Organization
ADVANCED PAIN AND ANESTHESIA SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VITALIY DOMASHEVICH MD (OWNER)
(303) 755-2900
Entity
Organization
Contact information
Practice address
700 POTOMAC ST, MEDICAL CENTER OF AURORA NORTH, AURORA, CO 80011-6701
(303) 755-2900
Mailing address
3464 S WILLOW ST, SUITE 057, DENVER, CO 80231-4531
(303) 755-2900
(303) 755-0404
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
80159575
—
CO
01
—
AD671857
BLUE SHIELD
CO
Enumeration date
06/08/2006
Last updated
09/11/2025
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