Active NPI
Synchrony Neurologic, PLLC
- Neurology Physician
- Centennial, CO
National Provider Identifier
1174952998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 45651
- Legal business name
- SYNCHRONY NEUROLOGIC, PLLC
- Practice address
- 7180 E Orchard Rd
Suite 202
Centennial, CO 80111-1724 - Phone
- (303) 771-0107
- Fax
- (303) 991-5961
- NPI assigned
- Nov 2, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kristen Graesser, MD
- Title
- Physician/Managing Member
- Phone
- (303) 771-0107
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 45651 | CO | Primary |
Addresses
Primary practice location
7180 E Orchard Rd
Suite 202
Centennial, CO 80111-1724
Mailing address
7180 E Orchard Rd
Suite 202
Centennial, CO 80111-1724
Phone (303) 771-0107
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology Physician
- Mishawaka, IN
- NPI 1265434112
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383350400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1383350400000",
"number": "1174952998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7180 E ORCHARD RD",
"address_2": "SUITE 202",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801111724",
"telephone_number": "303-771-0107",
"fax_number": "303-991-5961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7180 E ORCHARD RD",
"address_2": "SUITE 202",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801111724",
"telephone_number": "303-771-0107",
"fax_number": "303-991-5961"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SYNCHRONY NEUROLOGIC, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-11-02",
"last_updated": "2013-11-02",
"status": "A",
"authorized_official_last_name": "GRAESSER",
"authorized_official_first_name": "KRISTEN",
"authorized_official_title_or_position": "PHYSICIAN/MANAGING MEMBER",
"authorized_official_telephone_number": "303-771-0107",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CO",
"license": "45651",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Centennial, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.