Corva Clinics, LLC - Gulf Coast

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

CORVA CLINICS, LLC - GULF COAST

Practice address

10233 S Parker Rd
Suite 300
Parker, CO 80134-9314

Phone

(720) 402-3881

NPI assigned

Oct 18, 2012

Organization subpart

No

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

Authorized official

Name

Jerry Simonsen

Title

Ceo

Phone

(720) 402-3881

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Corva Gulf Coast Dialysis Center Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert William Patton Jr., M.D., J.D.

  • Nephrology Physician
  • Dunedin, FL
  • NPI 1821347097
  NPD (past)

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469491200000",
    "number": "1902159684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10233 S PARKER RD",
            "address_2": "SUITE 300",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801349314",
            "telephone_number": "720-402-3881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10233 S PARKER RD",
            "address_2": "SUITE 300",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801349314",
            "telephone_number": "720-402-3881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORVA CLINICS, LLC - GULF COAST",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-18",
        "last_updated": "2016-07-26",
        "status": "A",
        "authorized_official_last_name": "SIMONSEN",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "720-402-3881"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007209200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corva Gulf Coast Dialysis Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chikinkira Cordero
• Heather Cordova, IBCLC
• Emily Lynn Cormier, PT, DPT
• Cornerstone Dental & Orthodontics, LLC
• Kathleen Cortese, D.D.S.
• Kelsey Alyssa Costantine, M.S., CCC-SLP
• Costco Wholesale Corporation
• Costco Wholesale Corporation
• Costco Wholesale Corporation
• Country Home Assisted Living LLC Dba Country Home

• All providers in Parker, CO
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2016; 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.