COLORADO RETINA ASSOCIATES, PC (NPI# 1821622564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821622564 |
| Entity Type | Organization |
| Organization Name | COLORADO RETINA ASSOCIATES, PC |
| Practice Address |
11960 Lioness Way Ste 290 Parker CO 80134-5640 |
| Mailing Address |
8101 E Lowry Blvd Ste 210 Denver CO 80230-7195 |
| Practice Telephone | 3032611600 |
| Practice Fax Number | 3032611601 |
| Mailing Telephone | 3032611600 |
| Mailing Fax Number | 3032611601 |
| Enumeration Date | 2020-03-02 |
| Last Update Date | 2020-03-10 |
| Authorized Official Name | TERRY LEA PARISH (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 7204203277 |
| Is Organization Subpart | Y |
| Parent Organization Name | COLORADO RETINA ASSOCIATES, PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
Allopathic & Osteopathic Physicians | ||
| N | 207WX0108X |
Ophthalmology Specialization: Uveitis and Ocular Inflammatory Disease |
Allopathic & Osteopathic Physicians | ||
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 74505807 | 05 |
| Other Name | Type Code |
|---|---|
| Colorado Retina Associates, PC-Parker | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316572803 | Colorado Retina Associates, PC | Ophthalmology | 360 Peak One Dr, Ste 300, Frisco, CO 80443-9900 | 2020-03-05 |
| 1154955896 | Colorado Retina Associates, PC | Ophthalmology | 400 Indiana St Ste 310, Golden, CO 80401-5033 | 2020-03-02 |
| 1497389399 | Colorado Retina Associates, PC | Ophthalmology | 850 Englewood Pkwy Ste 200, Englewood, CO 80110-7399 | 2020-02-28 |
| 1942834841 | Colorado Retina Associates, PC | Ophthalmology | 1050 W South Boulder Rd Ste 2100, Lafayette, CO 80026-2818 | 2020-02-28 |
| 1275664393 | Colorado Retina Associates, PC | Specialist | 8101 E Lowry Blvd Ste 210, Denver, CO 80230-7195 | 2007-03-08 |
| 1790876159 | Colorado Retina Associates, PC | Ophthalmology | 8101 E Lowry Blvd Ste 210, Denver, CO 80230-7195 | 2006-09-28 |
| Street Address |
11960 LIONESS WAY STE 290 |
| City | PARKER |
| State | CO |
| Zip Code | 80134-5640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245433259 | Mark S Dacey | Ophthalmology | 11960 Lioness Way Ste 290, Parker, CO 80134-5640 | 2007-06-07 |
| 1093004806 | Murtaza Khuzema Adam | Ophthalmology | 11960 Lioness Way Ste 290, Parker, CO 80134-5640 | 2011-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821560731 | Michaela Cox | Massage Therapist | 18551 E Mainstreet #103, Suite 15, Parker, CO 80134 | 2018-12-18 |
| 1376038315 | Danielle Rene Adamson | Audiologist | 11211 South Bransfeltd Road, Parker, CO 80134 | 2018-06-22 |
| 1316431042 | Michael Petrie | Massage Therapist | 10841 S Crossroads Drive, Suite 17, Parker, CO 80134 | 2018-06-16 |
| 1942729942 | Anthony Bricker | Specialist/Technologist | 5303 Territorial Street, Parker, CO 80134 | 2017-09-12 |
| 1609394238 | Mountain Peak Counseling | Counselor | 12760 Stroh Ranch Way Suite 201, Parker, CO 80134 | 2017-09-04 |
| 1013448497 | Cvs Pharmacy, Inc | Durable Medical Equipment & Medical Supplies | 16920 Lincoln Ave, Parker, CO 80134 | 2017-03-27 |
| 1043759921 | Timothy Michael Loar | Physical Therapist | 19964 E. Hilltop Rd, Suite B, Parker, CO 80134 | 2017-02-13 |
| 1851842835 | Carla S Bradburn | Counselor | 9581 Pearl Circle, #105, Parker, CO 80134 | 2016-10-14 |
| 1942653258 | West Coast Neuro | Specialist/Technologist, Other | 10940 S Parker Rd # 503, Parker, CO 80134 | 2016-07-21 |
| 1487036950 | Amber Abrams | Nurse Practitioner | 4251 Twenty Mile Rd, Parker, CO 80134 | 2015-06-22 |
| Find all providers in zip 80134 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487064200 | Davinci Medical Weight Loss & Wellness Center | Clinic/Center | 19641 E Parker Square Dr, Suite H, Parker, CO 80134-7399 | 2014-05-01 |
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| 1932713153 | Scl Health Medical Group - Denver, LLC | Clinic/Center | 11900 Grant St Ste 240, Northglenn, CO 80233-1117 | 2020-09-04 |
| 1508470998 | Scl Health Medical Group - Denver, LLC | Clinic/Center | 1960 N Ogden St Ste 520, Denver, CO 80218-3671 | 2020-09-02 |
| 1346865896 | Boulder Community Health | Clinic/Center | 4743 Arapahoe Ave Ste 201c, Boulder, CO 80303-1128 | 2020-06-10 |
| 1346872843 | Nephrology Clinic PC | Clinic/Center | 8229 W 20th St, Greeley, CO 80634-3040 | 2020-02-12 |
| 1023640513 | Nephrology Clinic PC | Clinic/Center | 2988 Ginnala Dr, Loveland, CO 80538-2701 | 2020-02-12 |
| 1457991473 | Boulder Community Health | Clinic/Center | 101 Erie Pkwy Ste 201f, Erie, CO 80516-4072 | 2020-01-07 |
| 1922659044 | Boulder Community Health | Clinic/Center | 4880 Riverbend Rd Ste 100, Boulder, CO 80301-2622 | 2019-09-20 |
| 1225687965 | Boulder Community Health | Clinic/Center | 4747 Arapahoe Ave, 3 West, Boulder, CO 80303-1131 | 2019-09-05 |
| 1538716923 | Boulder Community Health | Clinic/Center | 101 Erie Pkwy Ste 201d, Erie, CO 80516-4072 | 2019-08-21 |
| 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.