EVA GRAYCK


Address: 12700 E 19th Ave, Aurora, CO 80045-2560
Phone: 3033154499

EVA GRAYCK (NPI# 1942385695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942385695
Entity Type Individual
Full Name EVA GRAYCK
Credential MD
Practice Address 12700 E 19th Ave
Aurora
CO 80045-2560
Mailing Address Po Box 110429
Aurora
CO 80042-0429
Practice Telephone 3033154499
Mailing Telephone 3034937000
Enumeration Date 2006-10-25
Last Update Date 2013-04-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0203X Pediatrics
Specialization: Pediatric Critical Care Medicine
42766 CO Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CO 69122539 05

Office Location

Street Address 12700 E 19TH AVE
City AURORA
State CO
Zip Code 80045-2560

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649218124 Monika M Nuffer Pharmacist 12700 E 19th Ave, Aurora, CO 80045-2560 2006-06-04
1194335927 Sarah E Clark Technician 12700 E 19th Ave, Aurora, CO 80045-2560 2020-08-06
1033660204 Jessica Erin Scharein Nurse Practitioner 12700 E 19th Ave, Aurora, CO 80045-2560 2016-10-21
1770039554 Darcy O'banion Clinical Nurse Specialist 12700 E 19th Ave, Aurora, CO 80045-2560 2016-08-31
1780038638 Kristen Roberson Student in an Organized Health Care Education/Training Program 12700 E 19th Ave, Aurora, CO 80045-2560 2016-04-18
1811351588 Derian Lai Internal Medicine 12700 E 19th Ave, Aurora, CO 80045-2560 2016-04-08
1568859528 Joseph Cooley Internal Medicine 12700 E 19th Ave, Ste C272, Aurora, CO 80045-2563 2015-04-16
1730324823 University of Colorado Denver General Acute Care Hospital 12700 E 19th Ave, Aurora, CO 80045-2507 2008-12-04
1760686240 Yael Aschner Internal Medicine 12700 E 19th Ave, Research 2, Box C272, 9th Floor, Aurora, CO 80045-2560 2007-06-11
1245349620 Jeffrey Bennett Psychiatry & Neurology 12700 E 19th Ave, Po Box B182, Aurora, CO 80045-2560 2006-08-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942817408 Salwa Mourtada Bamba Nurse Practitioner University of Colorado Medicine, 12631 East 17th Avenue, Aurora, CO 80045 2020-09-29
1114545233 Chun Cheong Tsui Student in an Organized Health Care Education/Training Program 12801 E. 17th Avenue, Ms 8117, Aurora, CO 80045 2020-07-07
1487278719 James Charles Tuka IIi Social Worker 1700 North Wheeling, Aurora, CO 80045 2020-06-02
1427677806 Justin Yu Student in an Organized Health Care Education/Training Program 12631 E. 17th Ave. Ms B205, Aurora, CO 80045 2020-04-15
1558980011 Erik Von Polsdofer Student in an Organized Health Care Education/Training Program Academic Office 1; Department of Pathology, 12631 East 17th Avenue, Aurora, CO 80045 2020-04-14
1831718568 Luke Porter Bacon Student in an Organized Health Care Education/Training Program 3001 East 17th Place, Aurora, CO 80045 2020-04-13
1366061368 Hilary Novatt Student in an Organized Health Care Education/Training Program 12631 E 17th Ave, B198-6, Room 4007, Aurora, CO 80045 2020-04-10
1376195362 Katie Tuck Pharmacist 1700 North Wheeling Street (119), Fs-111o, Aurora, CO 80045 2019-07-10
1518529130 Ronak Kamal Kapadia Student in an Organized Health Care Education/Training Program 12700 E. 19th Ave, Ms B182 Rm 5104, Aurora, CO 80045 2019-07-03
1245898253 Rasha Elbadry Ahmed Student in an Organized Health Care Education/Training Program Childrens Hospital Colorado Pediatric Neurosurgery, 13123e. 16th Ave, B330, Aurora, CO 80045 2019-06-04
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Taxonomy Information

Taxonomy Code 2080P0203X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Critical Care Medicine

Taxonomy Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics)

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467879353 Sarah Young Pediatrics 13123 E 16th Ave, Aurora, CO 80045-7106 2014-03-28
1710273180 Erin Kathleen Stenson Pediatrics 13123 E 16th Ave, Aurora, CO 80045 2011-06-23
1427357052 Alison Santana Pediatrics 13001 E 17th Pl, Aurora, CO 80045-2570 2011-03-22
1598076366 Jonah Eugene Attebery Pediatrics 13123 E 16th Ave, Aurora, CO 80045-7106 2010-06-28
1992020119 Michele Meiluan Loi Pediatrics 13123 E 16th Ave, Aurora, CO 80045-7106 2010-03-30
1558564880 Christine Uta Heike Vohwinkel Pediatrics 13123 E 16th Ave, 7207771234, Aurora, CO 80045-7106 2007-06-06
1720297104 Cindy Sutton Barrett Pediatrics 13123 E 16th Ave, Aurora, CO 80045-7106 2007-05-22
1356558225 Carleen Zebuhr Schneiter Pediatrics 13123 E 16th Ave, Aurora, CO 80045-7106 2007-05-17
1184838674 Patrick Jacob Cripe Pediatrics 13123 E 16th Ave, Aurora, CO 80045-7106 2007-05-10
1033245139 Michael L. Wittkamp Pediatrics 13123 E 16th Ave, Aurora, CO 80045-7106 2007-02-26
Find all providers in AURORA

Competitor

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City AURORA
Zip Code 80045

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Dataset Information

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.

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