Trauma And Emergency Subspecialty Surgeons Pllc | |
1745 Shea Center Dr Suite 400 Highlands Ranch CO 80129-1537 | |
(303) 774-1974 | |
Not Available |
Full Name | Trauma And Emergency Subspecialty Surgeons Pllc |
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Speciality | Plastic Surgery |
Location | 1745 Shea Center Dr, Highlands Ranch, Colorado |
Authorized Official Name and Position | Brian Willoughby (SOLE OWNER) |
Authorized Official Contact | 3033205700 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Trauma And Emergency Subspecialty Surgeons Pllc 1745 Shea Center Dr Ste 400 Highlands Ranch CO 80129-1540 Ph: (720) 300-9245 | Trauma And Emergency Subspecialty Surgeons Pllc 1745 Shea Center Dr Suite 400 Highlands Ranch CO 80129-1537 Ph: (303) 774-1974 |
NPI Number | 1740543933 |
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Provider Enumeration Date | 06/21/2012 |
Last Update Date | 03/07/2023 |
Medicare PECOS PAC ID | 1951559293 |
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Medicare Enrollment ID | O20120912000182 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740543933 | NPI | - | NPPES |
Provider Name | Michael Scott Solomon |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1891736633 PECOS PAC ID: 1254396641 Enrollment ID: I20041124000675 |
Provider Name | Brian J Willoughby |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1962425710 PECOS PAC ID: 5991694580 Enrollment ID: I20041229001044 |
Provider Name | Theodore C Ning |
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Provider Type | Practitioner - Urology |
Provider Identifiers | NPI Number: 1720172059 PECOS PAC ID: 8921066275 Enrollment ID: I20050103000727 |
Provider Name | Edward J Hepworth |
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Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1588766562 PECOS PAC ID: 5395715734 Enrollment ID: I20060317000253 |
Provider Name | Arvin Kumar Rao |
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Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1780635904 PECOS PAC ID: 6901809755 Enrollment ID: I20060816000226 |
Provider Name | Juan D Montoya |
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Provider Type | Practitioner - Urology |
Provider Identifiers | NPI Number: 1588607626 PECOS PAC ID: 0547263154 Enrollment ID: I20060822000306 |
Provider Name | Richard K Heppe |
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Provider Type | Practitioner - Urology |
Provider Identifiers | NPI Number: 1649207077 PECOS PAC ID: 5991709743 Enrollment ID: I20060908000313 |
Provider Name | William E Richheimer |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1376583575 PECOS PAC ID: 4082642988 Enrollment ID: I20060915000216 |
Provider Name | Douglas P Peller |
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Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1083754600 PECOS PAC ID: 2062464704 Enrollment ID: I20070307000143 |
Provider Name | Andrea B Bray |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386756088 PECOS PAC ID: 1052405230 Enrollment ID: I20070919000222 |
Provider Name | Jeffrey R Chain |
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Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1316093909 PECOS PAC ID: 9830267806 Enrollment ID: I20081003000240 |
Provider Name | Elias Hsu |
---|---|
Provider Type | Practitioner - Urology |
Provider Identifiers | NPI Number: 1902077332 PECOS PAC ID: 3577638188 Enrollment ID: I20090820000197 |
Provider Name | Gary A Jamell |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1508889874 PECOS PAC ID: 4789574393 Enrollment ID: I20100428000917 |
Provider Name | Mario J Imola |
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Provider Type | Practitioner - Plastic And Reconstructive Surgery |
Provider Identifiers | NPI Number: 1932101490 PECOS PAC ID: 4789743501 Enrollment ID: I20100514000055 |
Provider Name | Raj P Terkonda |
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Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1639176803 PECOS PAC ID: 5991829210 Enrollment ID: I20100824000193 |
Provider Name | Gregory Kouyoumdjian |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1548219934 PECOS PAC ID: 7012073968 Enrollment ID: I20101007000565 |
Provider Name | Michael L Miller |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1922114396 PECOS PAC ID: 3577650431 Enrollment ID: I20110215000223 |
Provider Name | Neha N Patel |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1831127695 PECOS PAC ID: 7416952940 Enrollment ID: I20110519000134 |
Provider Name | Lisa Jun-pei Wong |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1598933475 PECOS PAC ID: 9436320470 Enrollment ID: I20110922000357 |
Provider Name | David W Van Kooten |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1982684494 PECOS PAC ID: 6305838046 Enrollment ID: I20120605000528 |
Provider Name | Julia R. Plevnia |
---|---|
Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1366544645 PECOS PAC ID: 6406006295 Enrollment ID: I20121102000116 |
Provider Name | Jeremy R Jannuzzi |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1679784987 PECOS PAC ID: 7517110562 Enrollment ID: I20121227000164 |
Provider Name | Aaron T Liddell |
---|---|
Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1336322346 PECOS PAC ID: 5698910156 Enrollment ID: I20130404000204 |
