Colorado Neurology Center PLLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

49292 Issued in CO

Legal business name

COLORADO NEUROLOGY CENTER PLLC

Practice address

1400 S. Potomac St
#220
Aurora, CO 80012-4522

Phone

(720) 248-5200

Fax

(720) 248-5201

NPI assigned

Oct 23, 2014

Last updated

Jan 30, 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

Dr. Simon C Oh, M.D.NPI 1649236191

Title

Physician/Owner

Phone

(303) 481-0030

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 4

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.

• Deirdre Brett Fraller, DNP, ANP-C, PMHNP-BC

  • Nurse Practitioner
  • Golden, CO
  • NPI 1386908861
  Medicare reassignment NPD
• Jane Elizabeth Pahud, PA-C

  • Physician Assistant
  • Aurora, CO
  • NPI 1487339990
  Medicare reassignment
• Renae Tabin, PA-C

  • Physician Assistant
  • Littleton, CO
  • NPI 1467636787
  Medicare reassignment
• Simon Chin Oh, M.D.

  • Neurology Physician
  • Aurora, CO
  • NPI 1649236191
  Authorized official Same address or phone

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

{
    "created_epoch": "1414022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422576000000",
    "number": "1851796627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 S. POTOMAC ST",
            "address_2": "#220",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124522",
            "telephone_number": "720-248-5200",
            "fax_number": "720-248-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S. POTOMAC ST",
            "address_2": "#220",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124522",
            "telephone_number": "720-248-5200",
            "fax_number": "720-248-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO NEUROLOGY CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-23",
        "last_updated": "2015-01-30",
        "status": "A",
        "authorized_official_last_name": "OH",
        "authorized_official_first_name": "SIMON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "303-481-0030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CO",
            "license": "49292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colorado Hospice and Palliative Care LLC
• Colorado Injury and Pain Center
• Colorado Injury Treatment Center
• Colorado Injury Treatment Center Professional Company (Colorado Injury Treatment Cnt)
• Colorado Medical Supply LLC
• Colorado Occupational Partners, Inc.
• Colorado Orthodontics (Dr. James H. Mason Jr. DDS)
• Colorado Orthopedic Consultants PC
• Colorado Pain & Rehabilitation PLLC
• Colorado Permanente Medical Group, P.C. (Kaiser Permanente Waterpark I)

• Neurology Physician in Aurora, CO
• Providers in Aurora, CO by specialty
• Neurology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.