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8407 North Bryant Street Obot Room # 100 Westminster CO 80031-3809 | |
| (303) 487-7776 | |
| (303) 487-7868 |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 8407 North Bryant Street, Westminster, Colorado |
| Authorized Official Name and Position | Zack Ragsdale (DIRECTOR) |
| Authorized Official Contact | 5124545911 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
5001 Spring Valley Road Suite 600 East Dallas TX 75244-3946 Ph: (214) 365-6100 | 8407 North Bryant Street Obot Room # 100 Westminster CO 80031-3809 Ph: (303) 487-7776 |
| NPI Number | 1730866138 |
|---|---|
| Provider Enumeration Date | 06/28/2023 |
| Last Update Date | 09/23/2024 |
| Certification Date | 09/23/2024 |
| Medicare PECOS PAC ID | 8325492978 |
|---|---|
| Medicare Enrollment ID | O20230929002860 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730866138 | NPI | - | NPPES |
| Provider Name | Martin A Bloch |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700989670 PECOS PAC ID: 2062324395 Enrollment ID: I20040902001053 |
| Provider Name | Virginia Lee Richey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992969398 PECOS PAC ID: 3870764459 Enrollment ID: I20110913000300 |
| Provider Name | Laura Kg Sommerschield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700262607 PECOS PAC ID: 5597072033 Enrollment ID: I20160519000038 |
| Provider Name | Jennifer A Fischer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023679628 PECOS PAC ID: 9739512906 Enrollment ID: I20191202000287 |
| Provider Name | Erin R Slocum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457922601 PECOS PAC ID: 0749685162 Enrollment ID: I20210824001583 |
| Provider Name | Linh Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952807943 PECOS PAC ID: 9032464649 Enrollment ID: I20211104000959 |
| Provider Name | Lauran A Wirfs |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013414077 PECOS PAC ID: 5890042782 Enrollment ID: I20220427002254 |
| Provider Name | Taylour Munro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063916864 PECOS PAC ID: 4688921042 Enrollment ID: I20220928002949 |
| Provider Name | Rachel Marie Nease |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376152272 PECOS PAC ID: 3072981265 Enrollment ID: I20221118001765 |
| Provider Name | Leslie Allene Newton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104515139 PECOS PAC ID: 3870959372 Enrollment ID: I20230524003476 |
| Provider Name | Theresa Brinton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659703528 PECOS PAC ID: 9931334927 Enrollment ID: I20241024003815 |
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