Allergy & Asthma Care and Prevention Centers, LLC
Organization Active NPI Allergy Physician · Lone Tree, CO
NPI 1194861641 · NPPES record last updated Nov 15, 2007
Key facts
- NPI
- 1194861641
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Allergy Physician 207KA0200X
- License
- DR16544 (CO)
- Legal business name
- ALLERGY & ASTHMA CARE AND PREVENTION CENTERS, LLC
- Practice address
- 10099 Ridgegate Pkwy
Suite 400
Lone Tree, CO 80124-5531 - Phone
- (303) 706-9923
- Fax
- (303) 706-0904
- NPI assigned
- Jan 30, 2007
- Organization subpart
- No
Authorized official
- Name
- Sanford Avner, M.D.
- Title
- Managing Partner
- Phone
- (303) 706-9923
Practitioners 4
-
Lora Jean Stewart, M.D.
-
Kettie D Meyer, PA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040927000638 | CO | Part B Supplier - Clinic/Group Practice | 5294704359 |
Receives reassigned benefits from 1 practitioner Practice locations: Lone Tree, CO |
National Provider Directory
Locations
10099 Ridgegate Pkwy
Ste 400
Lone Tree, CO 80124
Phone (303) 706-9923
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy Physician |
207KA0200X | DR16544 | CO | Yes |
Addresses
Primary practice location
10099 Ridgegate Pkwy
Suite 400
Lone Tree, CO 80124-5531
Mailing address
10099 Ridgegate Pkwy
Suite 400
Lone Tree, CO 80124-5531
Phone (303) 706-9923
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08523231 | Medicaid | CO |
Other providers in Lone Tree, CO
- All for One Health Center
- Angela N Allen
- James Hunter Allen
- Nancy E Allen
- Travis Allen
- Sara M Alley
- Adam David Almeida
- Donald Francis Almeida
- Alpha Dental Care V PC
- Altitude Eye Care
All providers in Lone Tree, CO · Allergy Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.