Healthcare Provider Details

I. General information

NPI: 1700946506
Provider Name (Legal Business Name): GITTELMAN ANESTHESIA SERVICES LLC DBA ROCKY MOUNTAIN MIND AND BODY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2006
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750 W HAMPDEN AVE STE 215
ENGLEWOOD CO
80110-2218
US

IV. Provider business mailing address

25587 CONIFER RD STE 105-603
CONIFER CO
80433-9067
US

V. Phone/Fax

Practice location:
  • Phone: 720-729-4357
  • Fax: 888-232-6842
Mailing address:
  • Phone: 720-729-4357
  • Fax: 888-232-6842

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberCRA-3520
License Number StateCO

VIII. Authorized Official

Name: STEVEN S GITTELMAN
Title or Position: OWNER
Credential: PMHNP, CRNA
Phone: 720-729-4357