-
Notifications
You must be signed in to change notification settings - Fork 0
Expand file tree
/
Copy pathTable1.txt
More file actions
123 lines (123 loc) · 303 KB
/
Table1.txt
File metadata and controls
123 lines (123 loc) · 303 KB
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
npi entity_type_code entity_type_code_name replacement_npi employer_identification_number_ein provider_organization_name_legal_business_name provider_last_name_legal_name provider_first_name provider_middle_name provider_name_prefix_text provider_name_suffix_text provider_credential_text provider_other_organization_name provider_other_organization_name_type_code provider_other_organization_name_type_code_name provider_other_last_name provider_other_first_name provider_other_middle_name provider_other_name_prefix_text provider_other_name_suffix_text provider_other_credential_text provider_other_last_name_type_code provider_other_last_name_type_code_name provider_first_line_business_mailing_address provider_second_line_business_mailing_address provider_business_mailing_address_city_name provider_business_mailing_address_state_name provider_business_mailing_address_state_name_name provider_business_mailing_address_postal_code provider_business_mailing_address_country_code_if_outside_us provider_business_mailing_address_country_code_if_outside_us_name provider_business_mailing_address_telephone_number provider_business_mailing_address_fax_number provider_first_line_business_practice_location_address provider_second_line_business_practice_location_address provider_business_practice_location_address_city_name provider_business_practice_location_address_state_name provider_business_practice_location_address_state_name_name provider_business_practice_location_address_postal_code provider_business_practice_location_address_country_code_if_outside_us provider_business_practice_location_address_country_code_if_outside_us_name provider_business_practice_location_address_telephone_number provider_business_practice_location_address_fax_number provider_enumeration_date last_update_date npi_deactivation_reason_code npi_deactivation_reason_code_name npi_deactivation_date npi_reactivation_date provider_gender_code provider_gender_code_name authorized_official_last_name authorized_official_first_name authorized_official_middle_name authorized_official_title_or_position authorized_official_telephone_number healthcare_provider_taxonomy_code_1 provider_license_number_1 provider_license_number_state_code_1 healthcare_provider_primary_taxonomy_switch_1 healthcare_provider_taxonomy_code_2 provider_license_number_2 provider_license_number_state_code_2 healthcare_provider_primary_taxonomy_switch_2 healthcare_provider_taxonomy_code_3 provider_license_number_3 provider_license_number_state_code_3 healthcare_provider_primary_taxonomy_switch_3 healthcare_provider_taxonomy_code_4 provider_license_number_4 provider_license_number_state_code_4 healthcare_provider_primary_taxonomy_switch_4 healthcare_provider_taxonomy_code_5 provider_license_number_5 provider_license_number_state_code_5 healthcare_provider_primary_taxonomy_switch_5 healthcare_provider_taxonomy_code_6 provider_license_number_6 provider_license_number_state_code_6 healthcare_provider_primary_taxonomy_switch_6 healthcare_provider_taxonomy_code_7 provider_license_number_7 provider_license_number_state_code_7 healthcare_provider_primary_taxonomy_switch_7 healthcare_provider_taxonomy_code_8 provider_license_number_8 provider_license_number_state_code_8 healthcare_provider_primary_taxonomy_switch_8 healthcare_provider_taxonomy_code_9 provider_license_number_9 provider_license_number_state_code_9 healthcare_provider_primary_taxonomy_switch_9 healthcare_provider_taxonomy_code_10 provider_license_number_10 provider_license_number_state_code_10 healthcare_provider_primary_taxonomy_switch_10 healthcare_provider_taxonomy_code_11 provider_license_number_11 provider_license_number_state_code_11 healthcare_provider_primary_taxonomy_switch_11 healthcare_provider_taxonomy_code_12 provider_license_number_12 provider_license_number_state_code_12 healthcare_provider_primary_taxonomy_switch_12 healthcare_provider_taxonomy_code_13 provider_license_number_13 provider_license_number_state_code_13 healthcare_provider_primary_taxonomy_switch_13 healthcare_provider_taxonomy_code_14 provider_license_number_14 provider_license_number_state_code_14 healthcare_provider_primary_taxonomy_switch_14 healthcare_provider_taxonomy_code_15 provider_license_number_15 provider_license_number_state_code_15 healthcare_provider_primary_taxonomy_switch_15 other_provider_identifier_1 other_provider_identifier_type_code_1 other_provider_identifier_state_1 other_provider_identifier_issuer_1 other_provider_identifier_2 other_provider_identifier_type_code_2 other_provider_identifier_state_2 other_provider_identifier_issuer_2 other_provider_identifier_3 other_provider_identifier_type_code_3 other_provider_identifier_state_3 other_provider_identifier_issuer_3 other_provider_identifier_4 other_provider_identifier_type_code_4 other_provider_identifier_state_4 other_provider_identifier_issuer_4 other_provider_identifier_5 other_provider_identifier_type_code_5 other_provider_identifier_state_5 other_provider_identifier_issuer_5 other_provider_identifier_6 other_provider_identifier_type_code_6 other_provider_identifier_state_6 other_provider_identifier_issuer_6 other_provider_identifier_7 other_provider_identifier_type_code_7 other_provider_identifier_state_7 other_provider_identifier_issuer_7 other_provider_identifier_8 other_provider_identifier_type_code_8 other_provider_identifier_state_8 other_provider_identifier_issuer_8 other_provider_identifier_9 other_provider_identifier_type_code_9 other_provider_identifier_state_9 other_provider_identifier_issuer_9 other_provider_identifier_10 other_provider_identifier_type_code_10 other_provider_identifier_state_10 other_provider_identifier_issuer_10 other_provider_identifier_11 other_provider_identifier_type_code_11 other_provider_identifier_state_11 other_provider_identifier_issuer_11 other_provider_identifier_12 other_provider_identifier_type_code_12 other_provider_identifier_state_12 other_provider_identifier_issuer_12 other_provider_identifier_13 other_provider_identifier_type_code_13 other_provider_identifier_state_13 other_provider_identifier_issuer_13 other_provider_identifier_14 other_provider_identifier_type_code_14 other_provider_identifier_state_14 other_provider_identifier_issuer_14 other_provider_identifier_15 other_provider_identifier_type_code_15 other_provider_identifier_state_15 other_provider_identifier_issuer_15 other_provider_identifier_16 other_provider_identifier_type_code_16 other_provider_identifier_state_16 other_provider_identifier_issuer_16 other_provider_identifier_17 other_provider_identifier_type_code_17 other_provider_identifier_state_17 other_provider_identifier_issuer_17 other_provider_identifier_18 other_provider_identifier_type_code_18 other_provider_identifier_state_18 other_provider_identifier_issuer_18 other_provider_identifier_19 other_provider_identifier_type_code_19 other_provider_identifier_state_19 other_provider_identifier_issuer_19 other_provider_identifier_20 other_provider_identifier_type_code_20 other_provider_identifier_state_20 other_provider_identifier_issuer_20 other_provider_identifier_21 other_provider_identifier_type_code_21 other_provider_identifier_state_21 other_provider_identifier_issuer_21 other_provider_identifier_22 other_provider_identifier_type_code_22 other_provider_identifier_state_22 other_provider_identifier_issuer_22 other_provider_identifier_23 other_provider_identifier_type_code_23 other_provider_identifier_state_23 other_provider_identifier_issuer_23 other_provider_identifier_24 other_provider_identifier_type_code_24 other_provider_identifier_state_24 other_provider_identifier_issuer_24 other_provider_identifier_25 other_provider_identifier_type_code_25 other_provider_identifier_state_25 other_provider_identifier_issuer_25 other_provider_identifier_26 other_provider_identifier_type_code_26 other_provider_identifier_state_26 other_provider_identifier_issuer_26 other_provider_identifier_27 other_provider_identifier_type_code_27 other_provider_identifier_state_27 other_provider_identifier_issuer_27 other_provider_identifier_28 other_provider_identifier_type_code_28 other_provider_identifier_state_28 other_provider_identifier_issuer_28 other_provider_identifier_29 other_provider_identifier_type_code_29 other_provider_identifier_state_29 other_provider_identifier_issuer_29 other_provider_identifier_30 other_provider_identifier_type_code_30 other_provider_identifier_state_30 other_provider_identifier_issuer_30 other_provider_identifier_31 other_provider_identifier_type_code_31 other_provider_identifier_state_31 other_provider_identifier_issuer_31 other_provider_identifier_32 other_provider_identifier_type_code_32 other_provider_identifier_state_32 other_provider_identifier_issuer_32 other_provider_identifier_33 other_provider_identifier_type_code_33 other_provider_identifier_state_33 other_provider_identifier_issuer_33 other_provider_identifier_34 other_provider_identifier_type_code_34 other_provider_identifier_state_34 other_provider_identifier_issuer_34 other_provider_identifier_35 other_provider_identifier_type_code_35 other_provider_identifier_state_35 other_provider_identifier_issuer_35 other_provider_identifier_36 other_provider_identifier_type_code_36 other_provider_identifier_state_36 other_provider_identifier_issuer_36 other_provider_identifier_37 