Basic Information
| Provider Information | |||||||||
| NPI: | 1730778903 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | CAREPOINT INPATIENT BLUE SKY NEUROLOGY PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 17326 | ||||||||
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| City: | DENVER | ||||||||
| State: | CO | ||||||||
| PostalCode: | 802170326 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 1501 S POTOMAC ST | ||||||||
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| City: | AURORA | ||||||||
| State: | CO | ||||||||
| PostalCode: | 800125411 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3036952600 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 01/13/2021 | ||||||||
| LastUpdateDate: | 01/13/2021 | ||||||||
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| AuthorizedOfficialLastName: | SMITH | ||||||||
| AuthorizedOfficialFirstName: | DEBORAH | ||||||||
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| AuthorizedOfficialTitleorPosition: | VP/GENERAL COUNSEL | ||||||||
| AuthorizedOfficialTelephone: | 3034362720 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 12/30/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363AM0700X | N | 193200000X MULTI-SPECIALTY GROUP | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | Medical | 363L00000X | N | 193200000X MULTI-SPECIALTY GROUP | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 2084N0400X | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Neurology |
No ID Information.