Physiom Neuromonitoring Consultants

Primary specialty

Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X

License

470 Issued in CO

Legal business name

PHYSIOM NEUROMONITORING CONSULTANTS

Practice address

10940 S Parker Rd
#130
Parker, CO 80134-7440

Phone

(303) 426-3927

Fax

(720) 876-1315

NPI assigned

Apr 21, 2007

Organization subpart

No

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

Authorized official

Name

Richard A Flores, CNIM

Title

VP

Phone

(303) 426-3927

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1177113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730307307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10940 S PARKER RD",
            "address_2": "#130",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801347440",
            "telephone_number": "303-426-3927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10940 S PARKER RD",
            "address_2": "#130",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801347440",
            "telephone_number": "303-426-3927",
            "fax_number": "720-876-1315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIOM NEUROMONITORING CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "303-426-3927",
        "authorized_official_credential": "CNIM"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": "CO",
            "license": "470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kailey Phelan
• Kimberly R Phelps, PT
• Luke William Phillipi, LPC
• Nicole Phillips
• Physio Pro, Inc.
• Isabelle Piche
• Marcus Omari Pickett
• Kristoffer John Pierson, MFT-C, LPCC
• Kylie N Pillard, PA-C
• Erin Pinegar

• Electroneurodiagnostic Specialist/Technologist in Parker, CO
• Providers in Parker, CO by specialty
• Electroneurodiagnostic Specialist/Technologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.