other_provider_identifier_type_code_37 other_provider_identifier_state_37 other_provider_identifier_issuer_37 other_provider_identifier_38 other_provider_identifier_type_code_38 other_provider_identifier_state_38 other_provider_identifier_issuer_38 other_provider_identifier_39 other_provider_identifier_type_code_39 other_provider_identifier_state_39 other_provider_identifier_issuer_39 other_provider_identifier_40 other_provider_identifier_type_code_40 other_provider_identifier_state_40 other_provider_identifier_issuer_40 other_provider_identifier_41 other_provider_identifier_type_code_41 other_provider_identifier_state_41 other_provider_identifier_issuer_41 other_provider_identifier_42 other_provider_identifier_type_code_42 other_provider_identifier_state_42 other_provider_identifier_issuer_42 other_provider_identifier_43 other_provider_identifier_type_code_43 other_provider_identifier_state_43 other_provider_identifier_issuer_43 other_provider_identifier_44 other_provider_identifier_type_code_44 other_provider_identifier_state_44 other_provider_identifier_issuer_44 other_provider_identifier_45 other_provider_identifier_type_code_45 other_provider_identifier_state_45 other_provider_identifier_issuer_45 other_provider_identifier_46 other_provider_identifier_type_code_46 other_provider_identifier_state_46 other_provider_identifier_issuer_46 other_provider_identifier_47 other_provider_identifier_type_code_47 other_provider_identifier_state_47 other_provider_identifier_issuer_47 other_provider_identifier_48 other_provider_identifier_type_code_48 other_provider_identifier_state_48 other_provider_identifier_issuer_48 other_provider_identifier_49 other_provider_identifier_type_code_49 other_provider_identifier_state_49 other_provider_identifier_issuer_49 other_provider_identifier_50 other_provider_identifier_type_code_50 other_provider_identifier_state_50 other_provider_identifier_issuer_50 is_sole_proprietor is_sole_proprietor_name is_organization_subpart is_organization_subpart_name parent_organization_lbn parent_organization_tin authorized_official_name_prefix_text authorized_official_name_suffix_text authorized_official_credential_text healthcare_provider_taxonomy_group_1 healthcare_provider_taxonomy_group_2 healthcare_provider_taxonomy_group_3 healthcare_provider_taxonomy_group_4 healthcare_provider_taxonomy_group_5 healthcare_provider_taxonomy_group_6 healthcare_provider_taxonomy_group_7 healthcare_provider_taxonomy_group_8 healthcare_provider_taxonomy_group_9 healthcare_provider_taxonomy_group_10 healthcare_provider_taxonomy_group_11 healthcare_provider_taxonomy_group_12 healthcare_provider_taxonomy_group_13 healthcare_provider_taxonomy_group_14 healthcare_provider_taxonomy_group_15 healthcare_provider_primary_taxonomy_switch_1_name healthcare_provider_primary_taxonomy_switch_2_name healthcare_provider_primary_taxonomy_switch_3_name healthcare_provider_primary_taxonomy_switch_4_name healthcare_provider_primary_taxonomy_switch_5_name healthcare_provider_primary_taxonomy_switch_6_name healthcare_provider_primary_taxonomy_switch_7_name healthcare_provider_primary_taxonomy_switch_8_name healthcare_provider_primary_taxonomy_switch_9_name healthcare_provider_primary_taxonomy_switch_10_name healthcare_provider_primary_taxonomy_switch_11_name healthcare_provider_primary_taxonomy_switch_12_name healthcare_provider_primary_taxonomy_switch_13_name healthcare_provider_primary_taxonomy_switch_14_name healthcare_provider_primary_taxonomy_switch_15_name other_provider_identifier_type_code_1_name other_provider_identifier_type_code_2_name other_provider_identifier_type_code_3_name other_provider_identifier_type_code_4_name other_provider_identifier_type_code_5_name other_provider_identifier_type_code_6_name other_provider_identifier_type_code_7_name other_provider_identifier_type_code_8_name other_provider_identifier_type_code_9_name other_provider_identifier_type_code_10_name other_provider_identifier_type_code_11_name other_provider_identifier_type_code_12_name other_provider_identifier_type_code_13_name other_provider_identifier_type_code_14_name other_provider_identifier_type_code_15_name other_provider_identifier_type_code_16_name other_provider_identifier_type_code_17_name other_provider_identifier_type_code_18_name other_provider_identifier_type_code_19_name other_provider_identifier_type_code_20_name other_provider_identifier_type_code_21_name other_provider_identifier_type_code_22_name other_provider_identifier_type_code_23_name other_provider_identifier_type_code_24_name other_provider_identifier_type_code_25_name other_provider_identifier_type_code_26_name other_provider_identifier_type_code_27_name other_provider_identifier_type_code_28_name other_provider_identifier_type_code_29_name other_provider_identifier_type_code_30_name other_provider_identifier_type_code_31_name other_provider_identifier_type_code_32_name other_provider_identifier_type_code_33_name other_provider_identifier_type_code_34_name other_provider_identifier_type_code_35_name other_provider_identifier_type_code_36_name other_provider_identifier_type_code_37_name other_provider_identifier_type_code_38_name other_provider_identifier_type_code_39_name other_provider_identifier_type_code_40_name other_provider_identifier_type_code_41_name other_provider_identifier_type_code_42_name other_provider_identifier_type_code_43_name other_provider_identifier_type_code_44_name other_provider_identifier_type_code_45_name other_provider_identifier_type_code_46_name other_provider_identifier_type_code_47_name other_provider_identifier_type_code_48_name other_provider_identifier_type_code_49_name other_provider_identifier_type_code_50_name healthcare_provider_taxonomy_10_classification healthcare_provider_taxonomy_10_definition healthcare_provider_taxonomy_10_grouping healthcare_provider_taxonomy_10_notes healthcare_provider_taxonomy_10_specialization healthcare_provider_taxonomy_11_classification healthcare_provider_taxonomy_11_definition healthcare_provider_taxonomy_11_grouping healthcare_provider_taxonomy_11_notes healthcare_provider_taxonomy_11_specialization healthcare_provider_taxonomy_12_classification healthcare_provider_taxonomy_12_definition healthcare_provider_taxonomy_12_grouping healthcare_provider_taxonomy_12_notes healthcare_provider_taxonomy_12_specialization healthcare_provider_taxonomy_13_classification healthcare_provider_taxonomy_13_definition healthcare_provider_taxonomy_13_grouping healthcare_provider_taxonomy_13_notes healthcare_provider_taxonomy_13_specialization healthcare_provider_taxonomy_14_classification healthcare_provider_taxonomy_14_definition healthcare_provider_taxonomy_14_grouping healthcare_provider_taxonomy_14_notes healthcare_provider_taxonomy_14_specialization healthcare_provider_taxonomy_15_classification healthcare_provider_taxonomy_15_definition healthcare_provider_taxonomy_15_grouping healthcare_provider_taxonomy_15_notes healthcare_provider_taxonomy_15_specialization healthcare_provider_taxonomy_1_classification healthcare_provider_taxonomy_1_definition healthcare_provider_taxonomy_1_grouping healthcare_provider_taxonomy_1_notes healthcare_provider_taxonomy_1_specialization healthcare_provider_taxonomy_2_classification healthcare_provider_taxonomy_2_definition healthcare_provider_taxonomy_2_grouping healthcare_provider_taxonomy_2_notes healthcare_provider_taxonomy_2_specialization healthcare_provider_taxonomy_3_classification healthcare_provider_taxonomy_3_definition healthcare_provider_taxonomy_3_grouping healthcare_provider_taxonomy_3_notes healthcare_provider_taxonomy_3_specialization healthcare_provider_taxonomy_4_classification healthcare_provider_taxonomy_4_definition healthcare_provider_taxonomy_4_grouping healthcare_provider_taxonomy_4_notes healthcare_provider_taxonomy_4_specialization healthcare_provider_taxonomy_5_classification healthcare_provider_taxonomy_5_definition healthcare_provider_taxonomy_5_grouping healthcare_provider_taxonomy_5_notes healthcare_provider_taxonomy_5_specialization healthcare_provider_taxonomy_6_classification healthcare_provider_taxonomy_6_definition healthcare_provider_taxonomy_6_grouping healthcare_provider_taxonomy_6_notes healthcare_provider_taxonomy_6_specialization healthcare_provider_taxonomy_7_classification healthcare_provider_taxonomy_7_definition healthcare_provider_taxonomy_7_grouping healthcare_provider_taxonomy_7_notes healthcare_provider_taxonomy_7_specialization healthcare_provider_taxonomy_8_classification healthcare_provider_taxonomy_8_definition healthcare_provider_taxonomy_8_grouping healthcare_provider_taxonomy_8_notes healthcare_provider_taxonomy_8_specialization healthcare_provider_taxonomy_9_classification healthcare_provider_taxonomy_9_definition healthcare_provider_taxonomy_9_grouping healthcare_provider_taxonomy_9_notes healthcare_provider_taxonomy_9_specialization
