Dr Todd C Dextradeur, MD | |
51 W 84th Ave, Ste 300, Thornton, CO 80260-4883 | |
(303) 777-8333 | |
(303) 777-8338 |
Full Name | Dr Todd C Dextradeur |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 51 W 84th Ave, Thornton, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801845532 | NPI | - | NPPES |
01355007 | Medicaid | CO | |
35500 | Other | CO | MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | DR.0035500 (Colorado) | Primary |
Entity Name | Todd Dextradeur Md Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881864072 PECOS PAC ID: 9335037183 Enrollment ID: O20040304001151 |
Mailing Address | Practice Location Address |
---|---|
Dr Todd C Dextradeur, MD 1324 South Race Street, Denver, CO 80210 Ph: (303) 777-8333 | Dr Todd C Dextradeur, MD 51 W 84th Ave, Ste 300, Thornton, CO 80260-4883 Ph: (303) 777-8333 |
James C. Higham-kessler, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 10001 N. Washington Street, Upper Level, Thornton, CO 80229 Phone: 303-252-4442 | |
Matthew M Mcdiarmid, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 805 E 144th Ave Ste 100, Thornton, CO 80023 Phone: 720-772-8040 Fax: 720-805-1551 | |
Gareth R Weiner, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 10001 N Washington St, Thornton, CO 80229 Phone: 303-252-4442 Fax: 303-429-6714 | |
Dr. Ashley Louise Pyle, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9195 Grant St Ste 110, Thornton, CO 80229 Phone: 720-536-2460 Fax: 720-536-2466 | |
Katherine Blair Schuetze, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9195 Grant St Ste 200, Thornton, CO 80229 Phone: 303-252-0104 Fax: 303-252-8552 | |
Dr. Kevin P O'brien, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3260 E 104th Ave, Thornton, CO 80233 Phone: 720-929-8300 Fax: 720-929-8444 | |
Gary Louis Zuehlsdorff, DO Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 550 Thornton Pkwy, Suite 110, Thornton, CO 80229 Phone: 303-341-1799 Fax: 720-872-0421 |