MEDICAL RTD INC (NPI# 1912030743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912030743 |
| Entity Type | Organization |
| Organization Name | MEDICAL RTD INC |
| Practice Address |
7615 W 38th Ave Unit B-123 Wheat Ridge CO 80033-6172 |
| Mailing Address |
7615 W 38th Ave Unit B-123 Wheat Ridge CO 80033 |
| Practice Telephone | 3034322776 |
| Practice Fax Number | 3034322216 |
| Mailing Telephone | 7205407155 |
| Mailing Fax Number | 7205407155 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2007-11-01 |
| Authorized Official Name | TATYANA I DATKHAEVA (OWNER PHYSICIAN) |
| Authorized Official Telephone | 7205407155 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 45108 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 82709513 | 05 | |
| CO | STATE LICENSE | 45108 | 01 |
| CO | DEA | FD0092611 | 01 |
| Street Address |
7615 W 38TH AVE UNIT B-123 |
| City | WHEAT RIDGE |
| State | CO |
| Zip Code | 80033-6172 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861486219 | Clear Creek Family Practice | Family Medicine | 7615 W 38th Ave, Ste B117, Wheat Ridge, CO 80033-6172 | 2005-08-31 |
| 1700283496 | Scltdi Jv, LLC | Physiological Laboratory | 7615 W 38th Ave, Suite 115, Wheat Ridge, CO 80033-6172 | 2014-11-25 |
| 1073756086 | Jeanette Y Kelder Dc PC | Chiropractor | 7615 W 38th Ave, Suite B-107, Wheat Ridge, CO 80033-6172 | 2009-04-07 |
| 1548433469 | Dustin Kruse | Podiatrist | 7615 W 38th Ave, Suite B133, Wheat Ridge, CO 80033-6172 | 2008-04-11 |
| 1992901706 | Marie Goede Yokota | Massage Therapist | 7615 W 38th Ave, B107, Wheat Ridge, CO 80033-6172 | 2007-06-27 |
| 1972716447 | Jeanette Yvonne Kelder | Chiropractor | 7615 W 38th Ave, Suite B-107, Wheat Ridge, CO 80033-6172 | 2007-05-08 |
| 1508908690 | Barbara Paden | Podiatrist | 7615 W 38th Ave, Suite B133, Wheat Ridge, CO 80033-6172 | 2007-02-13 |
| 1932241031 | Brett Sachs | Podiatrist | 7615 W 38th Ave, Suite B133, Wheat Ridge, CO 80033-6172 | 2007-02-13 |
| 1730226978 | Matthew Hunter Paden | Podiatrist | 7615 W 38th Ave, Suite B133, Wheat Ridge, CO 80033-6172 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154893915 | Bronwyn Hockersmith | Counselor | 3954 Yosemite St, Wheat Ridge, CO 80033 | 2018-12-18 |
| 1902392004 | Thousand Peaks Healthcare, Inc. | In Home Supportive Care | 4891 Independence St Ste 285, Wheat Ridge, CO 80033 | 2018-07-02 |
| 1528586120 | Front Range Family Resource Center | Marriage & Family Therapist | 5181 Ward St Ste 201, Wheat Ridge, CO 80033 | 2017-09-03 |
| 1962920918 | Dianna Lee Cordero | Counselor | 4931 Garrison St., Apt 104, Wheat Ridge, CO 80033 | 2017-08-30 |
| 1396261525 | Lauren Faye Petasne | Nurse Practitioner | 7100 W 44th Ave Ste 101a, Wheat Ridge, CO 80033 | 2017-08-18 |
| 1558802421 | Elizabeth Ann Huddleston | Nurse Practitioner | 3400 N Lutheran Pkwy, Wheat Ridge, CO 80033 | 2017-03-13 |
| 1053777045 | Richard Kerry Brandow | Counselor | 16625 W 50th Ave., Golden, CO 80033 | 2016-01-07 |
| 1831562131 | Eternal Life Care Centers, LLC | Assisted Living Facility | 4370 Ingalls Street, Wheat Ridge, CO 80033 | 2015-11-09 |
| 1740663483 | Real Care, Inc. | Private Vehicle | 10200 West 44th Ave, Suite 200, Wheat Ridge, CO 80033 | 2015-06-30 |
| 1508254848 | Pamela June Weitzel | Midwife | 3555 Lutheran Parkway Suite 210, Wheat Ridge, CO 80033 | 2015-01-08 |
| Find all providers in zip 80033 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154967719 | Scl Health Medical Group - Denver, LLC | Family Medicine | 8550 W 38th Ave Ste 220, Wheat Ridge, CO 80033-4300 | 2019-11-19 |
| 1952800187 | Colorado Family Clinic | Family Medicine | 4990 Kipling St Ste B6, Wheat Ridge, CO 80033-6762 | 2018-02-02 |
| 1326373770 | John Harrison Dahl | Family Medicine | 5 Rangeview Cir, Wheat Ridge, CO 80215-6616 | 2009-10-02 |
| 1558516302 | David F Garfias Md PC | Family Medicine | 4350 Wadsworth Blvd Ste 440, Wheat Ridge, CO 80033-4638 | 2008-11-20 |
| 1639353758 | Robert B Simon Md | Family Medicine | 4300 Harlan Street, Wheat Ridge, CO 80033-5122 | 2007-12-26 |
| 1144254772 | Alanna Joy Tzarfati | Family Medicine | 8550 West 38th Ave Suite 206, Foothills Family Medicine, PC, Wheat Ridge, CO 80033-4342 | 2006-07-10 |
| 1972534329 | Michael Aaron Green | Family Medicine | 10900 W 44th Ave, Suite #200, Wheat Ridge, CO 80033-2742 | 2006-07-05 |
| 1649210329 | Caroline M Gellrick | Family Medicine | 9830 I-70 Frontage Rd South, Wheat Ridge, CO 80033 | 2006-06-08 |
| 1588616163 | Steven Richard Russell | Family Medicine | 10285 Ridge Rd, Wheat Ridge, CO 80033-2301 | 2006-05-16 |
| 1760462188 | Gregory Lee Muench | Family Medicine | 7777 W 38th, Ste A118, Wheat Ridge, CO 80033 | 2006-01-20 |
| Find all providers in WHEAT RIDGE | ||||
| City | WHEAT RIDGE |
| Zip Code | 80033 |
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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.