1407821960 1 Individual PRENGER ERIN C DR. D.O. 10700 E. GEDDES AVE SUITE 200 ATTN CREDENTIALING ENGLEWOOD CO COLORADO 80112 US UNITED STATES 3037619190 3037616278 10700 E. GEDDES AVE SUITE 200 ATTN CREDENTIALING ENGLEWOOD CO COLORADO 80112 US UNITED STATES 3037619190 3037616278 2006-02-20 2010-09-29 M Male 2085N0700X 3484 AZ Y 2085R0202X 32827 CO N 2085R0202X 3484 AZ N 481846 05 AZ 84089712600 05 NE 01328277 05 CO 1Z7046 01 AZ HEALTH NET OF AZ XPY193671 01 AZ MEDI-CAL MEDICAID 84059792913 05 NE AZ0861410 01 AZ BCBSAZ N No Yes No No MEDICAID MEDICAID MEDICAID OTHER OTHER MEDICAID OTHER Radiology "A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Neuroradiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1194750752 1 Individual BARKIN SUZANNE Z MD 777 BANNOCK ST MC 7782 DENVER CO COLORADO 802044507 US UNITED STATES 777 BANNOCK ST MC 7782 DENVER CO COLORADO 802044507 US UNITED STATES 3034366000 2006-07-12 2007-07-08 F Female 2085R0202X 27058 CO Y 67750532 05 CO N No Yes MEDICAID Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1871579011 1 Individual BRENNEMAN JANICE K DR. M.D. 10700 E GEDDES AVE NO 200 ENGLEWOOD CO COLORADO 801123800 US UNITED STATES 3037619190 7208744462 501 E HAMPDEN AVE ENGLEWOOD CO COLORADO 801132702 US UNITED STATES 3037619190 7208744462 2005-12-20 2017-04-07 F Female 2085R0202X 22400 CO Y 2085R0202X MD17540 HI N 2085R0202X 04-18349 KS N 2085R0202X 25097 NE N 104686042 05 MI 1871579011 05 CA 84-059792913 05 NE 1871579011 05 WY 053215201 05 TX MD711CO 05 AK 84738022 05 NM 01224005 05 CO 807445600 MEDICAID ID 651886 05 AZ 10025709000 05 NE 1871579011 05 MT 02300190 05 NY 200418380A 05 KS 1871579011 05 UT 1871579011 05 IA 1871579011 05 MN N No Yes No No No MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1154690840 1 Individual WARR ROBERT M.D. 1160 DANCING HORSE DR COLORADO SPRINGS CO COLORADO 809193908 US UNITED STATES 1160 DANCING HORSE DR COLORADO SPRINGS CO COLORADO 809193908 US UNITED STATES 7192827644 2011-12-26 2011-12-26 M Male 2085R0202X H6977 TX Y N No Yes Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1750367702 1 Individual EULE JOHN DR. M.D. 10700 E GEDDES AVE NO 200 ENGLEWOOD CO COLORADO 801123800 US UNITED STATES 501 E HAMPDEN AVE ENGLEWOOD CO COLORADO 801132702 US UNITED STATES 3037619190 2005-12-21 2009-09-30 M Male 2085R0202X 13778 CO Y 117320100 05 WY 84-059792913 05 NE 300094878 01 CO RR MCRE MIC 01137785 05 CO 300094884 01 CO RR MCRE RIA 300094886 01 CO RR MCRE DIA N No Yes MEDICAID MEDICAID OTHER MEDICAID OTHER OTHER Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1417175829 1 Individual HIRASAKI KEN KIYOSHI DR. M.D. 1819 DENVER WEST DRIVE SUITE 101 LAKEWOOD CO COLORADO 80401 US UNITED STATES 3034161360 3034161058 11600 WEST 2ND PLACE LAKEWOOD CO COLORADO 80228 US UNITED STATES 7203210000 7203211621 2007-04-23 2017-02-28 M Male 2085R0202X DR.0055706 CO Y 2085R0202X 28255 OR N 2085R0202X 200400044 NC N 242525 05 OR N No Yes No No MEDICAID Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1821314881 1 Individual CRAWFORD HEATH TAYLOR M.D. PO BOX 223897 PITTSBURGH PA PENNSYLVANIA 152512897 US UNITED STATES 7205015000 3034583997 2490 W 26TH AVE STE 225A DENVER CO COLORADO 802115314 US UNITED STATES 2145908058 2010-04-15 2015-12-15 M Male 2085R0202X DR.0055144 CO Y 390200000X N N No Yes No Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Student in an Organized Health Care Education/Training Program "An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care." "Student, Health Care" [1/1/2005: new]
1487607776 1 Individual PEET GARY J DR. MD 2289 WOODY CREEK CIR LOVELAND CO COLORADO 805385333 US UNITED STATES 2289 WOODY CREEK CIR LOVELAND CO COLORADO 805385333 US UNITED STATES 9702928566 2006-05-18 2016-05-24 M Male 2085R0202X 18077 NE Y N No Yes Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1477696920 1 Individual ADCOCK KIM A DR. MD 2045 FRANKLIN ST DENVER CO COLORADO 802055437 US UNITED STATES 3033384545 2045 FRANKLIN ST DENVER CO COLORADO 802055437 US UNITED STATES 3033384545 2007-02-15 2012-07-20 M Male 2085R0202X 24580 CO Y 002873 01 KAISER-COMMERCIAL NUMBER 01245802 05 CO N No Yes OTHER MEDICAID Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1790930535 1 Individual BOLOURI MARJAN SEDIGHA M.D. 10700 E GEDDES AVE SUITE 200 ENGLEWOOD CO COLORADO 801123800 US UNITED STATES 3037619190 7208744462 501 E HAMPDEN AVE ENGLEWOOD CO COLORADO 801132702 US UNITED STATES 3037619190 7208744462 2008-11-20 2017-04-07 F Female 2085R0202X 53503 CO Y 2085R0202X 17588 HI N 2085R0202X 04-37113 KS N 2085R0202X 27754 NE N 390200000X N 10025709000 05 NE 1002627770 05 NE 1790930535 05 MT 200545800A 05 OK 10026277300 05 NE 1790930535 05 IA 92403328 05 NM 1790930535 05 UT 1790930535 MEDICAID WY 201098850A 05 KS 0000343871 01 HI HMSA ALL PRODUCTS 47184841 05 CO 10026277400 05 NE 10026277500 05 NE 10026277800 05 NE 10026277600 05 NE 935836 05 AZ N No Yes No No No No MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID OTHER MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Student in an Organized Health Care Education/Training Program "An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care." "Student, Health Care" [1/1/2005: new]
1295982056 1 Individual MEYERS MARIANA MD PO BOX 110429 AURORA CO COLORADO 800420429 US UNITED STATES 3034937000 13123 E 16TH AVE AURORA CO COLORADO 800457106 US UNITED STATES 7207771234 2008-08-25 2012-09-19 F Female 2085R0202X 48833 CO Y 78425271 05 CO N No Yes MEDICAID Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1952576332 1 Individual BRYANT JOSHUA ANDREW MD PO BOX 223897 PITTSBURGH PA PENNSYLVANIA 152512897 US UNITED STATES 7205015000 3034583997 11600 W 2ND PL LAKEWOOD CO COLORADO 802281527 US UNITED STATES 7203210000 7203211621 2008-04-25 2017-01-03 M Male 2085R0202X 48574 CO Y 2085R0202X 128046 NC N 78752710 05 CO N No Yes No MEDICAID Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1972614378 1 Individual TSCHUMPER BRIAN A DR. MD 2045 FRANKLIN ST DENVER CO COLORADO 802055437 US UNITED STATES 3033384545 2045 FRANKLIN ST DENVER CO COLORADO 802055437 US UNITED STATES 3033384545 2006-08-31 2010-06-27 M Male 2085R0202X 36022 CO Y 01360221 05 CO 020267 01 CO KAISER COMMERCIAL NUMBER N No Yes MEDICAID OTHER Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1578537890 1 Individual HEISS STEVEN G MD 10700 E GEDDES AVE SUITE 200 ENGLEWOOD CO COLORADO 801123800 US UNITED STATES 3037619190 7208744462 501 E HAMPDEN AVE ENGLEWOOD CO COLORADO 801132702 US UNITED STATES 3037619190 7208744462 2006-02-14 2017-04-07 M Male 2085R0202X 37883 CO Y 2085R0202X 17548 HI N 2085R0202X 04-36430 KS N 2085R0202X 25135 NE N 927220 05 AZ 19005725 05 CO 300103952 01 CO RAILROAD MEDICARE RIA 200503480 A 05 OK 1578537890 05 IA 1578537890 05 MT 1679513196 05 UT 300114292 01 CO RAILROAD MEDICARE MIC 1578537890 MEDICAID WY 84-059792913 05 NE 1578537890 05 CA 10025709000 05 NE 104715968 05 MI 1578537890 05 AL 200428100A 05 KS 85228281 05 NM 99112262 05 WI 1578537890 05 IL N No Yes No No No MEDICAID MEDICAID OTHER MEDICAID MEDICAID MEDICAID MEDICAID OTHER MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1386775658 1 Individual MESSERLI PATRICK MD PO BOX 394 GRETNA NE NEBRASKA 680280394 US UNITED STATES 8774062916 1010 THREE SPRINGS BLVD DURANGO CO COLORADO 813018296 US UNITED STATES 9707642286 2007-03-08 2015-07-07 M Male 2085R0202X 34393 CO Y 825721 05 AZ 84115593603 01 PACIFICARE S0065 05 NM 44285 01 PRESBYTERIAN RAB6508 01 BLUE CROSS BLUE SHIELD 01343938 05 CO 114627100 05 WY 841155936001 01 ROCKY MOUNTAIN HEALTH N No Yes MEDICAID OTHER MEDICAID OTHER OTHER MEDICAID MEDICAID OTHER Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1104897685 1 Individual KERESHI TIBOR DR. M.D. 2 S CASCADE AVE STE 140 COLORADO SPRINGS CO COLORADO 809031604 US UNITED STATES 7198666568 7195382999 1633 MEDICAL CENTER PT COLORADO SPRINGS CO COLORADO 80907 US UNITED STATES 7196674139 7194738843 2006-01-31 2018-07-30 M Male 2085R0202X DR.0059910 CO Y 2085R0202X 043707 CT N N No Yes No Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1558370379 1 Individual DOBROW MALCOLM S MD 10700 E GEDDES AVE STE 200 ENGLEWOOD CO COLORADO 801123861 US UNITED STATES 3037619190 7208744462 1501 S POTOMAC ST AURORA CO COLORADO 800125411 US UNITED STATES 3037619190 7208744462 2006-08-08 2017-04-07 M Male 2085R0202X 20146 CO Y 2085R0202X MD17543 HI N 2085R0202X 04-36296 KS N 2085R0202X 25157 NE N 01201466 05 CO 1679513196 05 UT 179544 05 AZ 84-059792913 05 NE 104686070 05 MI 1558370379 05 WY 2736490 05 OH 1558370379 05 IL 209903806 MEDICAID MO 1558370379 05 IA 200424880A 05 KS 205735801 05 TX 1558370379 05 CA 200425120A 05 OK 99112263 05 WI N No Yes No No No MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1649560731 1 Individual DICKERSON ELLIOT M.D. 10700 E GEDDES AVE STE 200 ENGLEWOOD CO COLORADO 801123861 US UNITED STATES 3037619190 7208744462 10700 E GEDDES AVE STE 200 ENGLEWOOD CO COLORADO 801123861 US UNITED STATES 3037619190 7208744462 2011-04-11 2018-11-13 M Male 2085R0202X 59963 CO Y 2085R0202X A143231 CA N 111257116 01 KS MEDICARE KA3249107 01 KS MEDICARE NA2517108 01 NE MEDICARE 9000159280 05 CO 646400 01 CO MEDICARE 201195600A 05 KS 646494 01 CO MEDICARE 646579 01 CO MEDICARE NA1214130 OTHER NE MEDICARE NA1215131 01 NE MEDICARE 646456 01 CO MEDICARE 646435 01 CO MEDICARE 646349 01 CO MEDICARE N No Yes No OTHER OTHER OTHER MEDICAID OTHER MEDICAID OTHER OTHER OTHER OTHER OTHER OTHER Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1720421613 1 Individual DURST MICHAEL JAMES DR. MD PO BOX 110429 AURORA CO COLORADO 800420429 US UNITED STATES 12605 E 16TH AVE AURORA CO COLORADO 80045 US UNITED STATES 7208480000 2013-04-10 2018-08-27 M Male 2085R0202X DR.0060338 CO Y N No Yes Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1619954450 1 Individual FREI DONALD DR. M.D. 10700 E GEDDES AVE NO 200 ENGLEWOOD CO COLORADO 801123800 US UNITED STATES 3037619190 7208744462 501 E HAMPDEN AVE ENGLEWOOD CO COLORADO 801132702 US UNITED STATES 3037619190 7208744462 2005-12-22 2017-04-07 M Male 2085R0202X 39394 CO Y 2085R0202X 17706 HI N 2085R0202X 04-36340 KS N 2085R0202X 25179 NE N 84-059792913 05 NE 200025510A 05 OK 200025510A 05 OH 89880285 05 NM 699944492A 05 GA 920761 05 AZ 10025709000 05 NE 117404500 05 WY 200259000A MEDICAID KS 60676744 05 CO 104699363 05 MI 1619954450 05 MT 1619954450 05 SD N No Yes No No No MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1861421489 1 Individual RAZIANO RANDALL MICHAEL DR. M.D. PO BOX 1301 MONTROSE CO COLORADO 814021301 US UNITED STATES 9704978416 9704978410 800 S 3RD ST MONTROSE CO COLORADO 814014212 US UNITED STATES 9702492211 9702407745 2006-07-03 2014-05-27 M Male 2085R0202X M3068 TX N 2085R0202X 2005-00599 NC N 2085R0202X MD200087 LA N 2085R0202X ME93539 FL N 2085R0202X 049498 GA N 2085R0202X DR-44856 CO N 2085R0204X DR-44856 CO Y 2085R0204X ME93539 FL N 2085R0204X M3068 TX N 2085R0204X 2005-00599 NC N 2085R0204X MD200087 LA N 2085R0204X 049498 GA N 92927246 05 CO 77732332 05 CO 77032332 05 CO N No No No No No No No Yes No No No No No MEDICAID MEDICAID MEDICAID Radiology "A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology." Vascular & Interventional Radiology Radiology "A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology." Vascular & Interventional Radiology Radiology "A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology." Vascular & Interventional Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology." Vascular & Interventional Radiology Radiology "A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology." Vascular & Interventional Radiology Radiology "A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology." Vascular & Interventional Radiology
