Assistant | 6500 29th St Ste 106, Greeley, CO 80634-8386 | 2016-10-28 |
| 1942751904 | 5280 Surgical Assisting Professional LLC | Physician Assistant | 10233 Bluffmont Dr, Lone Tree, CO 80124-5559 | 2016-10-14 |
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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.