Provider Name | Gregg L Lurcott |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1821042896 PECOS PAC ID: 1759288756 Enrollment ID: I20130409000189 |
Provider Name | Jeffrey Le Schmidt |
---|---|
Provider Type | Practitioner - Plastic And Reconstructive Surgery |
Provider Identifiers | NPI Number: 1437379377 PECOS PAC ID: 0648432559 Enrollment ID: I20130503000438 |
Provider Name | William J Martin |
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Provider Type | Practitioner - Plastic And Reconstructive Surgery |
Provider Identifiers | NPI Number: 1710042023 PECOS PAC ID: 5294763710 Enrollment ID: I20130619000323 |
Provider Name | Maria J Dipasquale |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1275692634 PECOS PAC ID: 8426292178 Enrollment ID: I20130918000759 |
Provider Name | Kevin M Patterson |
---|---|
Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1073681441 PECOS PAC ID: 5890939540 Enrollment ID: I20131026000051 |
Provider Name | Zachary D Vest |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1477715829 PECOS PAC ID: 5597911859 Enrollment ID: I20131104000359 |
Provider Name | Matthew M Kruger |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1265603781 PECOS PAC ID: 3870763329 Enrollment ID: I20131119000058 |
Provider Name | Brian J Fangman |
---|---|
Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1609027556 PECOS PAC ID: 2365680543 Enrollment ID: I20150309001820 |
Provider Name | Michael Hale |
---|---|
Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1295966505 PECOS PAC ID: 5698083566 Enrollment ID: I20150928000705 |
Provider Name | Randall Russell |
---|---|
Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1013170968 PECOS PAC ID: 9931415783 Enrollment ID: I20160205001433 |
Provider Name | Daniel D Escalante |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1245203041 PECOS PAC ID: 7214228899 Enrollment ID: I20160629001532 |
Provider Name | John W. Tillett |
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Provider Type | Practitioner - Urology |
Provider Identifiers | NPI Number: 1003090382 PECOS PAC ID: 6305034398 Enrollment ID: I20160728002028 |
Provider Name | Benjamin Carpenter |
---|---|
Provider Type | Practitioner - Urology |
Provider Identifiers | NPI Number: 1124312822 PECOS PAC ID: 1951540301 Enrollment ID: I20161005001421 |
Provider Name | Carlos Francisco Sanchez-navarro |
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Provider Type | Practitioner - Plastic And Reconstructive Surgery |
Provider Identifiers | NPI Number: 1538484464 PECOS PAC ID: 9830328400 Enrollment ID: I20170203002273 |
Provider Name | Justin Ching-kit Yan |
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Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1184990962 PECOS PAC ID: 4385963115 Enrollment ID: I20170725004017 |
Provider Name | Julien E Dagenais |
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Provider Type | Practitioner - Urology |
Provider Identifiers | NPI Number: 1649579228 PECOS PAC ID: 0648410167 Enrollment ID: I20180529000942 |
Provider Name | Ross B Chod |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1801158548 PECOS PAC ID: 7719289248 Enrollment ID: I20180726001203 |
Provider Name | Clayton W Pennington |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1467867002 PECOS PAC ID: 7810246709 Enrollment ID: I20180827002016 |
Provider Name | Daniel A . Kaufman |
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Provider Type | Practitioner - Urology |
Provider Identifiers | NPI Number: 1215376157 PECOS PAC ID: 2567704182 Enrollment ID: I20190501002153 |
Provider Name | Matthew K Alleman |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1639438971 PECOS PAC ID: 7810218427 Enrollment ID: I20190801002300 |
Provider Name | Richard W. Thompson |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1811331721 PECOS PAC ID: 1951606284 Enrollment ID: I20200117001061 |
Provider Name | David Michael Kowalczyk |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1437599842 PECOS PAC ID: 0244554137 Enrollment ID: I20200818003330 |
Provider Name | Lon S Hinckley |
---|---|
Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1528416963 PECOS PAC ID: 5698069243 Enrollment ID: I20210702000375 |
Provider Name | Lauren Rebecca Abrams |
---|---|
Provider Type | Practitioner - Urology |
Provider Identifiers | NPI Number: 1225558810 PECOS PAC ID: 4183993363 Enrollment ID: I20220812002739 |
Provider Name | Travis J Hamilton |
---|---|
Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1164712022 PECOS PAC ID: 4688904972 Enrollment ID: I20220927000205 |
Provider Name | Abigail L Vanderweyden |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013527662 PECOS PAC ID: 4880007764 Enrollment ID: I20230111003201 |
Provider Name | Michael E Jansen |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1265878466 PECOS PAC ID: 1254623937 Enrollment ID: I20230317001761 |
Provider Name | Harkaran S Rana |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1922508530 PECOS PAC ID: 6204294853 Enrollment ID: I20230614001951 |
Provider Name | Kamran Dastoury |
---|---|
Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1275831208 PECOS PAC ID: 6002267192 Enrollment ID: I20240112003884 |
Provider Name | Megan M Rotatori |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982449203 PECOS PAC ID: 7911444849 Enrollment ID: I20240808003199 |
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