Pronerve Physicians Il, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

036.126360 Issued in IL

Legal business name

PRONERVE PHYSICIANS IL, LLC

Practice address

7600 E Orchard Rd
200N
Greenwood Village, CO 80111-2520

Phone

(303) 339-1499

Fax

(303) 962-4819

NPI assigned

Mar 27, 2012

Last updated

Jan 29, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. George D Pillari

Title

Ceo

Phone

(720) 536-2388

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Norman C.Y. Wang, M.D.

  • Neurology Physician
  • Phoenix, AZ
  • NPI 1790713907
  NPD (past)

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422489600000",
    "number": "1497021190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 E ORCHARD RD",
            "address_2": "200N",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112520",
            "telephone_number": "303-339-1499",
            "fax_number": "303-962-4819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 E ORCHARD RD",
            "address_2": "200N",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112520",
            "telephone_number": "303-339-1499",
            "fax_number": "303-962-4819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRONERVE PHYSICIANS IL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-27",
        "last_updated": "2015-01-29",
        "status": "A",
        "authorized_official_last_name": "PILLARI",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "720-536-2388",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "036.126360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fredi Shae Prochoda, DNP,MSN, FNP, FPMHNP
• Professional Sports Health LLC
• Progressive Counseling, LLC
• Pronerve
• Pronerve Physicians Ga, LLC
• Pronerve Physicians in,LLC
• Pronerve Physicians NJ LLC
• Pronerve Physicians Wi LTD
• Pronerve, LLC
• Madysen Margaret Provart, AA

• Specialist in Greenwood Village, CO
• Providers in Greenwood Village, CO by specialty
• Specialist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2015; 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.