Edwin R Smith, MD | |
7750 S Broadway, Suite 230, Littleton, CO 80122-2623 | |
(303) 798-8811 | |
(303) 798-1233 |
Full Name | Edwin R Smith |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 7750 S Broadway, Littleton, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316035371 | NPI | - | NPPES |
01235233 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 23523 (Colorado) | Primary |
Entity Name | Surgone Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225143407 PECOS PAC ID: 9032002985 Enrollment ID: O20040204000709 |
Mailing Address | Practice Location Address |
---|---|
Edwin R Smith, MD 3333 S Bannock St, Suite 350, Englewood, CO 80110-2432 Ph: (303) 957-1310 | Edwin R Smith, MD 7750 S Broadway, Suite 230, Littleton, CO 80122-2623 Ph: (303) 798-8811 |
Steven Young Kim, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 7700 S Broadway, Littleton, CO 80122 Phone: 303-798-0416 | |
Thu-hoai Cecelia Nguyen, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 7750 S Broadway Ste 220, Littleton, CO 80122 Phone: 720-283-2500 | |
Crea Fusco, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 7780 S Broadway, Ste 250, Littleton, CO 80122 Phone: 303-795-3375 Fax: 303-795-0621 | |
Ruediger Bracht, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 7720 S Broadway, Suite 410, Littleton, CO 80122 Phone: 303-577-9005 Fax: 303-577-9006 | |
Dr. Peter Phan, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 7780 S Broadway, Suite 250, Littleton, CO 80122 Phone: 303-795-3375 Fax: 303-795-0621 | |
Laura A Souslian, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 7720 S Broadway Ste 410, Littleton, CO 80122 Phone: 303-577-9005 Fax: 303-577-9006 |