BROADWAY MEDICAL GROUP, LLC (NPI# 1881131662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881131662 |
Entity Type | Organization |
Organization Name | BROADWAY MEDICAL GROUP, LLC |
Practice Address |
403 16th St Suite 301 Denver CO 80202-5026 |
Practice Telephone | 7205989206 |
Mailing Telephone | 7205989206 |
Enumeration Date | 2017-01-31 |
Last Update Date | 2017-01-31 |
Authorized Official Name | TAMMY CARPENTER (OFFICE MANAGER) |
Authorized Official Telephone | 9548681563 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians | ||
Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
0058017 | CO | Allopathic & Osteopathic Physicians |
Street Address |
403 16TH ST SUITE 301 |
City | DENVER |
State | CO |
Zip Code | 80202-5026 |
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 | 2084N0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Neurology |
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902377179 | Para Health, LLC | Psychiatry & Neurology | 1091 E Bayaud Ave Apt W2604, Denver, CO 80209-2783 | 2018-12-16 |
1558715516 | Tara Celeste Carlisle | Psychiatry & Neurology | 3055 Roslyn St Unit 120, Denver, CO 80238-3324 | 2016-04-15 |
1346679826 | Michael A. Ament, M.d., Pllc | Psychiatry & Neurology | 4622 W Moncrieff Pl, Denver, CO 80212-1604 | 2013-11-05 |
1235484684 | Cherry Creek Neurology | Psychiatry & Neurology | 1720 S. Bellaire St. Ste 200, Denver, CO 80222 | 2012-07-20 |
1043538085 | Susan Patrice Anzalone | Psychiatry & Neurology | 1873 S Bellaire St Ste 620, Denver, CO 80222-4353 | 2010-05-15 |
1710140017 | Lawrence P Scibilia | Psychiatry & Neurology | 1660 S Albion St Ste 425, Denver, CO 80222 | 2008-07-07 |
1023207941 | Neurovision PC | Psychiatry & Neurology | 3480 S Galena St, 4b, Denver, CO 80231-5504 | 2007-10-16 |
1063567477 | Advanced Neurological Evaluation and Treatment Center PC | Psychiatry & Neurology | 1721 E 19th Ave Ste 510, Denver, CO 80218-1243 | 2007-01-24 |
1639227564 | David Seymour Madison | Psychiatry & Neurology | 2525 So Downing, Porter Hosp, Denver, CO 80210 | 2007-01-08 |
1215019609 | Justin Suk Joo Moon | Psychiatry & Neurology | 950 E Harvard Ave Ste 570, Denver, CO 80210 | 2006-10-19 |
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.