1699902569 1 Individual KATTAPURAM TAJ M DR. MD 10700 E GEDDES AVE STE 200 ENGLEWOOD CO COLORADO 801123861 US UNITED STATES 3037619190 7208744462 10700 E GEDDES AVE STE 200 ENGLEWOOD CO COLORADO 80112 US UNITED STATES 3037619190 7208744462 2009-06-17 2019-02-13 F Female 2085R0202X 55404 CO Y 2085R0202X 249947 MA N 390200000X N 758198 01 CO MEDICARE NA1214137 01 NE MEDICARE 758202 01 CO MEDICARE 758199 01 CO MEDICARE 758200 01 CO ME 29307767 05 CO NA2517114 01 NE MEDICARE 758201 01 CO MEDICARE NA1215138 OTHER NE MEDICARE N No Yes No No OTHER OTHER OTHER OTHER OTHER MEDICAID OTHER OTHER Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Student in an Organized Health Care Education/Training Program "An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care." "Student, Health Care" [1/1/2005: new]
1588872303 1 Individual TAN JOSEPH SOONHOW DR. M.D. 10700 E GEDDES AVE SUITE 200 ENGLEWOOD CO COLORADO 801123800 US UNITED STATES 3037619190 7208744462 10700 E GEDDES AVE SUITE 200 ENGLEWOOD CO COLORADO 801123800 US UNITED STATES 3037619190 7208744462 2007-05-18 2017-04-07 M Male 2085R0202X 49147 CO Y 2085R0202X MD17510 HI N 2085R0202X 04-36352 KS N 2085R0202X 25774 NE N 2085R0202X 125-048361 IL N 0062767 05 OH 1588872303 05 WY 1588872303 05 IL 1588872303 05 IA 84059792913 05 NE 1588872303 05 UT 77777875 05 CO 1588872303 05 SD 200503590 A MEDICAID OK 10025709000 05 NE 7617659 05 NC 1588872303 05 MO 619746 05 AZ 84089712600 05 NE N No Yes No No No No MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1760545966 1 Individual ROGAN MICHAEL JOHN DR. M.D. 2008 CARIBOU DR FORT COLLINS CO COLORADO 805254325 US UNITED STATES 9704844757 9704844759 1024 S LEMAY AVE FORT COLLINS CO COLORADO 805243929 US UNITED STATES 9704958600 9704957619 2006-12-18 2015-09-16 M Male 2085R0202X 54430 CO Y 2085R0202X 44073 MN N 2085R0202X 10069A WY N 2085R0202X 042.0011136 VT N 2085R0202X 28106 NE N N No Yes No No No No Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1780922278 1 Individual JOHNSON PAXTON PO BOX 3081 NEDERLAND CO COLORADO 804663081 US UNITED STATES 3032589509 200 COUNTY RD 95J NEDERLAND CO COLORADO 804663081 US UNITED STATES 3032589509 2013-01-18 2013-01-18 M Male 2085R0202X 37757 CO Y Y Yes Yes Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1073758595 1 Individual DOOHER GERALD RICHARD DR. MD PO BOX 2408 1491 WINSLOW RD EDWARDS CO COLORADO 816322408 US UNITED STATES 9709261897 1491 WINSLOW RD EDWARDS CO COLORADO 81632 US UNITED STATES 9709261897 2008-12-12 2008-12-12 M Male 2085R0202X 17200 CO Y Y Yes Yes Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1619953890 1 Individual BELLON RICHARD J DR. M.D. 10700 E GEDDES AVE NO 200 ENGLEWOOD CO COLORADO 801123800 US UNITED STATES 3037619190 7208744462 501 E HAMPDEN AVE ENGLEWOOD CO COLORADO 801132702 US UNITED STATES 3037619190 7208744462 2005-12-19 2017-04-07 M Male 2085R0202X 43552 CO Y 2085R0202X MD17585 HI N 2085R0202X 04-36349 KS N 2085R0202X 25087 NE N P00247190 01 CO RR MEIDCARE RIA P00759816 01 NE RR MCR RIN 121624400 05 WY 62983521 05 NM 200424520A 05 OK 10025709000 05 NE P00307174 01 CO RR MEDICARE MIC 07724012 05 CO 175381 MEDICAID AZ 200418270A 05 KS 84-059792913 05 NE 1679513196 05 UT 1619953890 05 MT 1619953890 05 SD N No Yes No No No OTHER OTHER MEDICAID MEDICAID MEDICAID MEDICAID OTHER MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1245345818 1 Individual KOMPPA GLORIA H MD 777 BANNOCK ST MC 7782 DENVER CO COLORADO 802044507 US UNITED STATES 777 BANNOCK ST MC 7782 DENVER CO COLORADO 802044507 US UNITED STATES 3034366000 2006-08-21 2007-07-08 F Female 2085R0202X 21233 CO Y 01212331 05 CO N No Yes MEDICAID Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1699981241 1 Individual UDESKY RICHARD DR. M.D. PO BOX 3659 EAGLE CO COLORADO 816313659 US UNITED STATES 504 21ST ST GLENWOOD SPRINGS CO COLORADO 816014287 US UNITED STATES 9709457564 2007-05-14 2007-07-09 M Male 2085R0202X 32904 CO Y Y Yes Yes Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1720064629 1 Individual BAKER KIM B M.D. 10700 E GEDDES AVE NO 200 ENGLEWOOD CO COLORADO 801123800 US UNITED STATES 3037619190 7208744462 501 E HAMPDEN AVE ENGLEWOOD CO COLORADO 801132702 US UNITED STATES 3037619190 7208744462 2005-12-22 2017-04-07 M Male 2085R0202X 40737 CO Y 2085R0202X MD17655 HI N 2085R0202X 04-36604 KS N 2085R0202X 25024 NE N 300132612 01 CO MIC RR MCRE 3103277 05 TX 1720064629 05 IA 1720064629 05 WY 001590411 05 PA 920654 05 AZ 0000343772 01 HI HMSA ALL PRODUCTS 104686024 05 MI 200426720A MEDICAID KS 57050791 05 NM MD227CO 05 AK XPY202416 05 CA 1720064629 05 MT 84-059792913 05 NE P00720362 01 NE RR MCR NE 200240900A 05 OK 10025709000 05 NE 300132610 01 CO RIA RR MCRE 63305704 05 CO 1720064629 05 NV N No Yes No No No OTHER MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID OTHER MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID OTHER MEDICAID MEDICAID OTHER MEDICAID MEDICAID Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1306106562 1 Individual CAMPBELL CHASE M.D. PO BOX 912688 DENVER CO COLORADO 802912688 US UNITED STATES 8774062916 7195912745 1400 E BOULDER ST COLORADO SPRINGS CO COLORADO 80909 US UNITED STATES 7193655000 7195912745 2012-05-22 2019-01-10 M Male 207R00000X BP10043077 TX N 2085R0202X DR.0059707 CO Y P02023278 01 RR MEDICARE 1306106562 05 CO 651158 01 CO MEDICARE N No No Yes OTHER MEDICAID OTHER Internal Medicine "A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine." Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1528083276 1 Individual KLINGELHEBER BOB FRED DR. DO 2008 CARIBOU DRIVE FORT COLLINS CO COLORADO 80525 US UNITED STATES 9704844757 9703773386 1024 LEMAY AVENUE FORT COLLINS CO COLORADO 80524 US UNITED STATES 9704958600 9704957619 2006-07-13 2008-01-17 M Male 2085R0202X 19434 CO Y 2085R0202X 419 NE N 2085R0202X 02001615A IN N 2085R0202X 5101006852 MI N 27969599 01 FED COMP DEPT LABOR 78038081 05 CO 98633 01 MEDICARE NEBRASKA CO0211 01 HLTH NET MEDICARE HMO N No Yes No No No OTHER MEDICAID OTHER OTHER Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1396724498 1 Individual STARKEY MICHAEL JOHN DR. MD 1633 MEDICAL CENTER POINT COLORADO SPRINGS CO COLORADO 809071604 US UNITED STATES 7196674139 7194738843 1633 MEDICAL CENTER POINT COLORADO SPRINGS CO COLORADO 809071604 US UNITED STATES 7196674139 7194738843 2006-01-17 2011-10-27 M Male 2085R0202X 44778 CO Y 2085R0202X 33681 AZ N 2085R0202X 025254 LA N 2085R0202X 5370 AK N 00398789 01 RADSOCNORTHAMERICA MEM # 33681 01 AZ ARIZONA STATE LICENSE 025254 01 LA LOUISIANA STATE BOARD LIC 12756041 05 CO 5370 01 AK ALASKA STATE LICENSE BS7237539 01 DEA NUMBER N No Yes No No No OTHER OTHER OTHER MEDICAID OTHER OTHER Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1285625475 1 Individual ESSARY BRENDAN FRANCIS DR. MD 10700 E GEDDES AVE 200 ENGLEWOOD CO COLORADO 801123800 US UNITED STATES 3037619190 7208744462 501 E HAMPDEN AVE ENGLEWOOD CO COLORADO 801132702 US UNITED STATES 3037619190 7208744462 2005-11-04 2017-04-07 M Male 2085R0202X 47377 CO Y 2085R0202X 04-34928 KS N 2085R0202X MD17586 HI N 2085R0202X 25225 NE N 1285625475 05 MT 1285625475 05 IA 7617663 05 NC 84059792913 05 NE 1285625475 05 UT 200424600A 05 OK 200626360A 05 KS 84089712600 05 NE 10025709000 MEDICAID NE Q47377 05 SC 1285625475 05 WY 003129381A 05 GA 95852212 05 CO 15224287 05 NM N No Yes No No No MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1841415742 1 Individual OH RICHARD MD PO BOX 876 AURORA CO COLORADO 800400876 US UNITED STATES 3034937000 12605 E 16TH AVE AURORA CO COLORADO 800452545 US UNITED STATES 7208480000 2007-04-16 2011-01-03 M Male 2085R0202X 46750 CO Y 40077811 05 CO N No Yes MEDICAID Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1013986249 1 Individual WHITAKER JOHN B DR. M.D. 12687 W CEDAR DR SUITE 200 LAKEWOOD CO COLORADO 802282010 US UNITED STATES 3034681395 3034681294 2490 W 26TH AVE SUITE 220 DENVER CO COLORADO 802115314 US UNITED STATES 3034339729 3034800405 2006-03-17 2012-06-29 M Male 2085R0202X 27343 CO Y N No Yes Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1295834067 1 Individual SCHROEDER JOYCE MD PO BOX 17379 DENVER CO COLORADO 802170379 US UNITED STATES 3033884461 3032702174 1400 JACKSON ST DENVER CO COLORADO 802062761 US UNITED STATES 3033884461 3032702174 2006-09-21 2014-01-24 F Female 2085R0202X 44836 CO Y N No Yes Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1649349408 1 Individual HAJIBRAHIM OMAR SALEH DR. MD 19368 QUEENS CRESCENT WAY MONUMENT CO COLORADO 801328413 US UNITED STATES 7195267986 1650 COCHRANE CIR "EVANS ARMY COMMUNITY HOSPITAL, DEPT OF RADIOLOGY" FT CARSON CO COLORADO 809134613 US UNITED STATES 7195267986 2006-11-07 2016-06-09 M Male 207T00000X TRN8131 FL N 2085R0202X 44369 KY Y Y Yes No Yes Neurological Surgery "A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery." Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1285686766 1 Individual BROWN CHARLES W M.D. PO BOX 6247 SNOWMASS VILLAGE CO COLORADO 816156247 US UNITED STATES 8438164549 0401 CASTLE CREEK RD. ASPEN CO COLORADO 81611 US UNITED STATES 8438164549 2006-05-16 2010-04-20 M Male 2085R0202X 48081 CO Y 2085R0202X 19165 SC N 2085R0202X 028509 GA N 85588555 05 CO P00760022 01 CO RR MCR MIC 000321087G 05 GA 1285686766 05 MT 47706252 05 NM 1285686766 05 WY 474618 05 AZ 52237053005 01 GA BCBS CO305926 OTHER CO MEDICARE RIA 84059792913 05 NE 84089712600 05 NE 10025709000 05 NE 200627500A 05 KS N355708 01 GA WELLCARE P00347630 01 RR MEDICARE CO305925 01 CO MEDICARE MIC N No Yes No No MEDICAID OTHER MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID OTHER MEDICAID MEDICAID MEDICAID MEDICAID OTHER OTHER OTHER Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1518910652 1 Individual ROTHBERG ALAN D M.D. 10700 E GEDDES AVE NO 200 ENGLEWOOD CO COLORADO 801123800 US UNITED STATES 501 E HAMPDEN AVE ENGLEWOOD CO COLORADO 801132702 US UNITED STATES 3037619190 2006-05-18 2007-11-01 M Male 2085R0202X 17306 CO Y 922486 05 AZ 01173061 05 CO N No Yes MEDICAID MEDICAID Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1609188358 1 Individual KADIVAR FATEMEH DR. MD 1819 DENVER WEST DR SUITE 101 LAKEWOOD CO COLORADO 804013118 US UNITED STATES 3034161360 3034161058 11600 W 2ND PL LAKEWOOD CO COLORADO 804011527 US UNITED STATES 7203210000 7203211621 2010-07-10 2016-11-01 F Female 207R00000X 244625 MA N 2085R0202X DR.0056759 CO Y N No No Yes Internal Medicine "A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine." Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1831229699 1 Individual SOKOL JOSHUA ROBERT DR. M.D. 11995 SINGLETREE LN STE 500 EDEN PRAIRIE MN MINNESOTA 553445347 US UNITED STATES (952) 595-1301 6122944903 16018 W ELLSWORTH DR GOLDEN CO COLORADO 804016548 US UNITED STATES 9525951100 6122944903 2007-03-07 2017-05-15 M Male 2085R0202X DR-43044 CO Y N No Yes Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1659658292 1 Individual SCHRAMM KRISTOFER MICHAEL M.D. PO BOX 110429 AURORA CO COLORADO 800420429 US UNITED STATES 3034937000 12605 E 16TH AVE AURORA CO COLORADO 800452545 US UNITED STATES 7208480000 2011-11-10 2018-04-24 M Male 207R00000X 57.020569 OH N 2085R0202X DR.0058686 CO N 2085R0204X DR.0058686 CO Y Y Yes 193400000X SINGLE SPECIALTY GROUP No No Yes Internal Medicine "A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine." Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology." Vascular & Interventional Radiology
1336114891 1 Individual NICHOLS ROGER D DR. M.D. 36 GARDEN CTR BROOMFIELD CO COLORADO 800201776 US UNITED STATES 3034650401 1100 BALSAM AVE BOULDER CO COLORADO 803043404 US UNITED STATES 3034650401 3034381351 2006-02-20 2016-03-22 M Male 2085R0202X 35993 CO Y 01359934 05 CO P00071179 01 CO BRI MEDICARE RAILROAD N No Yes MEDICAID OTHER Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1760532634 1 Individual JOHNSON CHRISTOPHER SHANE DR. M.D. 1650 COCHRANE CIR BLDG 7505 FORT CARSON CO COLORADO 809134613 US UNITED STATES 7195262092 1650 COCHRANE CIR BLDG 7505 FORT CARSON CO COLORADO 809134613 US UNITED STATES 7195262092 2007-01-11 2015-02-04 M Male 2085R0202X 15108 NV Y 2085R0202X DR.0053142 CO N 2085R0202X 22762 NE N 2085R0202X 059434 GA N 1760532634 05 NV N No Yes No No No MEDICAID Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1871515734 1 Individual CRNKOVICH FRANCIS M MD 8610 EXPLORER DR STE. 300 COLORADO SPRINGS CO COLORADO 809201058 US UNITED STATES 7199554332 991 SOUTHPARK DR STE. 100 LITTLETON CO COLORADO 801205688 US UNITED STATES 3037948000 2006-07-23 2013-09-09 M Male 2085R0202X 35041 CO Y 01350412 05 CO N No Yes MEDICAID Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1760793848 1 Individual BARTEL SETH-EMIL THOMAS DR. MD 10700 E GEDDES AVE SUITE 200 ENGLEWOOD CO COLORADO 801123800 US UNITED STATES 3037619190 7208744462 501 E HAMPDEN AVE ENGLEWOOD CO COLORADO 801132702 US UNITED STATES 3037619190 7208744462 2010-06-23 2017-04-07 M Male 2085R0202X 56468 CO Y 2085R0202X MD18674 HI N 2085R0202X 04-38797 KS N 2085R0202X 29161 NE N 2085R0202X 2015011442 MO N 0000366344 01 HI RIA HMSA 1760793848 05 MT 82335508 05 NM 1760793848 05 MO 20537859 05 CO 200653200A 05 OK 1760793848 05 UT 201145010A 05 KS 1760793848 MEDICAID WY 1760793848 05 IA N No Yes No No No No OTHER MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1376524355 1 Individual NESSE ANTON STEPHAN MD 4005 WALKER RD COLORADO SPRINGS CO COLORADO 809082347 US UNITED STATES 7194877485 4102 PINION DR U S A F ACADEMY CO COLORADO 808402502 US UNITED STATES 7193335117 2005-11-08 2007-07-08 M Male 2085R0202X 42417 CO Y X Not Answered Yes Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1043432206 1 Individual VARGAS RAFAEL M.D. 11995 SINGLETREE LN STE 500 EDEN PRAIRIE MN MINNESOTA 553445349 US UNITED STATES 9525951301 6122944903 754 ZAMIA CT BOULDER CO COLORADO 803044318 US UNITED STATES 9525951100 6122944903 2007-05-03 2019-01-15 M Male 2085R0202X CDRH.0061385 CO Y 2085R0202X A101742 CA N N No Yes No Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1851326425 1 Individual TALMI DANIT DR. M.D. 11995 SINGLETREE LN SUITE 500 EDEN PRAIRIE MN MINNESOTA 553445347 US UNITED STATES 9525951301 6122944903 8596 E 35TH AVE DENVER CO COLORADO 802383418 US UNITED STATES 9525951100 6122944903 2006-07-12 2014-12-17 F Female 2085R0202X 45712 CO Y 2085R0202X D61038 MD N N No Yes No Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1841421344 1 Individual ABBOTT DAVID MD 1619 N GREENWOOD ST SUITE 103 PUEBLO CO COLORADO 810032644 US UNITED STATES 7195422167 1619 N GREENWOOD ST SUITE 103 PUEBLO CO COLORADO 810032644 US UNITED STATES 7195422167 2009-07-31 2016-03-03 M Male 2085R0202X DR.0054895 CO Y 87829860 05 CO Y Yes Yes MEDICAID Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1104117175 1 Individual KAPTUCH JUSTIN M. DR. MD PO BOX 308 MONTROSE CO COLORADO 814013831 US UNITED STATES 9707650818 9704978410 2351 G RD GRAND JUNCTION CO COLORADO 815059641 US UNITED STATES 9706443237 9706443259 2011-04-26 2016-07-07 M Male 2085R0202X DR.0056620 CO Y 2085R0202X A136921 CA N 498737ZP83 01 CO MEDICARE B PTAN FOR DIAGNOSTIC RADIOLOGY ASSOCIATES P01655474 01 RAILROAD WORKERS MEDICARE FOR DIAGNOSTIC RADIOLOGY ASSOCIATES N No Yes No OTHER OTHER Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1316080401 1 Individual KUHLMANN DARWIN R M.D. 2045 FRANKLIN ST DENVER CO COLORADO 802055437 US UNITED STATES 3033384545 2045 FRANKLIN ST DENVER CO COLORADO 802055437 US UNITED STATES 3033384545 2007-02-15 2013-07-31 M Male 2085R0202X 21750 CO Y 01217504 05 CO 001625 01 CO KAISER COMMERCIAL NUMBER N No Yes MEDICAID OTHER Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1992789127 1 Individual KARSH STEVEN YOUSEF M.D. 1873 S BELLAIRE ST SUITE 420 DENVER CO COLORADO 802224358 US UNITED STATES 3037531191 8300 W 38TH AVE WHEAT RIDGE CO COLORADO 800336005 US UNITED STATES 3034252015 2005-12-01 2013-10-02 M Male 2085R0202X DR33623 CO Y 2085R0202X MD00043888 WA N 2085R0202X O101045126 VA N 2085R0202X D0039977 MD N 2085R0202X MD31271 DC N N No Yes No No No No Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1639116221 1 Individual PORTER DAVID J DR. M.D. 10700 E GEDDES AVE NO 200 ENGLEWOOD CO COLORADO 801123800 US UNITED STATES 3037619190 7208744462 8200 E BELLEVIEW AVE 600 GREENWOOD VILLAGE CO COLORADO 801112803 US UNITED STATES 3037619190 7208744462 2006-06-01 2017-04-07 M Male 2085R0202X 41827 CO Y 2085R0202X 04-36305 KS N 2085R0202X 25146 NE N 10025709000 05 NE 1639116221 05 CA 17205573 05 CO 49400746 05 AZ 104686310 05 MI 1639116221 05 WY 84-059792913 05 NE 171543501 05 TX 200425430A MEDICAID KS 920555 05 AZ N No Yes No No MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1376775940 1 Individual MENGIN OLGA MARIA TELGARSKA DR. MD PO BOX 912688 DENVER CO COLORADO 802912688 US UNITED STATES 8774062916 1400 E BOULDER ST COLORADO SPRINGS CO COLORADO 809095533 US UNITED STATES 7193655000 2009-08-17 2019-01-10 F Female 2085R0202X 14990 RI Y 2085R0202X 125056455 IL N DR.0057818 01 CO STATE LICENSE NUMBER N No Yes No OTHER Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1689659153 1 Individual BARTLETT CHRISTOPHER MD 1011 N WEBER ST COLORADO SPRINGS CO COLORADO 809032466 US UNITED STATES 7195781162 7195781462 1400 E BOULDER ST COLORADO SPRINGS CO COLORADO 809095533 US UNITED STATES 7193655120 7193656860 2005-12-07 2012-08-03 M Male 2085R0202X 25345 CO Y 01253459 05 CO N No Yes MEDICAID Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1437296704 1 Individual COOK BLAZE MD PO BOX 876 AURORA CO COLORADO 800400876 US UNITED STATES 3034937000 12605 E 16TH AVE AURORA CO COLORADO 800452545 US UNITED STATES 7208480000 2007-01-30 2011-01-03 M Male 2085R0202X 46788 CO Y 17586798 05 CO N No Yes MEDICAID Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1386757888 1 Individual MCDANIEL DAVID BORDEN DR. M.D. 947 25 RD GRAND JUNCTION CO COLORADO 815059666 US UNITED STATES 9702439642 2121 NORTH AVE GRAND JUNCTION CO COLORADO 815016428 US UNITED STATES 9702420731 2006-08-17 2007-07-08 M Male 2085R0202X 18668 CO Y N No Yes Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1669797346 1 Individual NICKELL LARRY THOMAS DR. JR. MD 1390 KELLY JOHNSON BLVD COLORADO SPRINGS CO COLORADO 809203908 US UNITED STATES 7195931799 7192653794 2222 N NEVADA AVE COLORADO SPRINGS CO COLORADO 809076819 US UNITED STATES 7195931799 7192653794 2010-04-06 2016-06-10 M Male 2085R0202X DR.0056434 CO Y Y Yes Yes Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1881842755 1 Individual NYBERG ERIC MACKENZIE DR. M.D. PO BOX 110429 AURORA CO COLORADO 800420429 US UNITED STATES 3034937000 12605 E 16TH AVE AURORA CO COLORADO 800452545 US UNITED STATES 7208480000 2008-09-04 2014-06-25 M Male 2085N0700X 48399 TN N 2085R0202X 47652 CO Y 2085R0202X 33442 SC N 390200000X OH N N No No Yes No No Radiology "A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Neuroradiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Student in an Organized Health Care Education/Training Program "An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care." "Student, Health Care" [1/1/2005: new]
