Timothy Vanadurongvan, MD | |
2373 G Rd Ste 200, Grand Junction, CO 81505-1006 | |
(970) 243-0900 | |
(970) 245-8369 |
Full Name | Timothy Vanadurongvan |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 10 Years |
Location | 2373 G Rd Ste 200, Grand Junction, 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 |
---|---|---|---|
1508284506 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | DR.0063676 (Colorado) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Delta County Memorial Hospital | Delta, CO | Hospital |
St Marys Medical Center | Grand junction, CO | Hospital |
Community Hospital | Grand junction, CO | Hospital |
Montrose Memorial Hospital | Montrose, CO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Delta County Memorial Hospital | 1850200601 | 60 |
Colorado Surgical Affiliates Llc | 5496034068 | 42 |
Entity Name | Delta County Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417935446 PECOS PAC ID: 1850200601 Enrollment ID: O20040113000653 |
Entity Name | Colorado Surgical Affiliates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043663594 PECOS PAC ID: 5496034068 Enrollment ID: O20161123000009 |
Mailing Address | Practice Location Address |
---|---|
Timothy Vanadurongvan, MD Urological Associates Of Western Colorado A Div Of Csa, 2373 G Road Suite 200, Grand Junction, CO 81505-1006 Ph: (970) 243-3061 | Timothy Vanadurongvan, MD 2373 G Rd Ste 200, Grand Junction, CO 81505-1006 Ph: (970) 243-0900 |
Caleb J Stepan, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2373 G Rd, Suite 200, Grand Junction, CO 81505 Phone: 970-243-3061 Fax: 970-245-8369 | |
Clifford Kevin Wanebo, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 810 Mazatlan Dr, Grand Junction, CO 81506 Phone: 970-243-8946 |