Joshiah R Gordon, DO | |
1600 N Grand Ave, Suite 140, Pueblo, CO 81003-2700 | |
(719) 564-1542 | |
(719) 566-0916 |
Full Name | Joshiah R Gordon |
---|---|
Gender | Male |
Speciality | Pulmonary Disease |
Experience | 19 Years |
Location | 1600 N Grand Ave, Pueblo, Colorado |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952454290 | NPI | - | NPPES |
1952454290 | Other | CO | NPI |
37708830 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RP1001X | Internal Medicine - Pulmonary Disease | 49719 (Colorado) | Primary |
207RC0200X | Internal Medicine - Critical Care Medicine | 49719 (Colorado) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Parkview Medical Center, Inc | Pueblo, CO | Hospital |
St Mary Corwin Med Ctr, Centura Health | Pueblo, CO | Hospital |
San Luis Valley Health | Alamosa, CO | Hospital |
Mt San Rafael Hospital | Trinidad, CO | Hospital |
Arkansas Valley Regional Medical Center | La junta, CO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Parkview Ancillary Services Corporation | 4385722511 | 265 |
Lutheran Hospital Association Of The San Luis Valley | 4789589094 | 100 |
Entity Name | Lutheran Hospital Association Of The San Luis Valley |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235181744 PECOS PAC ID: 4789589094 Enrollment ID: O20031201000318 |
Entity Name | Pueblo Pulmonary Associates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760688444 PECOS PAC ID: 2769372093 Enrollment ID: O20040318001350 |
Entity Name | Parkview Ancillary Services Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982878765 PECOS PAC ID: 4385722511 Enrollment ID: O20080429000248 |
Entity Name | Poudre Valley Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366763260 PECOS PAC ID: 9638208549 Enrollment ID: O20100602000122 |
Mailing Address | Practice Location Address |
---|---|
Joshiah R Gordon, DO 1600 N Grand Ave, Suite 140, Pueblo, CO 81003-2700 Ph: (719) 564-1542 | Joshiah R Gordon, DO 1600 N Grand Ave, Suite 140, Pueblo, CO 81003-2700 Ph: (719) 564-1542 |
Dr. Christopher John Calcagno, D.O. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1600 N. Grand Ave., Ste. 300, Pueblo, CO 81003 Phone: 719-562-2001 Fax: 719-562-2742 | |
Christopher Jon Stark, Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 400 W 16th St, Pueblo, CO 81003 Phone: 719-595-2218 Fax: 719-595-7994 | |
Greg Alan Bowman, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 1600 N Grand Ave, Suite 500, Pueblo, CO 81003 Phone: 719-545-0663 Fax: 719-595-7903 | |
Lauren E. Sullenberger, DO Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 902 Lakeview Ave, Pueblo, CO 81004 Phone: 719-557-5855 Fax: 719-557-5097 | |
Peter Lochow, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 3670 Parker Blvd Ste 101, Pueblo, CO 81008 Phone: 719-564-1544 Fax: 719-924-1593 | |
Dr. Raj Vashistha, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 3670 Parker Blvd., Ste 101, Pueblo, CO 81008 Phone: 719-564-1544 Fax: 719-924-1592 | |
Thomas Christian Stjernholm, M.D. Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 3670 Parker Blvd Ste 101, Pueblo, CO 81008 Phone: 719-564-1544 Fax: 719-924-1593 |