5280 IOM, LLC (NPI# 1841749793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841749793 |
| Entity Type | Organization |
| Organization Name | 5280 IOM, LLC |
| Practice Address |
1700 Bassett St Unit 1021 Denver CO 80202-1921 |
| Mailing Address |
Po Box 1651 Crosby TX 77532-1651 |
| Practice Telephone | 2814627684 |
| Practice Fax Number | 8888325078 |
| Mailing Telephone | 2814627684 |
| Mailing Fax Number | 8888325078 |
| Enumeration Date | 2016-10-03 |
| Last Update Date | 2016-10-03 |
| Authorized Official Name | NICOLA DONNER (CO-OWNER) |
| Authorized Official Telephone | 2814627684 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
CNIM1816 | CO | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | CERTIFIED NEURO-INTRAOPERATIVE MONITOIRNG | CNIM 1816 | 01 |
| CO | CERTIFIED NEURO-INTRAOPERATIVE MONITOIRNG | CNIM 2012 | 01 |
| Street Address |
1700 BASSETT ST UNIT 1021 |
| City | DENVER |
| State | CO |
| Zip Code | 80202-1921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144779380 | 5280 Iom Pro, LLC | Psychiatry & Neurology | 1700 Bassett St Unit 1021, Denver, CO 80202-1921 | 2016-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639798937 | Colorado Addiction and Psychiatry, LLC | Clinic/Center | 1801 Chestnut Place Unit 128, Denver, CO 80202 | 2020-04-16 |
| 1417413014 | Patient Pathways, LLC | Case Manager/Care Coordinator | 2001 16th Street, (casa Vida 18.30.1), Denver, CO 80202 | 2019-02-19 |
| 1265916209 | Beatriz Cano | Behavior Technician | 1624 Market Street Suite 226 #16916, Denver, CO 80202 | 2018-09-15 |
| 1134617582 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1600 California St Ste 14, Denver, CO 80202 | 2018-05-01 |
| 1053815118 | Autism West Behavioral Partners | Community/Behavioral Health | 1624 Market St Ste 226, Denver, CO 80202 | 2018-03-22 |
| 1073964664 | Elizabeth Mae Curie | Nurse Practitioner | 1125 17th St Ste 1000, Denver, CO 80202 | 2016-06-25 |
| 1124475967 | Phillip John Wehrman | Physical Therapist | 1401 17th St Ste 475, Denver, CO 80202 | 2016-05-23 |
| 1699133199 | University Physicians Incorporated | Obstetrics & Gynecology | 1772 Platte St, Denver, CO 80202 | 2016-01-29 |
| 1134597313 | Richard James Cleave Iv | Pharmacist | 3100 Huron St Unit 2q, Denver, CO 80202 | 2015-09-04 |
| 1437546215 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 1950 Chestnut Pl, Denver, CO 80202 | 2015-04-20 |
| Find all providers in zip 80202 | ||||
| Taxonomy Code | 246ZE0600X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Electroneurodiagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518597855 | Intact Neuromonitoring, LLC | Specialist/Technologist, Other | 3295 Blake St Apt 304, Denver, CO 80205-2469 | 2020-01-24 |
| 1003301979 | Spencer Pankratz | Specialist/Technologist, Other | 4600 S Ulster St Ste 125, Denver, CO 80237-2848 | 2018-06-24 |
| 1689042699 | Red State Reading | Specialist/Technologist, Other | 4600 S Ulster St Ste 1225, Denver, CO 80237-2696 | 2015-09-08 |
| 1871891457 | Kcm Neuromonitoring, LLC | Specialist/Technologist, Other | 1919 S Pearl St, Denver, CO 80210-4040 | 2011-03-07 |
| 1962710871 | Elite Neuromonitoring | Specialist/Technologist, Other | 3720 Newton St, Denver, CO 80211 | 2010-09-14 |
| 1861709271 | Thomas Niles Rubinson | Specialist/Technologist, Other | 2349 Glenarm Place, Denver, CO 80205 | 2010-09-07 |
| 1831334309 | Carmen Herrboldt | Specialist/Technologist, Other | 4500 S. Monaco St. Apt 734, Denver, CO 80237 | 2008-12-11 |
| 1851536569 | Tyler Stuart Root | Specialist/Technologist, Other | 6696 Warren Dr, Denver, CO 80221 | 2008-12-09 |
| 1053585174 | Brent Jeffrey Nienaber | Specialist/Technologist, Other | 6669 Morrison Dr, Denver, CO 80221 | 2008-04-18 |
| 1598951386 | Dianne Catherine Bunney Gallegos | Specialist/Technologist, Other | 1666 S Stuart St, Denver, CO 80219-4457 | 2007-09-14 |
| 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.