1164641387 1 Individual BERGESON DEREK SCOTT DR. MD 1390 KELLY JOHNSON BLVD COLORADO SPRINGS CO COLORADO 809203908 US UNITED STATES 7195931799 7192653794 2222 N NEVADA AVE COLORADO SPRINGS CO COLORADO 809076819 US UNITED STATES 7195931799 7192653794 2007-04-25 2007-07-08 M Male 2085R0202X 45556 CO Y N No Yes Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1780864033 1 Individual BROWNING CAROL ANN TENNENT MD 1746 COLE BLVD STE 150 LAKEWOOD CO COLORADO 804013267 US UNITED STATES 3039148800 3037163777 1746 COLE BLVD STE 150 LAKEWOOD CO COLORADO 80401 US UNITED STATES 3039148800 3037163777 2007-11-05 2018-08-03 F Female 2085P0229X DR.0055361 CO N 2085R0202X DR.0055361 CO Y N No No Yes Radiology "A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Pediatric Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1871889527 1 Individual WARNER CHRISTOPHER BRETT M.D. 1960 OGDEN ST SUITE 400 DENVER CO COLORADO 802181022 US UNITED STATES 3033181540 3033182481 1960 OGDEN ST SUITE 400 DENVER CO COLORADO 802181022 US UNITED STATES 3033181540 3033182481 2011-06-21 2016-11-17 M Male 2085R0202X 32489 OK Y 390200000X TL-3909 CO N N No Yes No Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Student in an Organized Health Care Education/Training Program "An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care." "Student, Health Care" [1/1/2005: new]
1922202506 1 Individual PARADA ANDREA N DR. MD 1746 COLE BLVD STE 150 LAKEWOOD CO COLORADO 804013208 US UNITED STATES 3039148800 3037163777 1746 COLE BLVD STE 150 LAKEWOOD CO COLORADO 804013208 US UNITED STATES 3039148800 3037163777 2007-06-14 2016-02-03 F Female 2085R0202X DR.0052139 CO Y 3885456392 01 MYUTMB 3885456392-COMMERCIAL NUMBER N No Yes OTHER Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1710938311 1 Individual WINN CHARLES E. DR. II MD 938 BANNOCK ST SUITE 300 DENVER CO COLORADO 802044028 US UNITED STATES 3039148800 938 BANNOCK ST SUITE 300 DENVER CO COLORADO 802044028 US UNITED STATES 3039148800 2006-05-16 2008-12-16 M Male 2085R0202X 19199 CO Y 2085R0202X 36455 NC N 8988531 05 NC BW3745974 01 DEA 01191998 05 CO N No Yes No MEDICAID OTHER MEDICAID Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1366708000 1 Individual RO MARYANN DR. MD PO BOX 110429 AURORA CO COLORADO 800420429 US UNITED STATES 12605 E 16TH AVE AURORA CO COLORADO 80045 US UNITED STATES 7208480000 2012-04-06 2018-08-16 F Female 2085R0202X DR.0060640 CO Y N No Yes Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1962623447 1 Individual JACOBSON BRENT R DO 13737 NOEL RD STE 1600 ATTN: RAYS DALLAS TX TEXAS 752401374 US UNITED STATES 3039338270 2147122002 8647 COACHLIGHT WAY LITTLETON CO COLORADO 801259651 US UNITED STATES 3039338270 2147122002 2007-05-01 2013-06-24 M Male 2085R0202X DR-50945 CO Y 2085R0202X 4176 IA N 2085R0202X 125-051980 IL N N No Yes No No Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1437192705 1 Individual SACCOMANNO BERNEDETTE DR. MD 2045 N FRANKLIN ST DENVER CO COLORADO 802055437 US UNITED STATES 3033384545 2045 N FRANKLIN ST DENVER CO COLORADO 802055437 US UNITED STATES 3033384545 2006-06-14 2015-11-10 F Female 207P00000X 44450 CO N 207P00000X ME 80780 FL N 2085B0100X 0044450 CO N 2085R0202X 0044450 CO Y 60702087 05 CO 026467 01 CO KAISER COMMERCIAL NUMBER 58758 01 FL BLUECROSS BLUESHIELD 79721206 05 CO N No No No No Yes MEDICAID OTHER OTHER MEDICAID Emergency Medicine "An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source]<br/><br/>Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine." Emergency Medicine "An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source]<br/><br/>Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine." Radiology A Radiology doctor of Osteopathy that specializes in Body Imaging. Allopathic & Osteopathic Physicians "Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty." Body Imaging Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1336126184 1 Individual GAYNOR LAURENCE F DR. M.D 10700 E GEDDES AVE NO 200 ENGLEWOOD CO COLORADO 801123800 US UNITED STATES 3037619190 3037616278 501 E HAMPDEN AVE ENGLEWOOD CO COLORADO 801132702 US UNITED STATES 3037619190 2005-12-22 2014-07-07 M Male 2085R0202X 18133 CO Y 053216001 01 TX TX MEDICAID 84-059792913 05 NE 7100227240 05 KY 300089928 01 CO RR MCRE MIC 300049135 01 CO RR MCRE RIA 100257090000 05 NE 1336126184 05 WY 200410090A 05 KS 2316265 MEDICAID LA 01181338 05 CO 100017792 05 WI 414545970A 01 GA GA MEDICAID 922121 01 AZ AZ MEDICAID 1336126184 05 UT 179782001 05 AR XPY201227 01 CA CA MEDICAID 1336126184 05 IL 200424900A 05 OK 02555484 01 NY NY MEDICAID 104686150 01 MI MI MEDICAID 7617666 05 NC 84073331 05 NM N No Yes OTHER MEDICAID MEDICAID OTHER OTHER MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID OTHER OTHER MEDICAID MEDICAID OTHER MEDICAID MEDICAID OTHER OTHER MEDICAID MEDICAID Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1336151026 1 Individual LEWIN JOHN M. M.D. 938 BANNOCK ST STE 300 DENVER CO COLORADO 802044028 US UNITED STATES 3039148800 3037163777 938 BANNOCK ST STE 300 DENVER CO COLORADO 802044028 US UNITED STATES 3039148800 3037163777 2006-08-12 2008-03-05 M Male 2085R0202X 34514 CO Y 01345149 05 CO Y Yes Yes MEDICAID Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1629205042 1 Individual BOSCHINI FERNANDO J. MD 1873 S BELLAIRE ST SUITE 420 DENVER CO COLORADO 802224358 US UNITED STATES 3037531191 3037536636 8300 W 38TH AVE WHEAT RIDGE CO COLORADO 800336005 US UNITED STATES 3034252015 2009-06-11 2015-07-28 M Male 2085R0202X DR.0054939 CO Y N No Yes Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1841380359 1 Individual VANWAGENEN FARREL K DR. MD PO BOX 2989 COLORADO SPRINGS CO COLORADO 809012989 US UNITED STATES 7195931799 7192653794 2222 N NEVADA AVE COLORADO SPRINGS CO COLORADO 809076819 US UNITED STATES 7195931799 7192653794 2006-10-13 2007-07-08 M Male 2085R0202X 36025 CO Y N No Yes Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1720094139 1 Individual DUNPHY THOMAS ROBERT DR. MD 2008 CARIBOU DR FORT COLLINS CO COLORADO 805254325 US UNITED STATES 9704844757 9704844759 1024 LEMAY AVE FORT COLLINS CO COLORADO 80524 US UNITED STATES 9704958600 9704957619 2006-07-31 2015-09-14 M Male 2085R0202X 41377 CO Y 2085R0202X 22603 NE N 2085R0202X 7598A WY N N No Yes No No Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1538152038 1 Individual NUSSER CHRISTOPHER A M.D. 36 GARDEN CTR BROOMFIELD CO COLORADO 800201776 US UNITED STATES 3034650401 3034381351 1100 BALSAM AVE RADIOLOGY BOULDER CO COLORADO 803043404 US UNITED STATES 3034650401 3034381351 2005-08-30 2016-03-22 M Male 2085R0202X 38311 CO Y 51055341 05 CO N No Yes MEDICAID Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1851372866 1 Individual KIRKPATRICK AARON DR. M.D. 10700 E GEDDES AVE SUITE 200 ENGLEWOOD CO COLORADO 801123800 US UNITED STATES 3037619190 7208744462 10700 E GEDDES AVE SUITE 200 ENGLEWOOD CO COLORADO 801123800 US UNITED STATES 3037619190 7208744462 2005-11-08 2017-05-08 M Male 2085R0202X 57534 CO Y 2085R0202X MD19001 HI N 2085R0202X 04-31319 KS N 2085R0202X 29763 NE N 2085R0202X N2148 TX N N2148 01 TX TEXAS MEDICAL LICENSE P01389303 01 TX RAILROAD MEDICARE P01389294 01 TX RAILROAD MEDICARE 31605818 05 CO 3396111-01 05 TX 3396111-03 05 TX 3396111-02 05 TX N No Yes No No No No OTHER OTHER OTHER MEDICAID MEDICAID MEDICAID MEDICAID Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1730161563 1 Individual ABRAHAM WILLIAM P M.D. 16262 HOBSON PL MONUMENT CO COLORADO 801326085 US UNITED STATES 7194878848 4102 PINION DR SUITE 100 U S A F ACADEMY CO COLORADO 808402502 US UNITED STATES 7193335170 2005-11-17 2009-02-12 M Male 2085R0202X 30478 CO Y N No Yes Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1073819215 1 Individual FULTON RICHARD EUSTIS DR. III M.D. 1556 WELLINGTON AVE GRAND JUNCTION CO COLORADO 815018233 US UNITED STATES 9702414406 1556 WELLINGTON AVE GRAND JUNCTION CO COLORADO 815018233 US UNITED STATES 9702414406 2011-02-06 2011-02-06 M Male 2085R0202X 17480 CO Y 17480 01 CO STATE LICENSE NUMBER Y Yes Yes OTHER Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1750390159 1 Individual WHITING ERIC DOUGLAS MD PO BOX 2989 COLORADO SPRINGS CO COLORADO 809012989 US UNITED STATES 7195931799 7192653794 2222 N NEVADA AVE COLORADO SPRINGS CO COLORADO 809076819 US UNITED STATES 7195931799 7192653794 2006-08-05 2016-03-08 M Male 2085R0202X 2002-01640 NC Y 48302 01 CO MEDICAL LICENSE BW9760249 01 DEA N No Yes OTHER OTHER Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1053442228 1 Individual DELACEY JONATHAN H MD PO BOX 394 GRETNA NE NEBRASKA 680280394 US UNITED STATES 8774062916 7195912745 1010 THREE SPRINGS BLVD DURANGO CO COLORADO 813018296 US UNITED STATES 9707642286 2007-03-08 2015-07-07 M Male 2085R0202X 39324 CO Y 5302835 05 CA RAB6508 01 CO BLUE CROSS BLUE SHIELD 34106839 05 CO 825705 05 AZ F2427 05 NM 84115593607 01 CO ROCKY MOUNTAIN HEALTH 69185 01 PRESBYTERIAN 84115593607 01 PACIFICARE T0334 MEDICAID UT N No Yes MEDICAID OTHER MEDICAID MEDICAID MEDICAID OTHER OTHER OTHER Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1770922676 1 Individual PARK BENJAMIN ROSS D.O. 1650 COCHRANE CIR # B7500 FORT CARSON CO COLORADO 809134613 US UNITED STATES 7195267300 1650 COCHRANE CIR # B7500 FORT CARSON CO COLORADO 80913 US UNITED STATES 7195267300 2013-06-24 2018-10-02 M Male 2085R0202X 1309 NE Y 390200000X N N No Yes No Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Student in an Organized Health Care Education/Training Program "An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care." "Student, Health Care" [1/1/2005: new]
