EXEMPLA DIABETES CENTER (NPI# 1730333683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730333683 |
| Entity Type | Organization |
| Organization Name | EXEMPLA DIABETES CENTER |
| Practice Address |
3455 Lutheran Pkwy Suite 270 Wheat Ridge CO 80033-6028 |
| Mailing Address |
3455 Lutheran Pkwy Ste 270 Wheat Ridge CO 80033-6034 |
| Practice Telephone | 3034037930 |
| Practice Fax Number | 3034037945 |
| Mailing Telephone | 3034037930 |
| Mailing Fax Number | 3034037945 |
| Enumeration Date | 2008-11-05 |
| Last Update Date | 2008-11-05 |
| Authorized Official Name | MS. AMY DAWN BRADSHAW (DIABETES EDUCATOR) |
| Authorized Official Telephone | 3034037930 |
| Authorized Official Credential | R.D., CDE |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 281P00000X | Chronic Disease Hospital | 0012680 | CO | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 05608006 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174855654 | Exempla Diabetes Center | General Acute Care Hospital | 3455 Lutheran Pkwy Ste 270, Wheat Ridge, CO 80033-6034 | 2010-02-08 |
| Street Address |
3455 LUTHERAN PKWY SUITE 270 |
| City | WHEAT RIDGE |
| State | CO |
| Zip Code | 80033-6028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215935515 | Kathryn P Hebenstreit | Obstetrics & Gynecology | 3455 Lutheran Pkwy, 260, Wheat Ridge, CO 80033-6024 | 2005-07-11 |
| 1447611454 | Scltdi Jv, LLC | Physiological Laboratory | 3455 Lutheran Pkwy, #110, Wheat Ridge, CO 80033-6028 | 2016-03-18 |
| 1487015988 | Children's Hospital Colorado | General Acute Care Hospital | 3455 Lutheran Pkwy, Suite 230, Wheat Ridge, CO 80033-6028 | 2016-03-10 |
| 1619318656 | Sabrina Diane Dvorak | Nurse Practitioner | 3455 Lutheran Pkwy, Wheat Ridge, CO 80033-6028 | 2013-07-06 |
| 1013283621 | Ashley Reed Schermerhorn | Physician Assistant | 3455 Lutheran Pkwy, Suite 290, Wheat Ridge, CO 80033-6028 | 2012-03-28 |
| 1619100880 | Charles W. Mains, M.d., Inc | Surgery | 3455 Lutheran Pkwy, Suite 290, Wheat Ridge, CO 80033-6028 | 2009-09-03 |
| 1881826618 | Jennifer Corrie Stalilonis | Physician Assistant | 3455 Lutheran Pkwy, Suite 290, Wheat Ridge, CO 80033-6028 | 2009-08-12 |
| 1750513594 | Jody Benjamin Kramer | Physician Assistant | 3455 Lutheran Pkwy, Suite 290, Wheat Ridge, CO 80033-6028 | 2009-08-12 |
| 1194980110 | Eben Strobos | Colon & Rectal Surgery | 3455 Lutheran Pkwy, Suite 290, Wheat Ridge, CO 80033-6028 | 2008-07-21 |
| 1821252206 | Juhi Asad | Surgery | 3455 Lutheran Pkwy, Suite 290, Wheat Ridge, CO 80033-6028 | 2008-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154893915 | Bronwyn Hockersmith | Counselor | 3954 Yosemite St, Wheat Ridge, CO 80033 | 2018-12-18 |
| 1902392004 | Thousand Peaks Healthcare, Inc. | In Home Supportive Care | 4891 Independence St Ste 285, Wheat Ridge, CO 80033 | 2018-07-02 |
| 1528586120 | Front Range Family Resource Center | Marriage & Family Therapist | 5181 Ward St Ste 201, Wheat Ridge, CO 80033 | 2017-09-03 |
| 1962920918 | Dianna Lee Cordero | Counselor | 4931 Garrison St., Apt 104, Wheat Ridge, CO 80033 | 2017-08-30 |
| 1396261525 | Lauren Faye Petasne | Nurse Practitioner | 7100 W 44th Ave Ste 101a, Wheat Ridge, CO 80033 | 2017-08-18 |
| 1558802421 | Elizabeth Ann Huddleston | Nurse Practitioner | 3400 N Lutheran Pkwy, Wheat Ridge, CO 80033 | 2017-03-13 |
| 1053777045 | Richard Kerry Brandow | Counselor | 16625 W 50th Ave., Golden, CO 80033 | 2016-01-07 |
| 1831562131 | Eternal Life Care Centers, LLC | Assisted Living Facility | 4370 Ingalls Street, Wheat Ridge, CO 80033 | 2015-11-09 |
| 1740663483 | Real Care, Inc. | Private Vehicle | 10200 West 44th Ave, Suite 200, Wheat Ridge, CO 80033 | 2015-06-30 |
| 1508254848 | Pamela June Weitzel | Midwife | 3555 Lutheran Parkway Suite 210, Wheat Ridge, CO 80033 | 2015-01-08 |
| Find all providers in zip 80033 | ||||
| Taxonomy Code | 281P00000X |
| Grouping | Hospitals |
| Classification | Chronic Disease Hospital |
| (1) A hospital including a physical plant and personnel that provides multidisciplinary diagnosis and treatment for diseases that have one or more of the following characteristics: is permanent; leaves residual disability; is caused by nonreversible pathological alteration; requires special training of the patient for rehabilitation; and/or may be expected to require a long period of supervision or care. In addition, patients require the safety, security, and shelter of these specialized inpatient or partial hospitalization settings. (2) A hospital that provides medical and skilled nursing services to patients with long-term illnesses who are not in an acute phase but who require an intensity of services not available in nursing homes. |
| Notes: Source: (1) Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598114381 | Parkview Medical Center | Chronic Disease Hospital | 411 West 14th St, Pueblo, CO 81003 | 2016-06-13 |
| 1083883227 | Wayne F Yakes, Md | Chronic Disease Hospital | 501 W Hampden Ave Ste 460, Englewood, CO 80110-2109 | 2008-02-21 |
| 1972055598 | Nga Meh I | Chronic Disease Hospital | 1300 N 17th Ave, Greeley, CO 80631-9584 | 2016-10-31 |
| City | WHEAT RIDGE |
| Zip Code | 80033 |
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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.