DR. MARISA ANN WIKTOR (NPI# 1699942102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699942102 |
| Entity Type | Individual |
| Full Name | DR. MARISA ANN WIKTOR |
| Credential | D.O. |
| Practice Address |
13123 E 16th Ave # 900 Children's Hospital Colorado Aurora CO 80045-7106 |
| Practice Telephone | 7207771815 |
| Mailing Telephone | 7207771815 |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2019-03-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | DR.0053136 | CO | Allopathic & Osteopathic Physicians |
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
DR.0053136 | CO | Allopathic & Osteopathic Physicians |
| N | 207LP3000X |
Anesthesiology Specialization: Pediatric Anesthesiology |
DR.0053136 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1699942102 | 05 |
| Street Address |
13123 E 16TH AVE # 900 CHILDREN'S HOSPITAL COLORADO |
| City | AURORA |
| State | CO |
| Zip Code | 80045-7106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942817408 | Salwa Mourtada Bamba | Nurse Practitioner | University of Colorado Medicine, 12631 East 17th Avenue, Aurora, CO 80045 | 2020-09-29 |
| 1114545233 | Chun Cheong Tsui | Student in an Organized Health Care Education/Training Program | 12801 E. 17th Avenue, Ms 8117, Aurora, CO 80045 | 2020-07-07 |
| 1487278719 | James Charles Tuka IIi | Social Worker | 1700 North Wheeling, Aurora, CO 80045 | 2020-06-02 |
| 1427677806 | Justin Yu | Student in an Organized Health Care Education/Training Program | 12631 E. 17th Ave. Ms B205, Aurora, CO 80045 | 2020-04-15 |
| 1558980011 | Erik Von Polsdofer | Student in an Organized Health Care Education/Training Program | Academic Office 1; Department of Pathology, 12631 East 17th Avenue, Aurora, CO 80045 | 2020-04-14 |
| 1831718568 | Luke Porter Bacon | Student in an Organized Health Care Education/Training Program | 3001 East 17th Place, Aurora, CO 80045 | 2020-04-13 |
| 1366061368 | Hilary Novatt | Student in an Organized Health Care Education/Training Program | 12631 E 17th Ave, B198-6, Room 4007, Aurora, CO 80045 | 2020-04-10 |
| 1376195362 | Katie Tuck | Pharmacist | 1700 North Wheeling Street (119), Fs-111o, Aurora, CO 80045 | 2019-07-10 |
| 1518529130 | Ronak Kamal Kapadia | Student in an Organized Health Care Education/Training Program | 12700 E. 19th Ave, Ms B182 Rm 5104, Aurora, CO 80045 | 2019-07-03 |
| 1245898253 | Rasha Elbadry Ahmed | Student in an Organized Health Care Education/Training Program | Childrens Hospital Colorado Pediatric Neurosurgery, 13123e. 16th Ave, B330, Aurora, CO 80045 | 2019-06-04 |
| Find all providers in zip 80045 | ||||
| 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 |
|---|---|---|---|---|
| 1336509694 | The Pain Remedy Institute | Anesthesiology | 14991 E Hampden Ave Ste 165, Aurora, CO 80014-3980 | 2016-02-29 |
| 1073868584 | Tushar Sharma | Anesthesiology | 1635 Aurora Ct Fl 1, Aurora, CO 80045-2541 | 2012-07-20 |
| 1922008143 | Mohammad A Khan | Anesthesiology | 1900 Ogden Ave, Suite 102, Aurora, IL 60504-4273 | 2005-07-29 |
| 1952308223 | Anesthesia Associates, Ltd | Anesthesiology | 2540 Hanford Ln, Aurora, IL 60502-6969 | 2005-07-01 |
| 1215452040 | Colorado Health Providers LLC | Anesthesiology | 1550 S Potomac St Ste 320, Aurora, CO 80012-5448 | 2017-08-14 |
| 1104357581 | Colorado Health Providers, LLC | Anesthesiology | 1550 S Potomac St Ste 320, Aurora, CO 80012-5448 | 2017-03-27 |
| 1407290281 | Erin Marie Stewart | Anesthesiology | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2013-04-23 |
| 1750525879 | Nihir Waghela | Anesthesiology | 2000 Ogden Ave, Rush-copley Medical Center, Aurora, IL 60504 | 2009-04-21 |
| 1801048632 | Rachael S Rzasa-lynn | Anesthesiology | 12605 E 16th Ave, Aurora, CO 80045 | 2008-10-10 |
| 1205889706 | Chitra Srinivasan Madhavan | Anesthesiology | 1177 N Highland Ave, Aurora, IL 60506-2281 | 2006-05-18 |
| Find all providers in AURORA | ||||
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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.