DR. ROGER PAUL ILVONEN (NPI# 1770726101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770726101 |
Entity Type | Individual |
Full Name | DR. ROGER PAUL ILVONEN |
Credential | M.D. |
Practice Address |
2337 S Youngfield Way Lakewood CO 80228-4970 |
Practice Telephone | 3039862827 |
Practice Fax Number | 3039865720 |
Mailing Telephone | 3039862827 |
Mailing Fax Number | 3039865720 |
Enumeration Date | 2009-04-15 |
Last Update Date | 2009-04-15 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
18649 | CO | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CO | 1186493 | 05 |
Street Address |
2337 S YOUNGFIELD WAY |
City | LAKEWOOD |
State | CO |
Zip Code | 80228-4970 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174083570 | Lindsey Mae Beverly | Physician Assistant | Medical Plaza 2, 11700 W 2nd Pl, #350, Lakewood, CO 80228 | 2019-03-21 |
1881119931 | Cory J Frazier | Nurse Practitioner | 11600 W. 2nd Pl, Lakewood, CO 80228 | 2017-08-10 |
1508213885 | Chelsea Tucker | Counselor | 12157 W Cedar Dr Ste 207, Lakewood, CO 80228 | 2016-05-17 |
1972963841 | Shastin Gerbracht | Counselor | 12055 W 2nd Pl, Ste 200, Lakewood, CO 80228 | 2016-03-04 |
1073983375 | Suzanne Phillips | Behavioral Analyst | 200 Union Blvd. Ste. 200, Lakewood, Co. 80228, Denver, CO 80228 | 2015-09-29 |
1700265667 | April Mearsha | Doula | 12977 W Cedar Dr, 2-305, Lakewood, CO 80228 | 2015-05-26 |
1306233713 | Caleb Hedberg | Internal Medicine | 165 S Union Blvd Ste 800, Lakewood, CO 80228 | 2015-04-23 |
1972996288 | David Lindsey Currie | Counselor | 12055 W 2nd Place, Jefferson Ctr for Mental Health, Lakewood, CO 80228 | 2015-03-11 |
1619365533 | Michelle Broberg II | Technician | 12055 West 2nd Plaza, Lakewood, CO 80228 | 2014-12-30 |
1750789012 | Kayla Morrison | Social Worker | 12005 W 2nd Place, Lakewood, CO 80228 | 2014-12-18 |
Find all providers in zip 80228 |
Taxonomy Code | 207ZP0102X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pathology |
Specialization | Anatomic Pathology & Clinical Pathology |
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437248580 | Gloria Marcelo Romerocaces | Pathology | 1200 River Ave Bldg 10, Lakewood, Lakewood, NJ 08701-5657 | 2006-10-12 |
1710973433 | Robert Junius Haas | Pathology | 7444 W Alaska Dr, Ste 250, Lakewood, CO 80226-3327 | 2005-09-27 |
1841682879 | Apex Pathology P.C. | Pathology | 7444 W Alaska Dr, Suite 250, Lakewood, CO 80226-3327 | 2015-02-27 |
1386843753 | Kanta Davessar | Pathology | 1200 River Ave, Suite 10e, Lakewood, NJ 08701-5657 | 2007-07-16 |
1437272705 | Bryan Neil Coffing | Pathology | 7444 W Alaska Dr, Suite 250, Lakewood, CO 80226-3327 | 2007-04-09 |
1487795779 | Beth Ann Wadsworth | Pathology | 11600 W 2nd Pl, Lakewood, CO 80228-1527 | 2007-02-09 |
1821192196 | Mirna Zgombic Knight | Pathology | 7444 W Alaska Dr, Ste 250, Lakewood, CO 80226-3327 | 2006-09-08 |
1457387417 | Alfred Mitsuru Yamamoto | Pathology | 3700 South St, Pathology Dept, Lakewood, CA 90712-1419 | 2006-06-23 |
1871531764 | Darshana Mahapatro | Pathology | 600 River Ave, Lakewood, NJ 08701-5237 | 2006-06-03 |
1770530834 | Kmc Pathology Pa | Pathology | 600 River Ave, Lakewood, NJ 08701-5237 | 2006-05-27 |
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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.