LANE D. CRADDOCK (NPI# 1790875607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790875607 |
Entity Type | Individual |
Full Name | LANE D. CRADDOCK |
Credential | MD |
Practice Address |
University of Colorado Hospital 4200 E. 9th Avenye Denver CO 80262-0001 |
Mailing Address |
13611 E Colfax Ave Aurora CO 80045-5701 |
Practice Telephone | 3034937000 |
Mailing Telephone | 3034937000 |
Enumeration Date | 2006-10-13 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
13684 | CO | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CO | 01136845 | 05 |
Street Address |
UNIVERSITY OF COLORADO HOSPITAL 4200 E. 9TH AVENYE |
City | DENVER |
State | CO |
Zip Code | 80262-0001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770538464 | Ann M Mancini | Nurse Practitioner | University of Colorado Hospital, 4200 E. 9th Ave, Denver, CO 80262-0001 | 2006-05-23 |
1154522829 | Ellen S. Harper | Nurse Anesthetist, Certified Registered | University of Colorado Hospital, 4200 E. 9th Ave, Denver, CO 80262-0001 | 2007-05-30 |
1063544203 | Myo M Kyaw | Radiology | University of Colorado Hospital, 4200 E. 9th Ave, Denver, CO 80262-0001 | 2007-03-12 |
1932275161 | William L. Weston | Dermatology | University of Colorado Hospital, 4200 E. 9th Avenue, Denver, CO 80262-0001 | 2006-11-28 |
1154493047 | Diana G Dills | Internal Medicine | University of Colorado Hospital, 4200 E. 9th Avenue, Denver, CO 80262-0001 | 2006-11-15 |
1417043480 | Loris Mcgavran | Medical Genetics, Ph.D. Medical Genetics | University of Colorado Hospital, 4200 E. 9th Ave., Denver, CO 80262-0001 | 2006-10-05 |
1457451353 | Susanne Loeffler | Speech-Language Pathologist | University of Colorado Hospital, 4200 E. 9th Avenue, Denver, CO 80262-0001 | 2006-09-22 |
1942300843 | James Sandstrum | Speech-Language Pathologist | University of Colorado Hospital, 4200 E. 9th Avenue, Denver, CO 80262-0001 | 2006-09-22 |
1154421964 | Maureen Melonis | Speech-Language Pathologist | University of Colorado Hospital, 4200 E. 9th Avenue, Denver, CO 80262-0001 | 2006-09-22 |
1356441240 | Mary Buning | Occupational Therapist | University of Colorado Hospital, 4200 E. 9th Avenue, Denver, CO 80262-0001 | 2006-09-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306977368 | Holly Jean Jones | Pharmacist | 4200 East 9th Ave, Box A027 Pharmacy Department, Denver, CO 80262 | 2007-03-08 |
1770796468 | Pamela J Prag | Advanced Practice Midwife | 4200 E 9th Ave, University of Colorado Hospital, Denver, CO 80262 | 2007-05-08 |
1982747523 | Stacey R Bromberg | Psychologist | 4200 E Ninth Avenue C-268-52 Cph Rm 2k01, Denver, CO 80262-0001 | 2007-02-14 |
1629118864 | Bradley Kevin Christianson | Pharmacist | 4200 E 9th Ninth Ave Box A027, Denver, CO 80262-0001 | 2007-02-07 |
1548316144 | Linh Khanh Lu | Dermatology | University of Colorado School of Medicine, 4200 E. 9th Ave., Denver, CO 80262-0001 | 2007-01-26 |
1962558544 | Kevin Wanebo | Radiology | University of Colorado At Denver and Health Sciences Ce, 4200 E. 9th Ave., Denver, CO 80262-0001 | 2007-01-26 |
1740330836 | Joseph P Vande Griend | Pharmacist | 4200 E 9th Ave Box C238, Denver, CO 80262-0001 | 2007-01-11 |
1174600415 | Jacquelyn Louise Bainbridge | Pharmacist | University of Colorado 4200 East Ninth Ave, School of Pharmacy Campus Box C238, Denver, CO 80262-0001 | 2006-11-01 |
1720178403 | Michael J Gerber | Internal Medicine | 4200 E Ninth Ave, Denver, CO 80262-0001 | 2006-10-13 |
1063509115 | Richard Fisher | Orthopaedic Surgery | 4701 E Ninth Ave, Denver, CO 80262-0001 | 2006-10-09 |
Find all providers in zip 80262 |
Taxonomy Code | 207RC0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Cardiovascular Disease |
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
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1730716655 | Healthone Clinic Services - Cardiovascular LLC | Internal Medicine | 4700 Hale Pkwy Ste 200, Denver, CO 80220-4051 | 2020-03-23 |
1194115063 | Howard Theodore Horsley Jr. | Internal Medicine | 302 Cook Street, Denver, CO 80206 | 2015-01-30 |
1265731707 | Jose Miguel Sanchez | Internal Medicine | 777 Bannock St # Mc0960, Denver, CO 80204-4597 | 2011-03-23 |
1063737484 | Carolinas Physicians Network Inc | Internal Medicine | 1585 Forney Creek Parkway, Suite 2200, Denver, NC 28037-9522 | 2010-03-29 |
1427289958 | Henry J Beckwitt Md PC | Internal Medicine | 4101 W Conejos Pl Ste 300, Denver, CO 80204-1349 | 2009-07-31 |
1194909390 | Karl Edward Hammermeister | Internal Medicine | 3000 East Cedar, #4 Polo Place, Denver, CO 80209 | 2007-12-24 |
1891849105 | Morteza Farasat | Internal Medicine | 777 Bannock St # Mc4000, Denver, CO 80204-4507 | 2007-01-23 |
1467465146 | John D Hutcherson | Internal Medicine | 950 E Harvard Ave Ste 100, Denver, CO 80210-7007 | 2006-08-14 |
1477567113 | Krishna K Sinha | Internal Medicine | 4120 Federal Blvd, Denver, CO 80211-1638 | 2006-07-28 |
Find all providers in DENVER |
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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.