KEYSTONE HEALTH & WELLNESS CENTER INC (NPI# 1780086181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780086181 |
| Entity Type | Organization |
| Organization Name | KEYSTONE HEALTH & WELLNESS CENTER INC |
| Other Organization Name | KEYSTONE HEALTH & WELLNESS CENTER |
| Practice Address |
8765 E Orchard Rd Ste 702 Greenwood Village CO 80111-5009 |
| Practice Telephone | 3037380390 |
| Practice Fax Number | 8662382721 |
| Mailing Telephone | 3037380390 |
| Mailing Fax Number | 8662382721 |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2019-07-19 |
| Authorized Official Name | MR. SHAWN JOHONNESSON (PRESIDENT) |
| Authorized Official Telephone | 3037094805 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | Chiropractic Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 9000160975 | 05 |
| Other Name | Type Code |
|---|---|
| Keystone Health & Wellness Center | Doing Business As Name - Organization |
| Street Address |
8765 E ORCHARD RD STE 702 |
| City | GREENWOOD VILLAGE |
| State | CO |
| Zip Code | 80111-5009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275140915 | Erin Cain | Nurse Practitioner | 8765 E Orchard Rd Ste 702, Greenwood Village, CO 80111-5009 | 2020-09-27 |
| 1962024653 | South Denver Regen Inc | Clinic/Center | 8765 E Orchard Rd Ste 702, Greenwood Village, CO 80111-5009 | 2020-05-15 |
| 1740830405 | Summer Lynn Denny | Nurse Practitioner | 8765 E Orchard Rd Ste 702, Greenwood Village, CO 80111-5009 | 2019-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922637552 | Aaron Joseph Rushing | Anesthesiologist Assistant | Us Anesthesia Partners of Colorado, Inc, 8000 E. Maplewood Ave., Suite 200, Greenwood Village, CO 80111 | 2020-04-06 |
| 1003381252 | Bing Xu | Non-emergency Medical Transport (VAN) | 9000 E Caley Way, Greenwood Village, CO 80111 | 2018-10-03 |
| 1669963146 | Deborah G. Aragon | Physician Assistant | 6229 S. Iola Wy, Englewood, CO 80111 | 2018-05-21 |
| 1902343718 | Jennifer Bielefeld | Registered Nurse | 6162 South Willow Dr., Suite 100, Greenwood Village, CO 80111 | 2017-01-31 |
| 1225589807 | Osama M Kassab | Chiropractor | 5690 Dtc Blvd Ste 140e, Greenwood Village, CO 80111 | 2016-10-19 |
| 1891242400 | Samantha Fiegel | Counselor | 6021 S Syracuse Way Ste 216, Greenwood Village, CO 80111 | 2016-09-01 |
| 1831644368 | Melissa Fischer Alconcel | Dentist | 8940 E. Crescent Parkway, Suite 370, Greenwood Village, CO 80111 | 2016-08-25 |
| 1245680263 | Carron Maclean | Counselor | 5310 Dtc Pkwy Ste A, Greenwood Village, CO 80111 | 2016-06-21 |
| 1326493792 | Insight Psychotherapy LLC | Counselor | 7350 E Progress Place, Suite 100, Greenwood Village, CO 80111 | 2016-05-04 |
| 1457705410 | Amy Flora | Occupational Therapist | 5750 Dtc Pkwy #170, Greenwood Village, CO 80111 | 2016-04-15 |
| Find all providers in zip 80111 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| Find all providers with the same taxonomy | ||||
| City | GREENWOOD VILLAGE |
| Zip Code | 80111 |
Please comment or provide details below to improve the information on KEYSTONE HEALTH & WELLNESS CENTER INC.
| 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.