COLORADO PAIN PRACTICE, LLC (NPI# 1699300376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699300376 |
| Entity Type | Organization |
| Organization Name | COLORADO PAIN PRACTICE, LLC |
| Practice Address |
1189 S Perry St Ste 230 Castle Rock CO 80104-1959 |
| Mailing Address |
1355 S Colorado Blvd Ste 700 Denver CO 80222-3325 |
| Practice Telephone | 3034687246 |
| Practice Fax Number | 3032770714 |
| Mailing Telephone | 3032770700 |
| Mailing Fax Number | 3032770714 |
| Enumeration Date | 2020-03-03 |
| Last Update Date | 2020-03-03 |
| Authorized Official Name | ROBERT Z MOGHIM (OWNER/PHYSICIAN) |
| Authorized Official Telephone | 3038882219 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Colorado Pain Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407481740 | Colorado Pain Practice, LLC | Anesthesiology | 1355 S Colorado Blvd Ste 700, Denver, CO 80222-3325 | 2020-03-06 |
| 1487289096 | Colorado Pain Practice, LLC | Clinic/Center | 355 Union Blvd Ste 304, Lakewood, CO 80228-6516 | 2020-03-04 |
| 1962037572 | Colorado Pain Practice, LLC | Clinic/Center | 2696 S Colorado Blvd Ste 240, Denver, CO 80222-5948 | 2020-03-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Colorado Pain Practice, LLC | 1355 South Colorado Boulevard, Suite 700, Denver, CO 80222 |
| Street Address |
1189 S PERRY ST STE 230 |
| City | CASTLE ROCK |
| State | CO |
| Zip Code | 80104-1959 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669085221 | Kerri Lee Rathke | Registered Nurse | 1189 S Perry St Ste 230, Castle Rock, CO 80104-1959 | 2020-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932737152 | F2dis, Limited Liability Company | Skilled Nursing Facility | 1055 S. Perry Street, Castle Rock, CO 80104 | 2020-04-01 |
| 1518497262 | Courtney Renee Mcmurtry | Dental Hygienist | 610 E. Fifth St., Suite 300, Castle Rock, CO 80104 | 2017-06-15 |
| 1235598350 | Village Physical Therapy, PC | Specialist | 1184 South Perry Street, Suite 230, Castle Rock, CO 80104 | 2016-02-17 |
| 1730513318 | Erin Evers | Physical Therapist | 4348 Woodlands Boulevard, Suite 100, Castle Rock, Co, CO 80104 | 2013-08-30 |
| 1730424185 | Ange' Anesthesia | Nurse Anesthetist, Certified Registered | 157 Crosshaven Pl, Castle Rock, CO 80104 | 2012-12-11 |
| 1902155013 | Rachel Everett | Marriage & Family Therapist | 831 S Perry Street, Suite 100, Castle Rock, CO 80104 | 2012-09-05 |
| 1922366889 | Health Connections of Castle Rock, Inc. | Massage Therapist | 323 Metzler Dr #105, Castle Rock, CO 80104 | 2012-04-30 |
| 1326313255 | Kate Ivey | Counselor | 4889 Thorndike Ave, Castle Rock, CO 80104 | 2012-03-10 |
| 1902106578 | Gordon Talmadge Blair IIi | Physical Therapist | 814 S. Perry St., Suit 101, Castle Rock, CO 80104 | 2010-10-28 |
| 1285943936 | Denise L Lucia | Psychologist | 509 Wilcox Street, Suite 101, Castle Rock, CO 80104 | 2010-09-29 |
| Find all providers in zip 80104 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811507924 | Portercare Adventist Health System | Anesthesiology | 2535 S Downing St Ste 180, Denver, CO 80210-5863 | 2020-08-04 |
| 1942819578 | Catholic Health Initiatives Colorado | Anesthesiology | 11700 W 2nd Pl Ste 225, Lakewood, CO 80228-1707 | 2020-07-29 |
| 1407481740 | Colorado Pain Practice, LLC | Anesthesiology | 1355 S Colorado Blvd Ste 700, Denver, CO 80222-3325 | 2020-03-06 |
| 1225553050 | Colorado Health Providers LLC | Anesthesiology | 3810 N. Grant Ave, Loveland, CO 80538-8412 | 2017-08-14 |
| 1487179214 | Colorado Health Providers LLC | Anesthesiology | 7251 W 20th St Unit N, Greeley, CO 80634-4626 | 2017-08-14 |
| 1154846939 | Colorado Pain Practice, Pllc | Anesthesiology | 2696 S Colorado Blvd Ste 100, Denver, CO 80222 | 2017-08-14 |
| 1669998498 | Colorado Health Providers LLC | Anesthesiology | 3000 Center Green Dr Ste 120, Boulder, CO 80301-2364 | 2017-08-14 |
| 1104365451 | Martin J Verhey M.d. LLC | Anesthesiology | 380 Paisley Dr, Colorado Springs, CO 80906-8251 | 2017-02-20 |
| 1336509694 | The Pain Remedy Institute | Anesthesiology | 14991 E Hampden Ave Ste 165, Aurora, CO 80014-3980 | 2016-02-29 |
| 1396129334 | Integrated Medical Consultants | Anesthesiology | 28374 County Road, #317, Buena Vista, CO 81211-9158 | 2015-07-18 |
| Find all providers with the same taxonomy | ||||
| City | CASTLE ROCK |
| Zip Code | 80104 |
Please comment or provide details below to improve the information on COLORADO PAIN PRACTICE, LLC.
| 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.