FREDERICK S WAMBOLDT (NPI# 1740350438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740350438 |
| Entity Type | Individual |
| Full Name | FREDERICK S WAMBOLDT |
| Credential | MD |
| Practice Address |
1400 Jackson St Denver CO 80206-2761 |
| Practice Telephone | 3033884461 |
| Practice Fax Number | 3032702174 |
| Mailing Telephone | 3033884461 |
| Mailing Fax Number | 3032702174 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2020-02-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
29680 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 01296805 | 05 |
| Street Address |
1400 JACKSON ST |
| City | DENVER |
| State | CO |
| Zip Code | 80206-2761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760485023 | Robert J Lapidus | Internal Medicine | 1400 Jackson St, Denver, CO 80206-2761 | 2005-05-31 |
| 1801493911 | National Jewish Health | Clinic/Center | 1400 Jackson St, Denver, CO 80206-2761 | 2020-10-02 |
| 1881203438 | Rachel Amanda Alvidrez | Nurse Practitioner | 1400 Jackson St, Denver, CO 80206-2762 | 2020-07-29 |
| 1760013387 | Kelsey Elizabeth Heil | Nurse Practitioner | 1400 Jackson St, Denver, CO 80206-2762 | 2020-02-01 |
| 1881246015 | Jenna L Milliron | Nurse Practitioner | 1400 Jackson St, Denver, CO 80206-2761 | 2019-07-09 |
| 1750849113 | Veronica K Niedzinski | Dietitian, Registered | 1400 Jackson St, Denver, CO 80206-2762 | 2019-03-05 |
| 1184117400 | Rachel Decosta | Nurse Practitioner | 1400 Jackson St, Denver, CO 80206 | 2018-06-12 |
| 1790289122 | Vijaya Knight | Specialist | 1400 Jackson St, Denver, CO 80206-2761 | 2018-03-20 |
| 1952804262 | Vera Louise Pillitteri | Nurse Practitioner | 1400 Jackson St, Denver, CO 80206-2761 | 2018-03-13 |
| 1639687643 | Michelle Macdonald | Registered Nurse | 1400 Jackson St, Denver, CO 80206-2761 | 2018-01-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609495373 | Mindy Lieberman | Behavior Technician | 1151 Monroe St. #2, Denver, CO 80206 | 2020-04-13 |
| 1356992879 | Danielle Higgins | Counselor | 3003 E 3rd Ave # B-106, Denver, CO 80206 | 2019-09-25 |
| 1396224788 | Neuro Interpretive Services LLC | Clinic/Center | 700 Colorado Blvd Ste 668, Denver, CO 80206 | 2018-08-07 |
| 1578072252 | Ashleigh Rankin | Social Worker | 1890 Gaylord Street, Denver, CO 80206 | 2017-09-25 |
| 1407379092 | Todd C. Ognibene | Psychologist | 1544 York Street, Third Floor, Denver, CO 80206 | 2017-07-25 |
| 1104363811 | Zhanna Bayerman | In Home Supportive Care | 3222 E. 1st Ave, # 725, Denver, CO 80206 | 2017-01-20 |
| 1467995340 | Julie Huff | Massage Therapist | 155 Cook, 351, Denver, CO 80206 | 2016-11-28 |
| 1457807778 | Amrita Singh Comer | Nursing Care | 2111 Champa Street, Denver, CO 80206 | 2016-08-28 |
| 1245683952 | Emily Rose Popiel | Psychologist | 3107 East Colfax Avenue, Denver, CO 80206 | 2016-07-18 |
| 1689036998 | Emma Jean Maki-gianani | Counselor | 2925 E. Colfax, Denver, CO 80206 | 2016-03-25 |
| Find all providers in zip 80206 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902377179 | Para Health, LLC | Psychiatry & Neurology | 1091 E Bayaud Ave Apt W2604, Denver, CO 80209-2783 | 2018-12-16 |
| 1558715516 | Tara Celeste Carlisle | Psychiatry & Neurology | 3055 Roslyn St Unit 120, Denver, CO 80238-3324 | 2016-04-15 |
| 1346679826 | Michael A. Ament, M.d., Pllc | Psychiatry & Neurology | 4622 W Moncrieff Pl, Denver, CO 80212-1604 | 2013-11-05 |
| 1235484684 | Cherry Creek Neurology | Psychiatry & Neurology | 1720 S. Bellaire St. Ste 200, Denver, CO 80222 | 2012-07-20 |
| 1043538085 | Susan Patrice Anzalone | Psychiatry & Neurology | 1873 S Bellaire St Ste 620, Denver, CO 80222-4353 | 2010-05-15 |
| 1710140017 | Lawrence P Scibilia | Psychiatry & Neurology | 1660 S Albion St Ste 425, Denver, CO 80222 | 2008-07-07 |
| 1023207941 | Neurovision PC | Psychiatry & Neurology | 3480 S Galena St, 4b, Denver, CO 80231-5504 | 2007-10-16 |
| 1063567477 | Advanced Neurological Evaluation and Treatment Center PC | Psychiatry & Neurology | 1721 E 19th Ave Ste 510, Denver, CO 80218-1243 | 2007-01-24 |
| 1639227564 | David Seymour Madison | Psychiatry & Neurology | 2525 So Downing, Porter Hosp, Denver, CO 80210 | 2007-01-08 |
| 1215019609 | Justin Suk Joo Moon | Psychiatry & Neurology | 950 E Harvard Ave Ste 570, Denver, CO 80210 | 2006-10-19 |
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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.