LILVIA SURGICAL ASSISTING, LLC. (NPI# 1760002422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760002422 |
| Entity Type | Organization |
| Organization Name | LILVIA SURGICAL ASSISTING, LLC. |
| Practice Address |
324 Fossil Dr Johnstown CO 80534-7452 |
| Practice Telephone | 7193212622 |
| Mailing Telephone | 7193212622 |
| Enumeration Date | 2020-04-23 |
| Last Update Date | 2020-04-23 |
| Authorized Official Name | JOSEPH DANIEL TIMMERMEYER (SURGICAL ASSISTANT) |
| Authorized Official Telephone | 7193212622 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| LILVIA Surgical Assisting, LLC. | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | LILVIA Surgical Assisting, LLC. | 324 Fossil Dr., Johnstown, CO 80534 |
| Street Address |
324 FOSSIL DR |
| City | JOHNSTOWN |
| State | CO |
| Zip Code | 80534-7452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295396513 | Joseph D Timmermeyer | Physician Assistant | 324 Fossil Dr, Johnstown, CO 80534-7452 | 2019-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790299410 | Bauer Occupational Therapy, LLC | Occupational Therapist | 442 La Costa Ln, Johnstown, CO 80534 | 2017-11-17 |
| 1942698071 | Family Physicians of Greeley, LLP | Family Medicine | 473 Castle Pines Ave, Suite 1, Johnstown, CO 80534 | 2014-12-23 |
| 1376761924 | Steven L Martin | Dentist | 5 N. Parish Ave., Johnstown, CO 80534 | 2007-04-20 |
| 1699896613 | Ashlea Elizabeth Franques | Pediatrics | 4435 Ronald Reagan Blvd, Johnstown, CO 80534 | 2007-04-03 |
| 1720069198 | Kenneth A Pettine | Orthopaedic Surgery | 4795 Larimer Parkway, Johnstown, CO 80534 | 2005-11-10 |
| 1043858251 | Kristen Mcfarland | Physical Therapist | 247 Mountain Avenue, Berthoud, CO 80534 | 2019-12-18 |
| 1841780400 | Colorado Rehabilitation Associates LLC | Physical Medicine & Rehabilitation | 4401 Union St, Johnstown, CO 80534 | 2018-05-18 |
| 1073059523 | Santibanez Aguirre PC | Hospitalist | 4401a Union Street, Johnstown, CO 80534 | 2017-01-09 |
| 1811142524 | 25/34 Plastic Surgery Associates, PC | Specialist | 4450 Union St., Suite 100, Johnstown, CO 80534-0001 | 2008-11-21 |
| 1790794824 | Marc Anthony Masotti | Internal Medicine | 4401a Union St, Johnstown, CO 80534-2800 | 2006-08-07 |
| Find all providers in zip 80534 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295396513 | Joseph D Timmermeyer | Physician Assistant | 324 Fossil Dr, Johnstown, CO 80534-7452 | 2019-06-26 |
| 1699963975 | Louis D Kitsko | Physician Assistant | 1400 Murphy Dr, Johnstown, PA 15905-1529 | 2007-10-11 |
| 1518961093 | Jill Ling | Physician Assistant | 2 Celeste Dr, Johnstown, PA 15905-2832 | 2005-06-13 |
| 1194253658 | Emery Scott Mock | Physician Assistant | 2 Celeste Dr, Johnstown, PA 15905-2832 | 2017-05-30 |
| 1962767814 | Anthony B Rentz | Physician Assistant | 2 Celeste Dr, Johnstown, PA 15905-2832 | 2012-07-06 |
| 1609002880 | Justine Marie Roberts | Physician Assistant | 415 Napoleon Pl, Johnstown, PA 15901-2504 | 2009-06-02 |
| 1558506014 | Stephen Charles Ruddek | Physician Assistant | 1086 Franklin St, Johnstown, PA 15905-4305 | 2008-12-11 |
| 1801084207 | Matthew Raymond Hodge | Physician Assistant | 1086 Franklin St, Johnstown, PA 15905-4305 | 2007-10-10 |
| 1043373483 | David R Nevarre | Physician Assistant | 415 Napoleon Pl, Johnstown, PA 15901-2504 | 2006-12-18 |
| 1831100718 | James Andrew Burda | Physician Assistant | 2 Celeste Dr, Johnstown, PA 15905-2832 | 2006-08-10 |
| Find all providers in JOHNSTOWN | ||||
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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.