1073587689 1 Individual HOLLANDER DAVID S MD 7505 METRO BLVD STE 400 EDINA MN MINNESOTA 554393010 US UNITED STATES 6125732200 6125732274 2392 JUNIPER HILL DR ASPEN CO COLORADO 81611 US UNITED STATES 6125732200 2006-02-13 2018-06-28 M Male 2085R0202X 58056 MN Y 2085R0202X DR.0033888 CO N 02246266 05 NY 300093047 01 CO RAILROAD MEDICARE MIC 200425790A 05 KS 300090907 01 CO RAILROAD MEDICARE DIA XPY202951 05 CA 01338888 05 CO 117241700 05 WY 200364620 05 CO 80955754 MEDICAID NM 84-059792913 05 NE 64048549 05 KY 300077643 01 CO RAILROAC MEDICARE RIA 42881401 05 AZ 104705999 05 MI N No Yes No MEDICAID OTHER MEDICAID OTHER MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID OTHER MEDICAID MEDICAID Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1083700397 1 Individual MAJOR NANCY M DR. MD PO BOX 110429 AURORA CO COLORADO 800420429 US UNITED STATES 3034937000 12605 E 16TH AVE SUITE 303 AURORA CO COLORADO 800452545 US UNITED STATES 7208480000 2006-10-05 2016-10-18 F Female 2085R0202X DR.0057558 CO Y 2085R0202X MD438102 PA N 2085R0202X 96-00626 NC N 8954952 05 NC N No Yes No No MEDICAID Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1457449126 1 Individual LYDERS ERIC M DR. MD 1746 COLE BLVD SUITE 150 LAKEWOOD CO COLORADO 804013208 US UNITED STATES 3039148800 3037163777 1746 COLE BLVD SUITE 150 LAKEWOOD CO COLORADO 804013208 US UNITED STATES 3039148800 3037163777 2006-10-10 2012-05-01 M Male 2085R0202X 50047 CO Y 2085R0202X 200601249 NC N 2085R0202X 0101247400 VA N 5905343 05 NC N No Yes No No MEDICAID Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1821183211 1 Individual JOHNSON TRYSTAIN D. M.D. 938 BANNOCK ST STE 300 DENVER CO COLORADO 80204 US UNITED STATES 3039148800 3037163777 938 BANNOCK ST STE 300 DENVER CO COLORADO 80204 US UNITED STATES 3039148800 3037163777 2006-10-03 2010-08-04 M Male 2085R0202X 41529 CO Y 49537563 05 CO Y Yes Yes MEDICAID Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1215981808 1 Individual KLINGENSMITH WILLIAM MD PO BOX 110429 AURORA CO COLORADO 800420429 US UNITED STATES 3034937000 12605 E 16TH AVE AURORA CO COLORADO 800452545 US UNITED STATES 7208480000 2006-05-19 2012-10-02 M Male 2085R0202X 16256 CO Y 01162569 05 CO N No Yes MEDICAID Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1780883835 1 Individual CHIANG JING-TZYH ALAN MD 10700 E GEDDES AVE STE 200 ENGLEWOOD CO COLORADO 801123861 US UNITED STATES 3037619190 7208744462 10700 E GEDDES AVE STE 200 ENGLEWOOD CO COLORADO 801123861 US UNITED STATES 3037619190 7208744462 2007-07-17 2017-04-07 M Male 2085R0202X 53610 CO Y 2085R0202X 04-37256 KS N 2085R0202X 27901 NE N 2085R0202X MD18394 HI N 2085R0202X A110622 CA N 61788261 05 CO 1780883835 05 UT 10026277600 05 NE 10026277800 05 NE 942933 05 AZ 69157561 05 NM 10026277700 05 NE 10026277400 05 NE 10026277500 MEDICAID NE 200551150A 05 OK 10025709000 05 NE 1780883835 05 WY 1780883835 05 MT 10026277300 05 NE 1780883835 05 IA 201101030A 05 KS N No Yes No No No No MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1124044565 1 Individual GIBSON MERLYN D MD 11995 SINGLETREE LN STE 500 EDEN PRAIRIE MN MINNESOTA 553445347 US UNITED STATES 9525951301 6122944903 1765 TIVERTON AVE BROOMFIELD CO COLORADO 800239310 US UNITED STATES 9525951100 6122944903 2006-07-15 2016-04-14 M Male 2085R0202X DR.0024218 CO Y 2085R0202X 21787 NE N N No Yes No Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1700976354 1 Individual ASLESON RUSSELL J DR. MD PO BOX 2989 COLORADO SPRINGS CO COLORADO 809012989 US UNITED STATES 7195931799 7192653794 2222 N NEVADA AVE COLORADO SPRINGS CO COLORADO 809076819 US UNITED STATES 7195931799 7192653794 2006-10-13 2007-07-08 M Male 2085R0202X 30061 CO Y N No Yes Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1851352371 1 Individual PETTIS CHRISTOPHER RYAN DR. MD 1746 COLE BLVD STE 150 LAKEWOOD CO COLORADO 804013267 US UNITED STATES 3039148800 3037163777 1746 COLE BLVD STE 150 LAKEWOOD CO COLORADO 80401 US UNITED STATES 3039148800 3037163777 2006-04-01 2018-07-27 M Male 2085R0202X DR.0060386 CO Y 2085R0202X 0116017273 VA N 2085R0202X ME105918 FL N 002429100 05 FL N No Yes No No MEDICAID Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1457504268 1 Individual BEFERA NICHOLAS T MD 1746 COLE BLVD STE 150 LAKEWOOD CO COLORADO 804013267 US UNITED STATES 3039148800 3037163777 1746 COLE BLVD STE 150 LAKEWOOD CO COLORADO 80401 US UNITED STATES 3039148800 3037163777 2008-10-24 2018-07-27 M Male 2085R0202X DR.0057455 CO Y 2085R0204X DR.0057455 CO N N No Yes No Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology." Vascular & Interventional Radiology
1922141472 1 Individual FRIEFELD GEOFFREY D M.D. 2045 FRANKLIN ST DENVER CO COLORADO 802055437 US UNITED STATES 3033384545 2045 FRANKLIN ST DENVER CO COLORADO 802055437 US UNITED STATES 3033384545 2007-02-15 2012-12-15 M Male 2085R0202X 23937 CO Y 01239375 05 CO 003476 01 CO KAISER IDENTIFICATION NUM N No Yes MEDICAID OTHER Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1801063730 1 Individual VALLADARES OTERO ANGELA M.D. PO BOX 110429 AURORA CO COLORADO 800420429 US UNITED STATES 3034937000 "12631 EAST 17TH AVENUE. AO1, RM 2414." ANSCHUTZ MEDICAL CAMPUS. RADIOLOGY AURORA CO COLORADO 800452816 US UNITED STATES 3037241980 3037241983 2008-05-09 2013-04-24 F Female 2085R0202X 51154 CO Y 12155063 05 CO Y Yes Yes MEDICAID Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1427072032 1 Individual ISAACS PAMELA K DO 777 BANNOCK ST MC 7782 DENVER CO COLORADO 802044507 US UNITED STATES 777 BANNOCK ST MC 7782 DENVER CO COLORADO 802044507 US UNITED STATES 3034366000 2006-07-27 2007-07-08 F Female 2085R0202X 31778 CO Y 01317783 05 CO N No Yes MEDICAID Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1265740062 1 Individual TOLLEY MARC D M.D 4102 PINION DR USAF ACADEMY CO COLORADO 808402502 US UNITED STATES 7193335274 4102 PINION DR USAF ACADEMY CO COLORADO 80840 US UNITED STATES 7193335274 2010-09-15 2018-08-02 M Male 2085R0202X 8874108-1205 UT Y Y Yes Yes Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1669474896 1 Individual HEGSTROM TODD E. DR. MD PO BOX 308 MONTROSE CO COLORADO 814020308 US UNITED STATES 9704978416 9704678410 2351 G RD GRAND JUNCTION CO COLORADO 815059641 US UNITED STATES 9706443237 9706443259 2005-06-01 2017-11-27 M Male 2085R0202X DR.0025745 CO Y 74609858 05 CO N No Yes MEDICAID Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1619992369 1 Individual MARKEL CURTIS L DR. MD 2008 CARIBOU DRIVE FORT COLLINS CO COLORADO 80525 US UNITED STATES 9704844757 9703773386 1024 LEMAY AVE FORT COLLINS CO COLORADO 80524 US UNITED STATES 9704957619 9704958600 2006-07-13 2015-09-16 M Male 2085R0202X 38672 CO Y 2085R0202X 7605A WY N 2085R0202X 23172 NE N N No Yes No No Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1073595831 1 Individual SHERMAN JOHN L M.D. 69 W BOULDER ST COLORADO SPRINGS CO COLORADO 809033371 US UNITED STATES 7193891106 7193891180 69 W BOULDER ST COLORADO SPRINGS CO COLORADO 809033371 US UNITED STATES 7193891106 7193891180 2005-11-17 2008-10-27 M Male 2085R0202X 30784 CO Y 1307842 05 CO Y Yes Yes MEDICAID Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1942286992 1 Individual ESOLA CHRISTINE DR. M.D. 1873 S BELLAIRE ST SUITE 420 DENVER CO COLORADO 802224358 US UNITED STATES 3037531191 3037536636 8300 W 38TH AVE WHEAT RIDGE CO COLORADO 800336005 US UNITED STATES 3034252015 2005-12-21 2013-10-17 F Female 2085R0202X 36217 CO Y N No Yes Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1336186022 1 Individual LUETHKE JAMES M.D. 10700 E GEDDES AVE NO 200 ENGLEWOOD CO COLORADO 801123800 US UNITED STATES 3037619190 7208744462 501 E HAMPDEN AVE ENGLEWOOD CO COLORADO 801132702 US UNITED STATES 3037619190 7208744462 2006-06-01 2017-04-07 M Male 2085R0202X 28343 CO Y 2085R0202X 04-36708 KS N 2085R0202X 25141 NE N 10025709000 05 NE 300050302 01 CO RR RIA MEDICARE 01283431 05 CO 1336186022 05 WY 84-059792913 05 NE 36206873 05 NM 1336186022 05 IA 200025590A 05 OK 104686258 MEDICAID MI 1336186022 05 CA 1336186022 05 SD 300090472 01 CO RR MIC MEDICARE 200254510A 05 KS 908376 05 AZ 1336186022 05 MT N No Yes No No MEDICAID OTHER MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID OTHER MEDICAID MEDICAID MEDICAID Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1033162433 1 Individual HSU STEPHANIE C M.D. PO BOX 110429 AURORA CO COLORADO 800420429 US UNITED STATES 3034937000 13123 E 16TH AVE AURORA CO COLORADO 800457106 US UNITED STATES 7207771234 2006-05-18 2012-08-16 F Female 2080P0205X DR45467 CO Y 2085R0202X D57446 MD N 407242100 05 MD N No Yes