GERALD DOUGLAS SHORT


Address: 23861 E Whitaker Dr, Aurora, CO 80016-5864
Phone: 7206416529

GERALD DOUGLAS SHORT (NPI# 1598233868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598233868
Entity Type Individual
Full Name GERALD DOUGLAS SHORT
Credential CAC II
Practice Address 23861 E Whitaker Dr
Aurora
CO 80016-5864
Practice Telephone 7206416529
Mailing Telephone 7206416529
Enumeration Date 2018-11-05
Last Update Date 2018-11-05
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
ACB0008150 CO Behavioral Health & Social Service Providers

Office Location

Street Address 23861 E WHITAKER DR
City AURORA
State CO
Zip Code 80016-5864

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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1528624111 Heather L Michael Counselor 221 E Galena Blvd Fl 2, Aurora, IL 60505-3415 2019-05-19
1073095873 Cynthia Pauley Counselor 120 Gale St Ste 200, Aurora, IL 60506-5084 2018-08-29
1588144711 Cynthia Litts Counselor 4252 S Richfield Way, Aurora, CO 80013-3282 2018-08-16
1033604137 Deborah Lorraine Ford Counselor 1540 Boston St, Aurora, CO 80010-1902 2018-06-30
1043725211 Eric Jackson Counselor 51 Lima St, Aurora, CO 80010-4616 2017-12-09
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Competitor

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City AURORA
Zip Code 80016

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Dataset Information

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.

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