Colorado Neurology and Epilepsy Clinic, PLLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

50255 Issued in CO

Legal business name

COLORADO NEUROLOGY AND EPILEPSY CLINIC, PLLC

Practice address

206 W. County Line Rd
Ste 320
Highlands Ranch, CO 80129-2321

Phone

(303) 470-9553

Fax

(720) 583-6796

NPI assigned

Jul 17, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Richard Seawell Clemmons, M.D.

Title

Owner/Sole Member

Phone

(303) 470-9553

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342483200000",
    "number": "1396090387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "554 MOONMIST CT",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801265693",
            "telephone_number": "303-470-9553",
            "fax_number": "720-583-6796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 W. COUNTY LINE RD",
            "address_2": "STE 320",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801292321",
            "telephone_number": "303-470-9553",
            "fax_number": "720-583-6796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO NEUROLOGY AND EPILEPSY CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-17",
        "last_updated": "2012-07-17",
        "status": "A",
        "authorized_official_last_name": "CLEMMONS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "SEAWELL",
        "authorized_official_title_or_position": "OWNER/SOLE MEMBER",
        "authorized_official_telephone_number": "303-470-9553",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CO",
            "license": "50255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Neurology Physician in Highlands Ranch, CO
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2012; 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.