NPIMap

Organization Active NPI

Healthone Clinic Services - Pediatric Specialties LLC

  • Neurology Physician
  • Eagle, CO
National Provider Identifier
1417618646
Registry record updated Jan 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
HEALTHONE CLINIC SERVICES - PEDIATRIC SPECIALTIES LLC
Practice address
377 Sylvan Lake Rd Ste 110
Eagle, CO 81631-6779
Phone
(303) 226-7459
NPI assigned
Jan 10, 2022
Organization subpart
Yes
Parent organization
HEALTHONE CLINIC SERVICES - PEDIATRIC SPECIALTIES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 10, 2022

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

Authorized official

Name
William M Smitham
Title
Vice President
Phone
(303) 584-8119

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

377 Sylvan Lake Rd Ste 110
Eagle, CO 81631-6779

Mailing address

2000 Health Park Dr
Brentwood, TN 37027-4692
Phone (615) 372-5426

National Provider Directory

National Provider Directory
Tax ID family
Healthone Clinic Services -73 organizations share this tax ID, including this one
Part of
Healthone Clinic Services -

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641772800000",
    "number": "1417618646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 HEALTH PARK DR",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274692",
            "telephone_number": "615-372-5426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 SYLVAN LAKE RD STE 110",
            "city": "EAGLE",
            "state": "CO",
            "postal_code": "816316779",
            "telephone_number": "303-226-7459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHONE CLINIC SERVICES - PEDIATRIC SPECIALTIES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALTHONE CLINIC SERVICES - PEDIATRIC SPECIALTIES LLC",
        "enumeration_date": "2022-01-10",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-06",
        "status": "A",
        "authorized_official_last_name": "SMITHAM",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "303-584-8119"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; 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.