ADVANCED BRAIN AND SPINE, LLC (NPI# 1952744765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952744765 |
| Entity Type | Organization |
| Organization Name | ADVANCED BRAIN AND SPINE, LLC |
| Other Organization Name | ADVANCED NEUROSURGERY, LLC |
| Practice Address |
6801 S Yosemite St Centennial CO 80112-1406 |
| Mailing Address |
9876 W Freiburg Dr Unit D Littleton CO 80127-5950 |
| Practice Telephone | 3037182868 |
| Practice Fax Number | 7203288764 |
| Mailing Telephone | 3037182868 |
| Mailing Fax Number | 7203288764 |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2015-01-21 |
| Authorized Official Name | DR. ITAY MELAMED (MANAGER) |
| Authorized Official Telephone | 7204255451 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 50908 | CO | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Advanced Neurosurgery, LLC | Former Legal Business Name - Organization |
| Street Address |
6801 S YOSEMITE ST |
| City | CENTENNIAL |
| State | CO |
| Zip Code | 80112-1406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366480816 | Isaac Melamed | Specialist | 6801 S Yosemite St, Centennial, CO 80112-1441 | 2006-06-04 |
| 1245728203 | Mary Heather Pein | Physician Assistant | 6801 S Yosemite St, Centennial, CO 80112-1406 | 2018-04-25 |
| 1104314442 | Julie May Greenwood | Nurse Practitioner | 6801 S Yosemite St, Centennial, CO 80112-1406 | 2018-04-23 |
| 1366969057 | Alexandria Thompson | Nurse Practitioner | 6801 S Yosemite St, Centennial, CO 80112-1406 | 2017-08-24 |
| 1205293552 | Eliana Rai | Nurse Practitioner | 6801 S Yosemite St, Centennial, CO 80112-1406 | 2016-01-18 |
| 1679956668 | Dylan Gallacher | Physician Assistant | 6801 S Yosemite St, Centennial, CO 80112-1406 | 2015-07-08 |
| 1417353004 | Sean Mcgee | Physician Assistant | 6801 S Yosemite St, Centennial, CO 80112-1406 | 2014-11-10 |
| 1700107208 | Edan Sarid | Allergy & Immunology | 6801 S Yosemite St, Centennial, CO 80112-1406 | 2010-06-18 |
| 1326260498 | 1st Allergy, Asthma and Pediatrics Too, Inc. | Specialist | 6801 S Yosemite St, Centennial, CO 80112-1441 | 2007-05-02 |
| 1588787949 | Wilson Farner Glover | Social Worker | 6801 S Yosemite St, Suite 101, Centennial, CO 80112-1441 | 2007-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750921177 | Natalie Jo Stevenson | Social Worker | 12835 E Arapahoe Rd., Tower 2, Suite 400, Centennial, CO 80112 | 2020-01-14 |
| 1033757109 | Sauder Psychology, Inc | Psychologist | 9085 E. Mineral Cir, Suite 235, Centennial, CO 80112 | 2019-12-19 |
| 1588213581 | Myappstorebiz | Special Hospital | 13033 E Adam Aircraft Circle B 53, Englewood, CO 80112 | 2019-09-11 |
| 1669930319 | Linked To Craig 501c3 | Dentist | 9085 E. Mineral Circle, Suite 350, Centennial, CO 80112 | 2019-03-12 |
| 1528538311 | Cherish Mitchell | Behavior Technician | 12660 E Briarwood Ave, Suite 207, Centennial, CO 80112 | 2018-12-05 |
| 1144706920 | Margaret Mary Froehlke | Homemaker | 6278 E Jamison Dr, Centennial, CO 80112 | 2018-07-16 |
| 1376038240 | Elizabeth Ann Dickason | Physician Assistant | 9094 East Mineral Avenue, #100, Englewood, CO 80112 | 2018-06-24 |
| 1770075467 | Dry Creek Surgery Center, LLC | Clinic/Center | 125 Inverness Dr E Ste 150, Englewood, CO 80112 | 2018-05-30 |
| 1639669476 | Uchealth Ambulatory Surgery Centers | Clinic/Center | 175 Inverness Drive West, Englewood, CO 80112 | 2018-05-17 |
| 1427545227 | Patterns Behavioral Services Colorado Inc | Assistant Behavior Analyst | 7600 E Arapahoe Rd Ste 211, Centennial, CO 80112 | 2018-04-17 |
| Find all providers in zip 80112 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568686590 | Thomas C. Ribovich, Md PC | Neurological Surgery | 14100 E Arapahoe Rd Ste 390, Centennial, CO 80112-4048 | 2007-04-12 |
| 1326012436 | Winston Timothy Capel | Neurological Surgery | 6825 S Galena St, Suite 314, Centennial, CO 80112-3715 | 2006-02-15 |
| 1376545277 | Thomas Charles Ribovich | Neurological Surgery | 14100 E Arapahoe Rd, Suite 211, Centennial, CO 80112-4028 | 2005-08-11 |
| 1750581534 | Ticor Medical PC | Neurological Surgery | 14100 E Arapahoe Rd, Ste. 390, Centennial, CO 80112-4028 | 2007-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396358578 | Scl Health Medical Group - Grand Junction, LLC | Neurological Surgery | 350 Market St Unit 1, Basalt, CO 81621-7410 | 2020-08-26 |
| 1154933786 | Neurosurgery One PC | Neurological Surgery | 9695 S Yosemite St Ste 377, Lone Tree, CO 80124-2826 | 2020-08-17 |
| 1477180255 | Healthone Clinic Services - Surgery Neurological LLC | Neurological Surgery | 1721 E 19th Ave Ste 500, Denver, CO 80218-1242 | 2020-03-24 |
| 1497382246 | Neurosurgery One PC | Neurological Surgery | 9397 Crown Crest Blvd Ste 411, Parker, CO 80138-8789 | 2020-03-23 |
| 1013543891 | Scl Health Medical Group - Denver, LLC | Neurological Surgery | 3455 Lutheran Pkwy Ste 285, Wheat Ridge, CO 80033-6034 | 2020-03-12 |
| 1598300790 | Valley View Hospital Association | Neurological Surgery | 0377 Sylvan Lake Rd, Eagle, CO 81631-0129 | 2019-11-12 |
| 1194369926 | Valley View Hospital Association | Neurological Surgery | 350 Market St Unit 200, Basalt, CO 81621-7403 | 2019-11-05 |
| 1326565177 | Fredric M Sonstein Md Mba Pllc | Neurological Surgery | 333 W Hampden Ave Ste 800, Englewood, CO 80110 | 2017-08-23 |
| 1447773601 | Edin Nevzati | Neurological Surgery | 665 Clermont St, Denver, CO 80220-5023 | 2017-07-19 |
| 1306385752 | Resilience Surgical LLC | Neurological Surgery | 99 Inverness Dr E Ste 100, Englewood, CO 80112-5127 | 2017-02-17 |
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| City | CENTENNIAL |
| Zip Code | 80112 |
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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.