JANE NYDAM (NPI# 1881740496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881740496 |
| Entity Type | Individual |
| Full Name | JANE NYDAM |
| Credential | MD |
| Practice Address |
2055 N High St Suite 255 Denver CO 80205-5503 |
| Practice Telephone | 3038609933 |
| Practice Fax Number | 3038395844 |
| Mailing Telephone | 3038609933 |
| Mailing Fax Number | 3038395844 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2016-08-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
DR.46631 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 50908227 | 05 |
| Street Address |
2055 N HIGH ST SUITE 255 |
| City | DENVER |
| State | CO |
| Zip Code | 80205-5503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700824430 | Michael Darby Pettersen | Pediatrics | 2055 N High St, Suite 255, Denver, CO 80205-5503 | 2006-06-03 |
| 1336674183 | Sarah Lai | Surgery | 2055 N High St, Suite 370, Denver, CO 80205-5503 | 2017-04-28 |
| 1053788406 | Catherine Mace Burson | Genetic Counselor, MS | 2055 N High St, Suite 280, Denver, CO 80205-5503 | 2015-09-01 |
| 1154705135 | Teresa Wolanski | Nurse Practitioner | 2055 N High St, Denver, CO 80205 | 2015-07-19 |
| 1578706354 | Joshua Selton Benjamin | Pediatrics | 2055 N High St, Suite 250, Denver, CO 80205-5503 | 2009-04-09 |
| 1942449608 | Audra J Braun | Physician Assistant | 2055 N High St, Suite 340, Denver, CO 80205-5503 | 2009-02-19 |
| 1861666257 | Allison Elaine Hunt | Pediatrics | 2055 N High St, Suite 250, Denver, CO 80205-5503 | 2008-04-16 |
| 1164608535 | Samuel Timothy Brescia | Pediatrics | 2055 N High St, Suite 255, Denver, CO 80205-5663 | 2008-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235769233 | Abigail Eileen Taylor | Occupational Therapy Assistant | 3241 N York St, Denver, CO 80205 | 2020-01-19 |
| 1609415694 | Blushing Bodies | Clinic/Center | 2040 East 28th Ave, Denver, CO 80205 | 2019-12-23 |
| 1053966564 | Paul Deutsch | Social Worker | 3836 York St, Denver, CO 80205 | 2019-08-02 |
| 1770062085 | New Health Pain Treatment Centers, LLC | General Practice | 3605 S Teller, Englewood, CO 80205 | 2018-08-08 |
| 1710474374 | Paloma Dental | Dentist | 1225 35th Street, Denver, CO 80205 | 2018-04-19 |
| 1720516677 | Volunteers of America, Colorado Branch | Voluntary or Charitable | 2660 Larimer St., Denver, CO 80205 | 2017-05-23 |
| 1760917637 | Rino Dental | Dentist | 3258 Larimer St, Suite 300, Denver, CO 80205 | 2017-04-27 |
| 1891233193 | Barbara Jordan | Physical Therapist | 13123 East 16th Avenue, Box 295, Denver, CO 80205 | 2017-02-07 |
| 1255877635 | Kaiser Permanente | Clinic/Center | 1451 24th Street, Apt 146, Denver, CO 80205 | 2017-01-10 |
| 1255887501 | Stephanie W Kwong | Speech-Language Pathologist | 158 S Pacific Avenue, Denver, CO 80205 | 2016-08-28 |
| Find all providers in zip 80205 | ||||
| Taxonomy Code | 2080P0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Cardiology |
| A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215125208 | Abhay Ashok Divekar | Pediatrics | 2001 N High St, Denver, CO 80205-5555 | 2007-10-04 |
| 1700824430 | Michael Darby Pettersen | Pediatrics | 2055 N High St, Suite 255, Denver, CO 80205-5503 | 2006-06-03 |
| 1023632049 | Obstetrix Medical Group of Colorado, P.C. | Pediatrics | 1719 E 19th Ave, Denver, CO 80218-1235 | 2020-06-05 |
| 1871117051 | Obstetrix Medical Group of Colorado, P.C. | Pediatrics | 1375 E 19th Ave, Denver, CO 80218-1114 | 2020-06-03 |
| 1588288799 | Obstetrix Medical Group of Colorado, P.C. | Pediatrics | 4567 E 9th Ave, Denver, CO 80220-3908 | 2020-06-03 |
| 1063036259 | Obstetrix Medical Group of Colorado, P.C. | Pediatrics | 2525 S Downing St, Denver, CO 80210-5817 | 2020-06-03 |
| 1184988560 | Marco A Pinder | Pediatrics | 13123 East 16th Ave, Denver, CO 80238 | 2012-06-29 |
| 1164608535 | Samuel Timothy Brescia | Pediatrics | 2055 N High St, Suite 255, Denver, CO 80205-5663 | 2008-01-16 |
| 1669557393 | Henry M. Sondheimer | Pediatrics | 1056 E 19th Ave, Denver, CO 80218-1007 | 2006-10-25 |
| 1497779276 | Obstetrix Medical Group of Colorado, P.C. | Pediatrics | 2055 High Street, Ste 255, Denver, CO 80205-5663 | 2006-07-26 |
| 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.