Dr Lisa D Whitesides, MD | |
10400 E Alameda Ave, Denver, CO 80247-5104 | |
(303) 338-4545 | |
Not Available |
Full Name | Dr Lisa D Whitesides |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 10400 E Alameda Ave, 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 |
---|---|---|---|
1003943051 | NPI | - | NPPES |
012428 | Other | KAISER-COMMERCIAL NUMBER | |
96278714 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 37311 (Colorado) | Primary |
Entity Name | Colorado Permanente Medical Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760599724 PECOS PAC ID: 1254238454 Enrollment ID: O20031216000640 |
Mailing Address | Practice Location Address |
---|---|
Dr Lisa D Whitesides, MD 10350 E Dakota Ave, Denver, CO 80247-1314 Ph: (303) 338-3382 | Dr Lisa D Whitesides, MD 10400 E Alameda Ave, Denver, CO 80247-5104 Ph: (303) 338-4545 |
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 | |
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 |