Dr Mark R Groshek, MD | |
10240 Park Meadows Dr, Lone Tree, CO 80124-5425 | |
(303) 338-4545 | |
Not Available |
Full Name | Dr Mark R Groshek |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 10240 Park Meadows Dr, Lone Tree, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568506343 | NPI | - | NPPES |
005285 | Other | KAISER-COMMERCIAL NUMBER | |
01293737 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 29373 (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 Mark R Groshek, MD 10350 E Dakota Ave, Denver, CO 80247-1314 Ph: () - | Dr Mark R Groshek, MD 10240 Park Meadows Dr, Lone Tree, CO 80124-5425 Ph: (303) 338-4545 |
Emily Jeanne Vangeti, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 10099 Ridgegate Pkwy Ste 290, Lone Tree, CO 80124 Phone: 303-803-1005 Fax: 303-798-3248 | |
Nancy Anne Taoka, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 10099 Ridgegate Pkwy Ste 290, Lone Tree, CO 80124 Phone: 303-803-1005 Fax: 303-798-3248 | |
Logan Gibson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 10465 Park Meadows Dr, Lone Tree, CO 80124 Phone: 303-790-1515 | |
Dr. Theodore Harry Stathos, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9224 Teddy Lane, Suite 200, Lone Tree, CO 80124 Phone: 303-790-1515 Fax: 303-790-1989 | |
Robert A Kilpatrick, Pediatrics Medicare: Medicare Enrolled Practice Location: 10101 Ridgegate Pkwy, Lone Tree, CO 80124 Phone: 720-225-1000 Fax: 303-306-7753 | |
Dr. Matthew J Hadeed, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 10099 Ridgegate Pkwy Ste 290, Lone Tree, CO 80124 Phone: 303-803-1005 Fax: 303-798-3248 | |
Dr. Ronald Dean Holmes, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9224 Teddy Ln, #200, Lone Tree, CO 80124 Phone: 303-869-2121 Fax: 303-860-1597 |