KYLE DELONG (NPI# 1861844292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861844292 |
Entity Type | Individual |
Full Name | KYLE DELONG |
Credential | PA |
Practice Address |
2373 G Rd Ste 200 Grand Junction CO 81505-1006 |
Practice Telephone | 9702433061 |
Practice Fax Number | 9702458369 |
Mailing Telephone | 9702433061 |
Mailing Fax Number | 9702458369 |
Enumeration Date | 2016-07-11 |
Last Update Date | 2018-12-31 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA.0004762 | CO | Physician Assistants & Advanced Practice Nursing Providers |
N | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CO | 71585036 | 05 |
Street Address |
2373 G RD STE 200 |
City | GRAND JUNCTION |
State | CO |
Zip Code | 81505-1006 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790809549 | Colorado Surgical Affiliates, LLC | Specialist | 2373 G Rd Ste 200, Grand Junction, CO 81505-1006 | 2007-03-19 |
1669095253 | Zephaniah Taylor Quigley | Registered Nurse | 2373 G Rd Ste 200, Grand Junction, CO 81505-1006 | 2020-05-18 |
1780238824 | Jay Nicholas Musial | Physical Therapist | 2373 G Rd Ste 200, Grand Junction, CO 81505-1006 | 2019-07-26 |
1225529324 | Sheri Kembel | Nurse Practitioner | 2373 G Rd Ste 200, Grand Junction, CO 81505-1006 | 2018-05-23 |
1639559214 | Hannah L Helfer Gray | Physical Therapist | 2373 G Rd Ste 200, Grand Junction, CO 81505-1006 | 2015-06-09 |
1538458575 | Nicholas James Westfall | Urology | 2373 G Rd Ste 200, Grand Junction, CO 81505-1006 | 2011-03-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255954061 | The Center At Foresight, LLC | Skilled Nursing Facility | 2594 Patterson Road, Grand Junction, CO 81505 | 2020-05-27 |
1457864845 | Haley Shae Oberst | Physician Assistant | 604 25 Rd, Grand Junction, CO 81505 | 2017-11-08 |
1780107896 | Robert Rogers | Registered Nurse | 2351 G Rd., Community Hospital, Grand Junction, CO 81505 | 2017-07-20 |
1952834871 | Carol Joy Graham | Counselor | 585 25 1/2 Rd. Sp 175, Grand Junction, CO 81505 | 2017-04-07 |
1356894059 | Amel Med, LLC | Anesthesiology | 2460 Patterson Rd #4, Grand Junction, CO 81505 | 2016-07-28 |
1528479649 | Adam Neff | Specialist/Technologist | 2188 I Road, Grand Junction, CO 81505 | 2014-05-12 |
1689003766 | Canyon View Asc, LLC | Clinic/Center | 2373 G Road, Suite 180, Grand Junction, CO 81505 | 2013-11-08 |
1700220993 | Grand Mesa Spine and Sport LLC | Pain Medicine | 201 West Park Dr, Grand Junction, CO 81505 | 2013-04-18 |
1295026409 | Nuclear Care Partners, LLC | Case Management | 631 24 1/2 Road, Suite C, Grand Junction, CO 81505 | 2011-04-21 |
1265734883 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 630 24 Rd, Grand Junction, CO 81505 | 2010-12-02 |
Find all providers in zip 81505 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700430261 | Brianne Tanae Harper | Physician Assistant | 2530 N 8th St Suite 205, Grand Junction, CO 81501 | 2019-08-01 |
1578548863 | Julie Ann Schwarz | Physician Assistant | 2373 G Rd, Ste 280, Grand Junction, CO 81505-1002 | 2005-12-09 |
1780680405 | Marcia Ann Mendenhall | Physician Assistant | 1100 Patterson Rd, Grand Junction, CO 81506-8219 | 2005-06-27 |
1710531827 | Kirsten Boland | Physician Assistant | 1035 Wellington Ave, Grand Junction, CO 81501-8104 | 2019-07-26 |
1053860387 | Ryan Glynn Goodman | Physician Assistant | 1060 Orchard Ave, Grand Junction, CO 81501-2997 | 2016-09-28 |
1811345473 | Alyson J Weirich | Physician Assistant | 2635 N 7th St, Grand Junction, CO 81501-8209 | 2016-05-24 |
1790144905 | Laura Fox | Physician Assistant | 750 Wellington Ave, Suite 3a, Grand Junction, CO 81501-6132 | 2016-02-16 |
1598181927 | Melanie Dawne Hoch | Physician Assistant | 1060 Orchard Ave, Grand Junction, CO 81501-2997 | 2014-03-10 |
1780952614 | Derek Dennis Diaz | Physician Assistant | 2333 N 6th St, Grand Junction, CO 81501 | 2011-12-06 |
1952685109 | Nathan Scott Cameron | Physician Assistant | 2021 N 12th St, Grand Junction, CO 81501-2980 | 2011-10-06 |
Find all providers in GRAND JUNCTION |
City | GRAND JUNCTION |
Zip Code | 81505 |
Please comment or provide details below to improve the information on KYLE DELONG.
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.