DR. MATT THIELBAR (NPI# 1659736429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659736429 |
| Entity Type | Individual |
| Full Name | DR. MATT THIELBAR |
| Credential | PHARMD |
| Practice Address |
400 W 16th St Pueblo CO 81003-2745 |
| Practice Telephone | 7195841309 |
| Mailing Telephone | 7195841309 |
| Enumeration Date | 2015-12-22 |
| Last Update Date | 2015-12-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
17822 | CO | Pharmacy Service Providers |
| Street Address |
400 W 16TH ST |
| City | PUEBLO |
| State | CO |
| Zip Code | 81003-2745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992700694 | James E Caldwell | Anesthesiology | 400 W 16th St, Pueblo, CO 81003-2745 | 2005-06-17 |
| 1174137806 | Pediatrix Medical Group of Colorado, P.C. | Pediatrics | 400 W 16th St, Pueblo, CO 81003-2745 | 2020-09-01 |
| 1992327217 | Kristina Reavis | Nurse Practitioner | 400 W 16th St, Pueblo, CO 81003-2781 | 2020-05-08 |
| 1881214567 | Nathan S Grigg | Student in an Organized Health Care Education/Training Program | 400 W 16th St, Pueblo, CO 81003-2745 | 2020-04-22 |
| 1467083881 | Erik Matthews Wickstrum | Nurse Anesthetist, Certified Registered | 400 W 16th St, Pueblo, CO 81003-2781 | 2020-02-04 |
| 1497385082 | Sean Jastillano | Nurse Anesthetist, Certified Registered | 400 W 16th St, Pueblo, CO 81003-2745 | 2020-01-22 |
| 1417597287 | Zainab Adeyemo | Nurse Anesthetist, Certified Registered | 400 W 16th St, Pueblo, CO 81003-2745 | 2020-01-09 |
| 1265071658 | Victoria Louise Farnsworth | Nurse Anesthetist, Certified Registered | 400 W 16th St, Pueblo, CO 81003-2781 | 2020-01-02 |
| 1205479557 | Brandis Courtney Montez | Nurse Practitioner | 400 W 16th St, Pueblo, CO 81003-2781 | 2019-10-18 |
| 1750923199 | Catholic Health Initiatives Colorado | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 400 W 16th St, Pueblo, CO 81003-2745 | 2019-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164042016 | Sunil Kumar | Student in an Organized Health Care Education/Training Program | Parkview Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2020-04-21 |
| 1497382303 | Pueblo Family Dentistry Pllc | Dentist | 701 N Grand Avenue, Suite B, Pueblo, CO 81003 | 2020-03-23 |
| 1023654241 | Elmer A. Villalon, Dmd, LLC | Clinic/Center | 1225 North Main Street, #207, Pueblo, CO 81003 | 2019-11-22 |
| 1518434349 | Mariam Rahim | Internal Medicine | Parkview Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2018-10-30 |
| 1003308222 | Julia Mcneice | Internal Medicine | Parkview Medial Center, Parkveiw Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2018-06-04 |
| 1689164857 | Jessica Sels | Internal Medicine | Parkview Medical Center Adult Medicine Clinic, 311 W 14th St, Pueblo, CO 81003 | 2018-05-14 |
| 1700313459 | Allison Vigil | Occupational Therapist | 1600 W. 24th St, Pueblo, CO 81003 | 2017-05-12 |
| 1245682020 | Paul S Bongat | Internal Medicine | 411 W. 14th St., Parkview Adult Medicine Clinic, Pueblo, CO 81003 | 2016-07-06 |
| 1013368596 | Daniel R Long | Internal Medicine | 411 West 14th Street, Pueblo, CO 81003 | 2016-06-27 |
| 1396195665 | Parkview Medical Center | General Acute Care Hospital | 411 W. 14th St, Pueblo, CO 81003 | 2016-06-17 |
| Find all providers in zip 81003 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417270463 | Lewayne Morse Garrison | Pharmacist | 4610 Cedarweed Blvd, Pueblo, CO 81001-1067 | 2010-03-04 |
| 1992264105 | Heather Crump Thoreson | Pharmacist | 1008 Minnequa Ave, Pueblo, CO 81004-3733 | 2019-03-18 |
| 1285174987 | Joseph Benjamin Netanel-surek | Pharmacist | 400 W 16th St, Pueblo, CO 81003-2745 | 2017-02-28 |
| 1740249606 | Jennifer Gemmell | Pharmacist | 4112 Outlook Blvd, Pueblo, CO 81008-1667 | 2006-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689286718 | Jordan Dawson | Pharmacist | 8195 W 20th Ave, Lakewood, CO 80214-5500 | 2020-08-19 |
| 1679109110 | Jennifer L Wienold | Pharmacist | 575 Rivergate Unit 111, Durango, CO 81301-7490 | 2020-03-17 |
| 1265956189 | Aldo Boris Vasquez | Pharmacist | 25060 E Ottawa Dr, Aurora, CO 80016-7531 | 2017-08-01 |
| 1689047268 | Tracy Danielle Mahvan | Pharmacist | 7157 Waterford Ct, 7157 Waterford Ct, Niwot, CO 80503-7649 | 2015-11-04 |
| 1962815365 | Kym D Colvin | Pharmacist | 2460 Golden Edge Drive, Kremmling, CO 80458 | 2014-06-04 |
| 1639414790 | Susan High | Pharmacist | 3501 E 7th Avenue Pkwy, Denver, CO 80206-4001 | 2012-11-30 |
| 1265791180 | David Aguirre | Pharmacist | 453 E Wonder View Ave # 1, Estes Park, CO 80517-9647 | 2012-05-12 |
| 1235412651 | Tamara A Thompson | Pharmacist | 20301 Highway 52, Fort Morgan, CO 80701-9009 | 2011-09-21 |
| 1366768012 | Daniel J. Feuer | Pharmacist | 4915 Red Rock Dr, Larkspur, CO 80118-9054 | 2010-04-20 |
| 1598089781 | Jasmine Trang Le | Pharmacist | 2500 S. Havana St, Aurora, CO 80014-0911 | 2010-03-17 |
| 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.