25/34 PLASTIC SURGERY ASSOCIATES, PC (NPI# 1811142524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811142524 |
| Entity Type | Organization |
| Organization Name | 25/34 PLASTIC SURGERY ASSOCIATES, PC |
| Other Organization Name | GONYON COSMETIC & PLASTIC SURGERY, PC |
| Practice Address |
4450 Union St. Suite 100 Johnstown CO 80534-0001 |
| Mailing Address |
4450 Union St. Suite 100 Johnstown CO 80534 |
| Practice Telephone | 9706247979 |
| Practice Fax Number | 9706247980 |
| Mailing Telephone | 9706247979 |
| Mailing Fax Number | 9706247980 |
| Enumeration Date | 2008-11-21 |
| Last Update Date | 2008-11-21 |
| Authorized Official Name | DR. DENIS L GONYON JR. (OWNER) |
| Authorized Official Telephone | 9706247979 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 43327 | CO | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 12683027 | 05 |
| Other Name | Type Code |
|---|---|
| Gonyon Cosmetic & Plastic Surgery, PC | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | 25/34 Plastic Surgery Associates, PC | 4450 Union St, Suite 100, Johnstown, CO 80534 |
| Street Address |
4450 UNION ST. SUITE 100 |
| City | JOHNSTOWN |
| State | CO |
| Zip Code | 80534-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790299410 | Bauer Occupational Therapy, LLC | Occupational Therapist | 442 La Costa Ln, Johnstown, CO 80534 | 2017-11-17 |
| 1942698071 | Family Physicians of Greeley, LLP | Family Medicine | 473 Castle Pines Ave, Suite 1, Johnstown, CO 80534 | 2014-12-23 |
| 1376761924 | Steven L Martin | Dentist | 5 N. Parish Ave., Johnstown, CO 80534 | 2007-04-20 |
| 1699896613 | Ashlea Elizabeth Franques | Pediatrics | 4435 Ronald Reagan Blvd, Johnstown, CO 80534 | 2007-04-03 |
| 1720069198 | Kenneth A Pettine | Orthopaedic Surgery | 4795 Larimer Parkway, Johnstown, CO 80534 | 2005-11-10 |
| 1043858251 | Kristen Mcfarland | Physical Therapist | 247 Mountain Avenue, Berthoud, CO 80534 | 2019-12-18 |
| 1841780400 | Colorado Rehabilitation Associates LLC | Physical Medicine & Rehabilitation | 4401 Union St, Johnstown, CO 80534 | 2018-05-18 |
| 1073059523 | Santibanez Aguirre PC | Hospitalist | 4401a Union Street, Johnstown, CO 80534 | 2017-01-09 |
| 1790794824 | Marc Anthony Masotti | Internal Medicine | 4401a Union St, Johnstown, CO 80534-2800 | 2006-08-07 |
| 1417582982 | Carly Frounfelker | Physical Therapy Assistant | 4401 Union St, Johnstown, CO 80534-2800 | 2020-03-05 |
| Find all providers in zip 80534 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245321702 | Bernard Patrick Mcquillan | Specialist | 1221 Scalp Avenue, Johnstown, PA 15904 | 2006-09-27 |
| 1932140936 | Robert Link Rundorff | Specialist | 16 Rose St, Johnstown, PA 15905-4327 | 2006-06-09 |
| 1073581641 | Richard C Leib Jr | Specialist | 350 Southmont Blvd, Johnstown, PA 15905-2818 | 2006-03-09 |
| 1891776274 | Babak Mirin | Specialist | 4770 Larimer Pkwy # 80534, Johnstown, CO 80534-8912 | 2005-11-11 |
| 1992704548 | Ralph Tabib | Specialist | 1145 1/2 Franklin St, Johnstown, PA 15905-4309 | 2005-07-17 |
| 1184253551 | Alyssa Erin Coppola | Specialist | 93 E Main St, Johnstown, NY 12095-2628 | 2020-04-07 |
| 1164074639 | Hannah N Novak | Specialist | 1015 Franklin St Fl D, Johnstown, PA 15905-4155 | 2019-07-15 |
| 1891244679 | Universal Medical Administration Services | Specialist | 1405 Eisenhower Blvd, Johnstown, PA 15904-3222 | 2016-09-22 |
| 1184986606 | Jennifer Lynn Pomeroy | Specialist | 2-8 W Main St, Johnstown, NY 12095-2308 | 2012-06-11 |
| 1538431028 | Ralph Tabib Mdpc | Specialist | 1145 1/2 Franklin St, Johnstown, PA 15905-4309 | 2012-01-31 |
| Find all providers in JOHNSTOWN | ||||
Please comment or provide details below to improve the information on 25/34 PLASTIC SURGERY ASSOCIATES, PC.
| 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.