ROCKY MOUNTAIN ANAPLASTOLOGY INC (NPI# 1760453146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760453146 |
| Entity Type | Organization |
| Organization Name | ROCKY MOUNTAIN ANAPLASTOLOGY INC |
| Other Organization Name | PROSTHETIC ILLUSIONS INC |
| Practice Address |
3405 S Yarrow St Ste C Lakewood CO 80227 |
| Practice Telephone | 3039738482 |
| Practice Fax Number | 3039738468 |
| Mailing Telephone | 3039738482 |
| Mailing Fax Number | 3039738468 |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2012-02-23 |
| Authorized Official Name | BARBARA LILLO (PRESIDENT) |
| Authorized Official Telephone | 3039738482 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers | ||
| Y | 229N00000X | Anaplastologist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 08835233 | 05 | |
| WY | 119976501 | 05 | |
| CO | 38534363 | 05 |
| Other Name | Type Code |
|---|---|
| Prosthetic Illusions Inc | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679002356 | Rocky Mountain Anaplastology Inc | Durable Medical Equipment & Medical Supplies | 3405 S Yarrow St Unit C, Lakewood, CO 80227-4901 | 2017-06-07 |
| 1720499262 | Rocky Mountain Anaplastology Inc | Durable Medical Equipment & Medical Supplies | 16857 E Saguaro Blvd, Suite 101 C/o Ice, Fountain Hills, AZ 85268-6616 | 2014-05-19 |
| Street Address |
3405 S YARROW ST STE C |
| City | LAKEWOOD |
| State | CO |
| Zip Code | 80227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003014036 | Barbara Y Lillo | Anaplastologist | 3405 S Yarrow St, Suite C, Lakewood, CO 80227-4965 | 2007-07-11 |
| 1689797086 | Donald A Decino, D.d.s., P,c | Dentist | 3405 S Yarrow St, Suite A, Lakewood, CO 80227-4965 | 2007-04-09 |
| 1952477101 | Prosthetic Illusions Inc | Prosthetic/Orthotic Supplier | 3405 S Yarrow St, Suite C, Lakewood, CO 80227-4965 | 2006-11-28 |
| 1336230408 | Donald Alfred Decino | Dentist | 3405 S Yarrow St, Suite A, Lakewood, CO 80227-4965 | 2006-09-27 |
| 1093778771 | Catherine A. Fermelia | Dentist | 3405 S Yarrow St, Suite B, Lakewood, CO 80227-4965 | 2006-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326541947 | Caroline Nicole Desjardins | Counselor | 2460 W 26th Ave Bldg C Ste 217, Denver, CO 80227 | 2018-03-09 |
| 1689024986 | Ethan Daniel Light | Audiologist | 10881 W. Asbury Ave., Suite 110, Lakewood, CO 80227 | 2016-06-16 |
| 1124476098 | Rachel Patterson | Nurse Practitioner | 3190 S Wadsworth Blvd Ste 250, Lakewood, CO 80227 | 2016-06-01 |
| 1326425901 | Lisa Myers | Social Worker | 2050 S Kipling St, Lakewood, CO 80227 | 2015-05-02 |
| 1497174619 | Pamela Ann Gunn | Registered Nurse | 10631 W. Vassar Place, Lakewood, CO 80227 | 2014-04-15 |
| 1336588912 | Ashlie Bell | Social Worker | 3333 S Wadsworth Blvd Ste 160, Lakewood, CO 80227 | 2013-06-18 |
| 1326336678 | Anna C Ferman | Registered Nurse | 10035 W Dartmouth Ave C207, Lakewood, CO 80227 | 2011-07-20 |
| 1124353701 | Katherine Ream Palomino | Nurse Anesthetist, Certified Registered | 3333 S. Wadsworth Blvd, #d-100, Lakewood, CO 80227 | 2009-10-15 |
| 1457502205 | National Institute for Change, P.C. | Community/Behavioral Health | 3225 S Wadsworth Blvd, Unit T, Lakewood, CO 80227 | 2008-10-09 |
| 1952565996 | Children's Dental Center | Dentist | 2323 South Wadsworth Blvd, Suite #104, Lakewood, CO 80227 | 2008-07-17 |
| Find all providers in zip 80227 | ||||
| Taxonomy Code | 229N00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Anaplastologist |
| An anaplastologist is a professional who creates prostheses for the face and body. Patients treated include those missing anatomy due to cancer, traumatic injury, or birth differences. Generally, there are no state licensing requirements for anaplastologists. Certification specific to anaplastology is provided through the Board for Certified Clinical Anaplastology (BCCA) with a credential title of Certified Clinical Anaplastologist (CCA). |
| Notes: Source: American Anaplastology Association, www.anaplastology.org. [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003014036 | Barbara Y Lillo | Anaplastologist | 3405 S Yarrow St, Suite C, Lakewood, CO 80227-4965 | 2007-07-11 |
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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.