Organization Active NPI

Synchrony Neurologic, PLLC

  • Neurology Physician
  • Centennial, CO
National Provider Identifier
1174952998
Registry record updated Nov 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
45651 Issued in CO
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

Updated by the provider on Nov 2, 2013

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)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.