NPI Code Detail JSON Logo

1700946506 NPI number — GITTELMAN ANESTHESIA SERVICES LLC DBA ROCKY MOUNTAIN MIND AND BODY LLC

NPI Number: 1700946506
Health Care Provider/Practitioner: GITTELMAN ANESTHESIA SERVICES LLC DBA ROCKY MOUNTAIN MIND AND BODY LLC

Information about “1700946506” NPI (GITTELMAN ANESTHESIA SERVICES LLC DBA ROCKY MOUNTAIN MIND AND BODY LLC) exists in 1700946506 in HTML format HTML  |  1700946506 in plain Text format TXT  |  1700946506 in PDF (Portable Document Format) PDF  |  1700946506 in an XML format XML  formats.

NPI Number : 1700946506 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1700946506",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "GITTELMAN ANESTHESIA SERVICES LLC DBA ROCKY MOUNTAIN MIND AND BODY LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "25587 CONIFER RD STE 105-603",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CONIFER",
    "MailingAddressStateName": "CO",
    "MailingAddressPostalCode": "80433-9067",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "720-729-4357",
    "MailingAddressFaxNumber": "888-232-6842",
    "FirstLinePracticeLocationAddress": "750 W HAMPDEN AVE STE 215",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ENGLEWOOD",
    "PracticeLocationAddressStateName": "CO",
    "PracticeLocationAddressPostalCode": "80110-2218",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "720-729-4357",
    "PracticeLocationAddressFaxNumber": "888-232-6842",
    "EnumerationDate": "12/11/2006",
    "LastUpdateDate": "07/24/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "GITTELMAN",
    "AuthorizedOfficialFirstName": "STEVEN",
    "AuthorizedOfficialMiddleName": "S",
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "PMHNP, CRNA",
    "AuthorizedOfficialTelephoneNumber": "720-729-4357",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "163WP0808X",
          "TaxonomyName": "Psychiatric/Mental Health Registered Nurse",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "367500000X",
          "TaxonomyName": "Certified Registered Nurse Anesthetist",
          "LicenseNumber": "CRA-3520",
          "LicenseNumberStateCode": "CO",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        }
      ]
    }
  }
}
                
            

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