No MEDICAID Pediatrics "A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics." Pediatric Endocrinology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1841253986 1 Individual WEILAND DAVID ARMIN MD PO BOX 223897 PITTSBURGH PA PENNSYLVANIA 152512897 US UNITED STATES 7205015000 3034583997 11600 W 2ND PL LAKEWOOD CO COLORADO 802281527 US UNITED STATES 7203210000 7203211621 2006-04-10 2017-01-04 M Male 2085N0700X MD428685 PA N 2085N0700X 46161 CO N 2085R0202X 46161 CO Y 2085R0202X MD428685 PA N P00462989 01 CO RAILROAD MEDICARE 71001701 05 CO N No No No Yes No OTHER MEDICAID Radiology "A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Neuroradiology Radiology "A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Neuroradiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1962558544 1 Individual WANEBO KEVIN MD 1122 GRAPE ST DENVER CO COLORADO 802204431 US UNITED STATES 3033338174 UNIVERSITY OF COLORADO AT DENVER AND HEALTH SCIENCES CE 4200 E. 9TH AVE. DENVER CO COLORADO 802620001 US UNITED STATES 7208481115 2007-01-26 2007-07-10 M Male 2085R0202X 45571 CO Y N No Yes Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1790976462 1 Individual SCHMITZ MATTHEW D DR. M.D. 1746 COLE BLVD SUITE 150 LAKEWOOD CO COLORADO 804013208 US UNITED STATES 3039148800 3037163777 1746 COLE BLVD SUITE 150 LAKEWOOD CO COLORADO 804013208 US UNITED STATES 3039148800 3037163777 2007-08-07 2017-01-25 M Male 2085P0229X 52347 CO Y 2085P0229X A120380 CA N 2085R0202X DR.0052347 CO N N No Yes No No Radiology "A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Pediatric Radiology Radiology "A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Pediatric Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1558317255 1 Individual OBREGON RICHARD G M.D. 10700 E GEDDES AVE NO 200 ENGLEWOOD CO COLORADO 801123800 US UNITED STATES 3037619190 7208744462 501 E HAMPDEN AVE ENGLEWOOD CO COLORADO 801132702 US UNITED STATES 3037619190 7208744462 2006-05-25 2017-04-07 M Male 2085R0202X 31650 CO Y 2085R0202X 17557 HI N 2085R0202X 04-36342 KS N 2085R0202X 25000 NE N 84-059792913 05 NE 0597955 05 IA 200425600A 05 KS 204669001 05 TX 0000343806 01 HI HMSA ALL PRODUCTS 300110201 01 CO RR MIC MEDICARE 925993 05 AZ 104686276 05 MI 1558317255 MEDICAID AL 300105010 01 CO RR RIA MEDICARE P00720351 01 NE RR MCR NE 1558317255/2975482 05 OH 1558317255 05 NV 01316504 05 CO 10025709000 05 NE 1558317255 05 WY 1558317255 05 CA 99112118 05 WI N No Yes No No No MEDICAID MEDICAID MEDICAID MEDICAID OTHER OTHER MEDICAID MEDICAID OTHER OTHER MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1891040689 1 Individual STONE SHAWN T M.D. 12401 E 17TH AVE MAIL STOP L-954 AURORA CO COLORADO 800452548 US UNITED STATES (303) 372-6539 3033726539 12401 E 17TH AVE MAIL STOP L-954 AURORA CO COLORADO 800452548 US UNITED STATES 3033726539 2012-07-17 2017-07-09 M Male 2085R0202X DR.0058120 CO Y 2085R0202X 28626 NE N N No Yes No Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1104072974 1 Individual SHEPHERD SUZANNE MARIE MD 2008 CARIBOU DR FORT COLLINS CO COLORADO 805254325 US UNITED STATES 9704844757 9704844759 1024 S LEMAY AVE FORT COLLINS CO COLORADO 805243929 US UNITED STATES 9704957000 9704957639 2008-08-13 2018-03-17 F Female 2085R0202X DR.0054631 CO Y 2085R0202X A110874 CA N Y Yes Yes No Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1134173610 1 Individual LINGAM-NATTAMAI SHARMILA M.D. 10700 E GEDDES AVE NO 200 ENGLEWOOD CO COLORADO 801123800 US UNITED STATES 3037619190 7208744462 501 E HAMPDEN AVE ENGLEWOOD CO COLORADO 801132702 US UNITED STATES 3037619190 7208744462 2006-05-20 2017-04-07 F Female 2085R0202X 42897 CO Y 2085R0202X 17474 HI N 2085R0202X 04-36477 KS N 2085R0202X 25350 NE N 104699480 05 MI 1134173610 05 CA 2191292 05 LA 99112264 05 WI 200424580A 05 OK 1134173610 05 WY 200417120A 05 KS 84-059792913 05 NE 1134173610 MEDICAID UT 1134173610 05 SD 86235265 05 NM 1134173610 05 CT 1134173610 05 IA 02023563 05 CO 10025709000 05 NE 175464 05 AZ 1134173610 05 TX N No Yes No No No MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID MEDICAID Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1588959183 1 Individual MCKENZIE ALEXANDRA MD 1746 COLE BLVD STE 150 LAKEWOOD CO COLORADO 804013267 US UNITED STATES 1746 COLE BLVD STE 150 LAKEWOOD CO COLORADO 804013267 US UNITED STATES 3039148800 2011-06-13 2018-03-17 F Female 207R00000X TL3931 CO N 2085R0202X DR.0055464 CO Y 2085R0202X 2016-00250 NC N N No No Yes No Internal Medicine "A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine." Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1396867222 1 Individual WICKERSHAM NICHOLAS WENDELL M.D. 36 GARDEN CTR BROOMFIELD CO COLORADO 800201730 US UNITED STATES 3034650401 3034381351 1100 BALSAM AVE BOULDER CO COLORADO 803043404 US UNITED STATES 3035323500 2007-04-03 2016-07-05 M Male 2085R0202X 47842 CO Y 07101759 05 CO Y Yes 193400000X SINGLE SPECIALTY GROUP Yes MEDICAID Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1518167725 1 Individual COSTANTINO DAVID A MD 1746 COLE BLVD STE 150 LAKEWOOD CO COLORADO 804013267 US UNITED STATES 3039148800 1746 COLE BLVD STE 150 LAKEWOOD CO COLORADO 804013267 US UNITED STATES 3039148800 2007-07-25 2015-01-19 M Male 2085N0700X 45978 AZ N 2085R0202X 52005 CO Y 2085R0202X 45978 AZ N N No No Yes No Radiology "A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Neuroradiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1750775755 1 Individual JAN TIMOTHY H DO PO BOX 460501 AURORA CO COLORADO 800460501 US UNITED STATES 12605 E 16TH AVE AURORA CO COLORADO 800452545 US UNITED STATES 7208227275 2015-03-27 2019-01-02 M Male 2085R0202X TL.0006273 CO Y Y Yes Yes Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1629491311 1 Individual WARD ANNA D.O. PO BOX 110429 AURORA CO COLORADO 800420429 US UNITED STATES 12605 E 16TH AVE AURORA CO COLORADO 80045 US UNITED STATES 7208480000 2014-01-30 2018-08-16 F Female 2085R0202X DR.0060491 CO Y 200616400 A 05 OK N No Yes MEDICAID Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1235214867 1 Individual MCKINNEY KRISTIN MD PO BOX 876 AURORA CO COLORADO 800400876 US UNITED STATES 3034937000 12605 E 16TH AVE AURORA CO COLORADO 800452545 US UNITED STATES 7208480000 2006-10-25 2011-02-01 F Female 2085R0202X 43682 CO Y 39833321 05 CO N No Yes MEDICAID Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1124326079 1 Individual HASSAN TAARA SULTAANA DR. M.D. 1650 COCHRANE CIR BLDG 7505 CREDENTIALS OFFICE RM # 163 FORT CARSON CO COLORADO 809134604 US UNITED STATES 7195262092 7195267732 1650 COCHRANE CIR BLDG 7505 CREDENTIALS OFFICE RM # 163 FORT CARSON CO COLORADO 809134604 US UNITED STATES 7195262092 7195267732 2011-03-02 2016-08-06 F Female 2085R0202X 26859 NE Y Y Yes Yes Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1497701296 1 Individual BHAGAT MICHAEL F M.D. PO BOX 11512 PUEBLO CO COLORADO 810010512 US UNITED STATES 7195422167 7195420320 1619 N GREENWOOD ST SUITE 103 PUEBLO CO COLORADO 810032644 US UNITED STATES 7195422167 7195420320 2006-05-25 2008-04-17 M Male 2085R0202X 40953 CO Y 04050274 05 CO N No Yes MEDICAID Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1558317396 1 Individual WARDROP DANIEL ALEXANDER DR. MD PO BOX 7704 LOVELAND CO COLORADO 805370704 US UNITED STATES 9706632742 9706670847 1000 RUSH DR SALIDA CO COLORADO 812019627 US UNITED STATES 7195308218 9706670847 2006-05-25 2011-02-01 M Male 2085R0202X 38492 CO Y 2085R0202X ME89378 FL N N No Yes No Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1548211022 1 Individual KULWIEC ELIZABETH M.D. PO BOX 2010 GLENWOOD SPRINGS CO COLORADO 816022010 US UNITED STATES 9709457564 504 21ST ST GLENWOOD SPRINGS CO COLORADO 816014287 US UNITED STATES 9709457564 2006-05-12 2011-07-13 F Female 2085R0202X 31441 CO Y 01314418 05 CO N No Yes MEDICAID Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1386884864 1 Individual HUSUM KURT WILLIAM M.D. PO BOX 223897 PITTSBURGH PA PENNSYLVANIA 152512897 US UNITED STATES 7205015000 3034583997 11600 W 2ND PL LAKEWOOD CO COLORADO 802281527 US UNITED STATES 7203210000 7203211621 2009-02-24 2017-01-03 M Male 2085R0202X 48846 CO Y 2085R0202X 128584 NC N 85879771 05 CO N No Yes No MEDICAID Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1225299092 1 Individual SHARPE RICHARD EARNEST DR. JR. MD 2045 N FRANKLIN ST DENVER CO COLORADO 802055437 US UNITED STATES 3033384545 2045 N FRANKLIN ST DENVER CO COLORADO 802055437 US UNITED STATES 3033384545 2008-06-24 2016-01-29 M Male 2085R0202X 053352 CO Y 2085R0202X MT194738 PA N 024253 01 CO KAISER COMMERCIAL NUMBER 21558345 05 CO N No Yes No OTHER MEDICAID Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1487621900 1 Individual HOCATE PIO DR. MD 2 S CASCADE AVE STE 140 COLORADO SPRINGS CO COLORADO 809031604 US UNITED STATES 7198666568 7195382999 1633 MEDCIAL CENTER POINT COLORADO SPRINGS CO COLORADO 80907 US UNITED STATES 7196674139 7194738843 2006-03-02 2018-09-06 M Male 2085R0202X DR.0042265 CO Y 53150261 05 CO 802175 05 CO N No Yes MEDICAID MEDICAID Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology
1801139142 1 Individual AMIN KATHAN 13001 E 17TH PL AURORA CO COLORADO 800452570 US UNITED STATES 3037241788 13001 E 17TH PL AURORA CO COLORADO 800452570 US UNITED STATES 3037241788 2013-04-05 2016-02-24 M Male 2085R0202X 125065895 IL Y N No Yes Radiology "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease." Allopathic & Osteopathic Physicians "Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/><br/>Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification<br/><br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology." Diagnostic Radiology