MARY LOUISE VADER (NPI# 1568454106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568454106 |
| Entity Type | Individual |
| Full Name | MARY LOUISE VADER |
| Other Name | MARY HAMMES |
| Credential | DO |
| Practice Address |
947 So 5th St Montrose CO 81401-5716 |
| Practice Telephone | 9702492421 |
| Practice Fax Number | 9702498897 |
| Mailing Telephone | 9702492421 |
| Mailing Fax Number | 9702498897 |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2012-04-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 30431 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 51283361 | 05 | |
| CO | 01304310 | 05 |
| Street Address |
947 SO 5TH ST |
| City | MONTROSE |
| State | CO |
| Zip Code | 81401-5716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114928066 | Romeo Gonzaga Icasiano | Pediatrics | 947 So 5th St, Montrose, CO 81401-5716 | 2005-08-02 |
| 1619200615 | Scott Eddy Semones | Nurse Practitioner | 947 So 5th St, Montrose, CO 81401-5716 | 2009-09-09 |
| 1316960651 | Libuse K Hardekopf | Pediatrics | 947 So 5th St, Montrose, CO 81401-5716 | 2006-07-26 |
| 1548261324 | Pediatric Associates Prof LLC | Clinic/Center | 947 So 5th St, Montrose, CO 81401-5716 | 2005-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679183008 | Gregory Lee Reynolds Jr. | Pharmacist | 16750 South Townsend, Pharmacy, Montrose, CO 81401 | 2020-07-31 |
| 1780232215 | River Valley Family Health Centers | Pharmacy | 1010 S Rio Grande, Montrose, CO 81401 | 2019-08-28 |
| 1750938585 | Thomas J Harker | Pharmacist | 1010 Rio Grande, Montrose, CO 81401 | 2019-08-26 |
| 1548821317 | Terri Elizabeth Middleton-huntley | Registered Nurse | Center for Mental Health-crisis Walk-in Clinic, 300 N. Cascade, Montrose, CO 81401 | 2019-06-24 |
| 1427515121 | Holly L Speaks | Counselor | 225 S Nevada Ave, Montrose, CO 81401 | 2019-02-28 |
| 1922521541 | Lisa M Perez | Nurse Practitioner | 725 S 4th Street, 9702407734, CO 81401 | 2017-07-25 |
| 1104355015 | Judy Carol Fletcher | Registered Nurse | 1800 Pavillion Dr, Montrose, CO 81401 | 2017-06-06 |
| 1588106405 | Lindsay Rae Greenfield | Registered Nurse | 816 S 5th St Ste B, Montrose, CO 81401 | 2016-11-09 |
| 1679957393 | Denise Wallen | Registered Nurse | 1845 S. Townsend Ave., Montrose, CO 81401 | 2015-07-13 |
| 1649538810 | Deborah Thompson | Acupuncturist | 200 So Townsend, Ste. E, Montrose, CO 81401 | 2012-04-25 |
| Find all providers in zip 81401 | ||||
| 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 |
|---|---|---|---|---|
| 1700045192 | Lisa Carol Baker | Pediatrics | 31329 S Highway 550, Montrose, CO 81401-8434 | 2008-06-02 |
| 1407064124 | Gregory Paul Suchon | Pediatrics | 947 So Fifth St, Montrose, CO 81401-5716 | 2007-05-18 |
| 1760483622 | Thomas Dawson Wiard | Pediatrics | 947 S 5th St, Montrose, CO 81401-5716 | 2005-08-02 |
| 1114928066 | Romeo Gonzaga Icasiano | Pediatrics | 947 So 5th St, Montrose, CO 81401-5716 | 2005-08-02 |
| 1932399029 | Katty Sahakian | Pediatrics | 2048 Montrose Ave, Montrose, CA 91020-1605 | 2007-07-26 |
| 1275738619 | Thomas C Miller | Pediatrics | 947 S 5th St, Montrose, CO 81401-5716 | 2007-06-17 |
| 1801968169 | Anna Mekikyan | Pediatrics | 2048 Montrose Ave, Montrose, CA 91020-1605 | 2006-11-14 |
| 1639286263 | Fatma Haney | Pediatrics | 2048 Montrose Ave, Montrose, CA 91020-1605 | 2006-08-23 |
| 1316960651 | Libuse K Hardekopf | Pediatrics | 947 So 5th St, Montrose, CO 81401-5716 | 2006-07-26 |
| 1639106230 | Vigen Zargarian | Pediatrics | 2048 Montrose Ave, Montrose, CA 91020-1605 | 2006-06-27 |
| Find all providers in MONTROSE | ||||
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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.