MS. LEAH ILENE DVORKIN (NPI# 1710291471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710291471 |
| Entity Type | Individual |
| Full Name | MS. LEAH ILENE DVORKIN |
| Credential | PA-C, ATC, OT-SC |
| Practice Address |
181 W Meadow Dr Vail CO 81657-5242 |
| Mailing Address |
1520 Avenue Pl #1403 Atlanta GA 30329-4015 |
| Practice Telephone | 9704761100 |
| Mailing Telephone | 9703768041 |
| Enumeration Date | 2010-08-04 |
| Last Update Date | 2015-01-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 246ZS0410X |
Specialist/Technologist, Other Specialization: Surgical Technologist |
09-0838 | CO | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
181 W MEADOW DR |
| City | VAIL |
| State | CO |
| Zip Code | 81657-5242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861497133 | Joe E. Monk | Anesthesiology | 181 W Meadow Dr, Vail, CO 81657-5242 | 2005-06-14 |
| 1689283749 | Healthone Clinic Services - Pediatric Specialties LLC | Surgery | 181 W Meadow Dr, Vail, CO 81657-5242 | 2020-07-24 |
| 1245854405 | Obstetrix Medical Group of Colorado, P.C. | Pediatrics | 181 W Meadow Dr, Vail, CO 81657-5242 | 2020-06-03 |
| 1023632320 | Obstetrix Medical Group of Colorado, P.C. | Pediatrics | 181 W Meadow Dr, Vail, CO 81657-5242 | 2020-06-02 |
| 1649801382 | Brooke Frances Milliet | Physical Therapist | 181 W Meadow Dr, Vail, CO 81657-5242 | 2020-01-31 |
| 1053962563 | Joseph Roy Cardwell | Pharmacist | 181 W Meadow Dr, Vail, CO 81657-5242 | 2019-09-25 |
| 1760044960 | Claire Hsing | Physical Therapist | 181 W Meadow Dr, Vail, CO 81657-5242 | 2019-07-08 |
| 1710443122 | Matilda Gray | Physician Assistant | 181 W Meadow Dr, Vail, CO 81657-5242 | 2019-02-11 |
| 1609355759 | Karen Ann Schleper | Physical Therapist | 181 W Meadow Dr, Vail, CO 81657-5242 | 2018-08-09 |
| 1427543347 | Henry David Scholz | Physical Therapist | 181 W Meadow Dr, Vail, CO 81657-5242 | 2018-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164077897 | Vail Clinic, Inc. | Clinic/Center | 108 S. Frontage Road West, Vail, CO 81657 | 2019-08-08 |
| 1275048522 | Michelle Fitzgerald | Nurse Practitioner | 180 South Frontage Rd, Vail, CO 81657 | 2017-12-08 |
| 1972975662 | Narda Reigel | Counselor | 2488 Garmisch Drive, Vail, CO 81657 | 2015-10-21 |
| 1235511551 | Christopher James Beatton | Specialist | Howard Head Sports Medicine, Vail Valley Medical Centre 181 W Meadow Dr, Vail, CO 81657 | 2015-06-23 |
| 1558748384 | Stephanie Facchini | Specialist/Technologist | 40928 Hwy 6, Unit 2d, Vail, CO 81657 | 2015-04-30 |
| 1225299316 | Vvmc Diversified Services | Specialist | 180 S Frontage Road West, Suite 306, Vail, CO 81657 | 2008-06-20 |
| 1265616627 | Vvmc Diversified Services Inc | Internal Medicine | 108 South Frontage Road West, 206, Vail, CO 81657 | 2007-12-20 |
| 1336336346 | Laura Jean Olderog | Occupational Therapist | Vvmc,181 West Meadow Dr., Vail, CO 81657 | 2007-10-03 |
| 1720281983 | Darlene Traboscia Hoffman | Psychologist | 953 So Frontage Rd W, Vail, CO 81657 | 2007-06-06 |
| 1053512582 | Lindsey Ann Mackellar | Physician Assistant | 181 West Meadow Dr, Vail, CO 81657 | 2007-05-31 |
| Find all providers in zip 81657 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053512582 | Lindsey Ann Mackellar | Physician Assistant | 181 West Meadow Dr, Vail, CO 81657 | 2007-05-31 |
| 1457828139 | Michelle Lafontaine | Physician Assistant | 181 W Meadow Dr Ste 400, Vail, CO 81657-5058 | 2018-10-31 |
| 1255782181 | Emily Neal | Physician Assistant | 181 W Meadow Dr, Suite 400, Vail, CO 81657-5242 | 2016-06-22 |
| 1932538097 | Sarah Elizabeth Froman | Physician Assistant | 181 W Meadow Dr, Suite 400, Vail, CO 81657-5242 | 2013-11-08 |
| 1003155771 | Jason K Kron | Physician Assistant | 181 W Meadow Dr, Vail, CO 81657-5242 | 2013-01-31 |
| 1598012072 | Brandon Thomas Kolodzek | Physician Assistant | 181 W Meadow Dr Ste 400, Vail, CO 81657-5058 | 2012-08-14 |
| 1124373287 | Kyle Schaefer | Physician Assistant | 181 W Meadow Dr Ste 400, Vail, CO 81657-5058 | 2012-07-16 |
| 1174776355 | Timothy Jared Reseigh | Physician Assistant | 181 W Meadow Dr Ste 400, Vail, CO 81657-5058 | 2008-10-31 |
| 1356468979 | S.jason Moore | Physician Assistant | 181 W Meadow Dr, Vail, CO 81657-5242 | 2007-03-26 |
| 1184602823 | Talena Cox Williams | Physician Assistant | 181 W Meadow Dr, Suite 400, Vail, CO 81657-5242 | 2006-01-04 |
| Find all providers in VAIL | ||||
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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.