William Shaun Gogarty, MD | |
3225 Independence Rd, Canon City, CO 81212-9380 | |
(719) 275-2351 | |
(719) 269-9386 |
Full Name | William Shaun Gogarty |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 3225 Independence Rd, Canon City, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871576694 | NPI | - | NPPES |
01343607 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 34360 (Colorado) | Secondary |
207Q00000X | Family Medicine | 34360 (Colorado) | Primary |
Entity Name | Parkview Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730144684 PECOS PAC ID: 0143116673 Enrollment ID: O20040223001035 |
Entity Name | Health Solutions |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033165527 PECOS PAC ID: 0143110668 Enrollment ID: O20040318000467 |
Entity Name | Solvista Health Corp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255734117 PECOS PAC ID: 2567764780 Enrollment ID: O20160105002452 |
Mailing Address | Practice Location Address |
---|---|
William Shaun Gogarty, MD 6 Swift Arrow Ct, Pueblo, CO 81001-1800 Ph: (719) 250-5326 | William Shaun Gogarty, MD 3225 Independence Rd, Canon City, CO 81212-9380 Ph: (719) 275-2351 |
Ms. Diana Maria Clouthier, MSN, APRN, FNP-C Family Medicine Medicare: Medicare Enrolled Practice Location: 715 S 9th St, Canon City, CO 81212 Phone: 719-269-8820 | |
Vincent Takwing Yu, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1338 Phay Ave, Canon City, CO 81212 Phone: 719-285-2760 Fax: 719-285-2992 | |
Robert Joseph Bennett Jr., M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 602 Yale Pl, Canon City, CO 81212 Phone: 719-275-2301 Fax: 719-275-7048 | |
Dr. Ryan S Rahman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 712 Macon Ave, Canon City, CO 81212 Phone: 719-285-8890 | |
Kimberly Matz Gugliotto, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1338 Phay Ave, Canon City, CO 81212 Phone: 719-285-2000 | |
Dr. Robert D Mccurry, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1210 Main St, Canon City, CO 81212 Phone: 719-275-3000 Fax: 719-275-6939 | |
Dr. Marcus A Button, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 715 S 9th St, Canon City, CO 81212 Phone: 719-269-8820 Fax: 719-204-0230 |