PLATTE RIVER ANESTHESIA (NPI# 1710969092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710969092 |
| Entity Type | Organization |
| Organization Name | PLATTE RIVER ANESTHESIA |
| Practice Address |
1850 E Egbert St Brighton CO 80601-2404 |
| Mailing Address |
Po Box 668 Arvada CO 80001-0668 |
| Practice Telephone | 3036591531 |
| Mailing Telephone | 3034229438 |
| Mailing Fax Number | 3034229474 |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JERALD SISK (PRESIDENT) |
| Authorized Official Telephone | 3036591531 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 35571250 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Platte River Anesthesia, Prof. LLC | 1600 Prairie Center Parkway, Brighton, CO 80601 |
| Street Address |
1850 E EGBERT ST |
| City | BRIGHTON |
| State | CO |
| Zip Code | 80601-2404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316319056 | Kelly Otterson | Counselor | 1850 E Egbert St, Ste 200, Brighton, CO 80601-2483 | 2015-10-21 |
| 1487946323 | Alexis Gutierrez | Counselor | 1850 E Egbert St, 2nd Floor, Brighton, CO 80601-2483 | 2011-05-11 |
| 1649420142 | Dorothy A Wright | Student in an Organized Health Care Education/Training Program | 1850 E Egbert St, Ste 200, Brighton, CO 80601-2404 | 2008-09-22 |
| 1477768943 | Mary Beth Cahill | Physical Therapist | 1850 E Egbert St, Brighton, CO 80601-2404 | 2007-05-10 |
| 1619180197 | Renee A Gross | Specialist | 1850 E Egbert St, Brighton, CO 80601-2404 | 2007-05-08 |
| 1265644298 | Karen Vizyak | Physical Therapist | 1850 E Egbert St, Brighton, CO 80601-2404 | 2007-05-03 |
| 1164554101 | Matthew Allen Shirley | Counselor | 1850 E Egbert St, Suite200, Brighton, CO 80601-2483 | 2007-03-12 |
| 1710093471 | Susan Barbara Keithley | Advanced Practice Midwife | 1850 E Egbert St, Brighton, CO 80601-2404 | 2006-08-22 |
| 1629080890 | Susanne Claudia Ventzke | Physical Therapist | 1850 E Egbert St, Suite 110, Brighton, CO 80601-2404 | 2006-08-13 |
| 1528040813 | Jerald L Sisk | Anesthesiology | 1850 E Egbert St, Brighton, CO 80601-2404 | 2005-11-14 |
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|---|---|---|---|---|
| 1326541228 | Dentists of Brighton, LLP | Dentist | 5127 E Bridge Street, Brighton, CO 80601 | 2018-03-16 |
| 1972038313 | Girls Only Ministry | Community Based Residential Treatment Facility, Mental Illness | 655 North 16th Way, Brighton, CO 80601 | 2017-04-24 |
| 1174074223 | Milltown Dialysis LLC | Clinic/Center | 1321 S 4th Ave Ste 100, Brighton, CO 80601 | 2016-10-24 |
| 1427418953 | Alexis Martinez | Dental Hygienist | 1860 Egbert Street, Brighton, CO 80601 | 2016-02-25 |
| 1427413160 | Haile Ogbalidet | Pharmacist | 1605 E. Bridge St, Brighton, CO 80601 | 2015-12-23 |
| 1841686128 | Jamie Nichole Campbell | Pediatrics | 1606 Prairie Center Parkway Premier Pediatrics, Suite 300, Brighton, CO 80601 | 2015-04-13 |
| 1568881795 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 100 N 50th Ave, Brighton, CO 80601 | 2014-04-15 |
| 1841616554 | Rebecca Sholeh Philman | Registered Nurse | 423 Mt Elbert St, Brighton, CO 80601 | 2014-03-06 |
| 1770928756 | Capital Success, LLC | Clinic/Center | 203 Telluride St Unit 750, Brighton, CO 80601 | 2013-05-06 |
| 1992045884 | Kristin Michelle Uchida | Massage Therapist | 27 S 4th Ave, Brighton, CO 80601 | 2013-03-01 |
| Find all providers in zip 80601 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| 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 |
|---|---|---|---|---|
| 1790299303 | Xenon Anesthesia of Colorado LLC | Anesthesiology | 36 S 18th Ave Ste D, Brighton, CO 80601-2452 | 2017-11-20 |
| 1619498524 | Jamie Aaron Belo | Anesthesiology | 736 Cambridge St St. Elizabeth's Medical Center, Brighton, MA 02135 | 2017-06-30 |
| 1053846600 | Kumar Reddy Seelam Ritesh | Anesthesiology | 736 Cambridge St Unit B1, Brighton, MA 02135-2907 | 2017-04-20 |
| 1144684713 | Summaiya Iqbal | Anesthesiology | St Elizabeth's Medical Center, 736 Cambridge St, Brighton, MA 02135-0001 | 2016-04-11 |
| 1215315809 | Demitrio James Camarena | Anesthesiology | 736 Cambridge Street, #213, St. Elizabeth's Medical Center, Anesthesiology, Brighton, MA 02135 | 2015-05-14 |
| 1194130443 | Puneeta Wagholikar | Anesthesiology | 736, Cambridge Street, St. Elizabeth Medical Center, Brighton, MA 02135 | 2014-06-25 |
| 1205009982 | Geoffrey Mark Rechenberg | Anesthesiology | 1455 Commonwealth Ave, Apt. 519, Brighton, MA 02135-3616 | 2008-04-02 |
| 1457563579 | Jonathan William Force | Anesthesiology | 697 Hayloft Way, Brighton, CO 80601-4265 | 2007-05-03 |
| 1609945765 | Refeng Yao | Anesthesiology | Caritas St. Elizabeth 's Hospital, 736 Cambridge Street, Brighton, MA 01235 | 2006-11-06 |
| 1548870231 | Hyung Min Lee | Anesthesiology | 736 Cambridge St, Brighton, MA 02135-2907 | 2020-08-06 |
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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.