Kyle Jordan Marthaller, MD | |
4743 Arapahoe Ave, Suite 100, Boulder, CO 80303-1113 | |
(303) 443-2123 | |
(303) 443-9497 |
Full Name | Kyle Jordan Marthaller |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 13 Years |
Location | 4743 Arapahoe Ave, Boulder, 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 |
---|---|---|---|
1417243254 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | DR.0056793 (Colorado) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Boulder Community Health | Boulder, CO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Boulder Community Health | 6800707233 | 212 |
Entity Name | Boulder Community Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821074196 PECOS PAC ID: 6800707233 Enrollment ID: O20040123000284 |
Mailing Address | Practice Location Address |
---|---|
Kyle Jordan Marthaller, MD 5450 Western Ave, Boulder, CO 80301-2709 Ph: (303) 443-2123 | Kyle Jordan Marthaller, MD 4743 Arapahoe Ave, Suite 100, Boulder, CO 80303-1113 Ph: (303) 443-2123 |
Kilsan Koh, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1000 Alpine Ave, Suite 210, Boulder, CO 80304 Phone: 303-443-1008 Fax: 303-417-1111 | |
Dr. Laura A Harmon, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4743 Arapahoe Ave Ste 100, Boulder, CO 80303 Phone: 303-443-2123 Fax: 303-443-9497 | |
Christopher Pohlman, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2750 Broadway St, Boulder, CO 80304 Phone: 303-440-3000 | |
Dr. Charles Graham Jones, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4743 Arapahoe Ave, Suite 100, Boulder, CO 80303 Phone: 303-443-2123 Fax: 303-443-9497 | |
Dr. Matthew John Gawart, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4743 Arapahoe Avenue, Suite 102, Boulder, CO 80303 Phone: 303-449-3642 | |
Dr. Richard Jay Fox, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4743 Arapahoe Ave, #102, Boulder, CO 80303 Phone: 303-449-3642 Fax: 303-440-7298 |