ROCKY MOUNTAIN NEURODIAGNOSTICS PLLC (NPI# 1659640381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659640381 |
| Entity Type | Organization |
| Organization Name | ROCKY MOUNTAIN NEURODIAGNOSTICS PLLC |
| Practice Address |
1511 Onyx Cir Longmont CO 80504-7805 |
| Practice Telephone | 3037765298 |
| Practice Fax Number | 3036822785 |
| Mailing Telephone | 3037765298 |
| Mailing Fax Number | 3036822785 |
| Enumeration Date | 2011-12-27 |
| Last Update Date | 2020-06-12 |
| Authorized Official Name | BRUCE KATUNA (CFO) |
| Authorized Official Telephone | 3037765298 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
30103 | CO | Allopathic & Osteopathic Physicians |
| Street Address |
1511 ONYX CIR |
| City | LONGMONT |
| State | CO |
| Zip Code | 80504-7805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295726453 | Badreldin A Ibrahim | Psychiatry & Neurology | 1511 Onyx Cir, Longmont, CO 80504-7805 | 2005-11-04 |
| 1124483342 | Bruce Katuna, Md | Psychiatry & Neurology | 1511 Onyx Cir, Longmont, CO 80504-7805 | 2015-12-16 |
| 1992179394 | Blaze Iom Reading, Pllc | Psychiatry & Neurology | 1511 Onyx Cir, Longmont, CO 80504-7805 | 2015-11-23 |
| 1568696243 | Gregory J. Ferenz | Psychiatry & Neurology | 1511 Onyx Cir, Longmont, CO 80504-7805 | 2009-05-08 |
| 1376757344 | Grant Michael Warmouth | Psychiatry & Neurology | 1511 Onyx Cir, Longmont, CO 80504-7805 | 2007-05-09 |
| 1073615704 | Bruce Alan Katuna | Psychiatry & Neurology | 1511 Onyx Cir, Longmont, CO 80504-7805 | 2006-09-02 |
| 1861479628 | Craig Grason Carroll | Psychiatry & Neurology | 1511 Onyx Cir, Longmont, CO 80504-7805 | 2005-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942776620 | Cinde S Yoho | Social Worker | 9485 County Road 15, Firestone, CO 80504 | 2018-10-19 |
| 1427544881 | Thousand Peaks Healthcare, Inc. | In Home Supportive Care | 310 Lashley St Ste 109, Longmont, CO 80504 | 2018-07-09 |
| 1962913962 | Melissa Frick | Counselor | 10184 E I-25 Frontage Rd, Firestone, CO 80504 | 2017-10-17 |
| 1558757260 | Firestone Pediatric Dentistry and Orthodontics | Dentist | 8301 Colorado Blvd, Suite 200, Firestone, CO 80504 | 2015-04-09 |
| 1912392671 | Ashley Lerwick | Speech-Language Pathologist | 11169 Interstate I25 Frontage Rd, Firestone, CO 80504 | 2015-03-31 |
| 1780077685 | Roger Leon Jorgensen | Ophthalmology | 14222 N 95 Si, Longmont, CO 80504 | 2015-03-17 |
| 1982942090 | Carrie Rose Fitzekam | Technician | 712 Tanagers Circle, Longmont, CO 80504 | 2013-01-24 |
| 1003166976 | Jennifer Lynn Mcnerney | Speech-Language Pathologist | 8197 Miller Dr, Frederick, CO 80504 | 2012-09-18 |
| 1821343450 | Allison Luellen | Physician Assistant | 8350 Colorado Blvd, Suite 160, Firestone, CO 80504 | 2012-07-19 |
| 1609132109 | Abby Elizabeth Bohall | Speech-Language Pathologist | 5132 Mt Buchanan Ave, Frederick, CO 80504 | 2012-04-09 |
| Find all providers in zip 80504 | ||||
| Taxonomy Code | 2084N0600X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Clinical Neurophysiology |
| Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275131021 | Denver Neurological Clinic Professional LLC | Psychiatry & Neurology | 9980 Park Meadows Dr Ste 100, Lone Tree, CO 80124-8404 | 2020-10-14 |
| 1144779380 | 5280 Iom Pro, LLC | Psychiatry & Neurology | 1700 Bassett St Unit 1021, Denver, CO 80202-1921 | 2016-09-29 |
| 1407143043 | Alma Yum | Psychiatry & Neurology | 660 Bannock St # Mc4000, Denver, CO 80204-4506 | 2011-07-04 |
| 1942526835 | South Denver Neuromonitoring | Psychiatry & Neurology | 190 Jasmine St, Denver, CO 80220-5913 | 2010-04-16 |
| 1114165081 | Rjb Spine, LLC | Psychiatry & Neurology | 775 Capilano Ct, Castle Rock, CO 80108-3486 | 2009-01-29 |
| 1710123179 | Rocky Mountain Monitoring and Assist, LLC | Psychiatry & Neurology | 8500 Park Meadows Dr Ste 210, Lone Tree, CO 80124-2744 | 2009-01-06 |
| 1417102666 | Lawrence Lynch Mcreynolds | Psychiatry & Neurology | 7137 County Road 5, Ridgway, CO 81432-9734 | 2008-12-01 |
| 1134220288 | Kristen C Barner | Psychiatry & Neurology | 1813 Fairacres Dr, Greeley, CO 80631-5376 | 2006-09-25 |
| 1316557473 | Alexander Monroe Wolf | Psychiatry & Neurology | 950 E Harvard Ave, Denver, CO 80210-7009 | 2020-08-04 |
| 1487282992 | Neurology Institute of Colorado, Pllc | Psychiatry & Neurology | 433 Summit Blvd Unit 201, Broomfield, CO 80021-8299 | 2020-03-30 |
| Find all providers with the same taxonomy | ||||
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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.