Dr John A Van Doorninck, MD | |
2055 N High St, #340, Denver, CO 80205-5503 | |
(303) 832-2344 | |
(303) 832-3721 |
Full Name | Dr John A Van Doorninck |
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Gender | Male |
Speciality | Pediatrics - Pediatric Hematology-oncology |
Location | 2055 N High St, Denver, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194970350 | NPI | - | NPPES |
1194970350 | Medicaid | WY | |
06207219 | Medicaid | NM | |
1194970350 | Medicaid | SD | |
98500546 | Medicaid | CO | |
10025570100 | Medicaid | NE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0207X | Pediatrics - Pediatric Hematology-oncology | A80230 (California) | Secondary |
2080P0207X | Pediatrics - Pediatric Hematology-oncology | 48641 (Colorado) | Primary |
Entity Name | Healthone Clinic Services - Pediatric Specialties Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720293251 PECOS PAC ID: 2365535572 Enrollment ID: O20070904000695 |
Mailing Address | Practice Location Address |
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Dr John A Van Doorninck, MD 4900 S Monaco St, Suite 210, Denver, CO 80237-3486 Ph: (303) 832-2344 | Dr John A Van Doorninck, MD 2055 N High St, #340, Denver, CO 80205-5503 Ph: (303) 832-2344 |
Dr. Lisa Marie Griss, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1719 E 19th Ave, Denver, CO 80218 Phone: 303-754-4400 | |
Gregory Q Miranda, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 777 Bannock St, Mc 7782, Denver, CO 80204 Phone: 303-436-6000 | |
John W Ogle, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 777 Bannock St, Mc 7782, Denver, CO 80204 Phone: 303-436-6000 | |
Dr. Lisa D Whitesides, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 10400 E Alameda Ave, Denver, CO 80247 Phone: 303-338-4545 | |
Kevin Friedman, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: University Of Colorado School Of Medicine, Denver, CO 80262 Phone: 303-493-7000 | |
Matthew Soden, Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 501 S Cherry St Ste 1100, Denver, CO 80246 Phone: 720-593-6711 Fax: 720-706-1393 | |
Dr. Danielle Roberts, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 777 Bannock St, Denver, CO 80204 Phone: 303-602-9250 |