GARY DUANE VANDERARK (NPI# 1790987410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790987410 |
| Entity Type | Individual |
| Full Name | GARY DUANE VANDERARK |
| Credential | MD |
| Practice Address |
79 Glenmoor Dr Englewood CO 80113-7116 |
| Mailing Address |
79 Glenmoor Englewood CO 80262 |
| Practice Telephone | 3033152320 |
| Practice Fax Number | 3033151331 |
| Mailing Telephone | 3033152320 |
| Mailing Fax Number | 3033151331 |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | 16954 | CO | Allopathic & Osteopathic Physicians |
| Street Address |
79 GLENMOOR DR |
| City | ENGLEWOOD |
| State | CO |
| Zip Code | 80113-7116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306339163 | Colorado Urgent Care Physicians, PC | Clinic/Center | 5102 South Broadway, Englewood, CO 80113 | 2018-06-07 |
| 1518489178 | High Five Home Care LLC. | In Home Supportive Care | 4055 S Broadway, Suite #102, Englewood, CO 80113 | 2017-07-14 |
| 1720518426 | Chelsea M Bega | Audiologist | 3439 S Lincoln St, Englewood, CO 80113 | 2017-06-14 |
| 1689110272 | Mary Frances Mckinley | Physical Therapy Assistant | 3460 S Downing Street, Englewood, CO 80113 | 2017-01-06 |
| 1295190585 | Kassandra Dominique Hill | Nurse's Aide | 3301 S Whaington St, Apt.109, Englewood, CO 80113 | 2015-12-31 |
| 1760862130 | Grenhart & Associates, LLC | Psychologist | 3601 S Clarkson Street, Suite 540, Englewood, CO 80113 | 2015-06-01 |
| 1669807392 | Jill C Tomaso | Occupational Therapist | 3218 South Logan Street, Englewood, CO 80113 | 2013-09-12 |
| 1255683868 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 3495 S University Blvd, Englewood, CO 80113 | 2012-10-05 |
| 1700137825 | Stanley Leon Hannah | General Practice | 5 Martin Lane, Cherry Hills Village, CO 80113 | 2012-09-28 |
| 1558623496 | Annelise Lorelei Dawson | Dermatology | 499 E Hampden Ave Ste 390, Englewood, CO 80113 | 2012-06-15 |
| Find all providers in zip 80113 | ||||
| Taxonomy Code | 204C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine, Sports Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730214487 | James Boland | Neuromusculoskeletal Medicine, Sports Medicine | 8820 American Way # 201, Englewood, CO 80112-7056 | 2007-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477110823 | Denver Osteopathic and Sports Medicine Center A Professional LLC | Neuromusculoskeletal Medicine, Sports Medicine | 10555 E Dartmouth Ave Ste 200, Aurora, CO 80014-2673 | 2019-05-21 |
| 1275031320 | Moriah Lynn Day | Neuromusculoskeletal Medicine, Sports Medicine | 2749 Iris Ave, Boulder, CO 80304-2433 | 2018-01-24 |
| 1801008867 | Jill D Even-aplecove | Neuromusculoskeletal Medicine, Sports Medicine | 1424 N Hancock Ave, Suite 5 West, Colorado Springs, CO 80903-2620 | 2007-05-04 |
| 1275635773 | Kristy Joelle States | Neuromusculoskeletal Medicine, Sports Medicine | 1325 S Colorado Blvd Ste 206 Bldg B, Denver, CO 80222-3311 | 2006-09-04 |
| 1861930935 | Matti Bermingham | Neuromusculoskeletal Medicine, Sports Medicine | 390 Union Blvd, #650, Lakewood, CO 80228-1510 | 2017-02-08 |
| 1023438058 | Danielle Wilhour | Neuromusculoskeletal Medicine, Sports Medicine | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2014-04-17 |
| 1619109113 | Mountain Spirit Healing Arts Center | Neuromusculoskeletal Medicine, Sports Medicine | 713 3rd Ave, Longmont, CO 80501-5926 | 2009-08-17 |
| 1306995196 | H.r. Pain Management Inc. | Neuromusculoskeletal Medicine, Sports Medicine | 7695 Church Ranch Blvd, Suite 100, Westminster, CO 80021-5544 | 2007-01-09 |
| 1578644282 | Betty Jean Manaster | Neuromusculoskeletal Medicine, Sports Medicine | 4200 E Ninth Ave, Box A030, Denver, CO 80262-0001 | 2006-10-18 |
| 1285737668 | Jo Ann Douglas | Neuromusculoskeletal Medicine, Sports Medicine | 963 S Kipling Pkwy, Lakewood, CO 80226-3946 | 2006-09-07 |
| Find all providers with the same taxonomy | ||||
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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.