| Neurology Of The Rockies, Pc | |
|
9235 Crown Crest Blvd Suite 200 Parker CO 80138-8880 | |
| (303) 840-5051 | |
| (303) 791-4685 |
| Full Name | Neurology Of The Rockies, Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 9235 Crown Crest Blvd, Parker, Colorado |
| Authorized Official Name and Position | Ravi Shah (PRESIDENT) |
| Authorized Official Contact | 3038405051 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurology Of The Rockies, Pc Po Box 630920 Littleton CO 80163 Ph: (303) 840-5051 | Neurology Of The Rockies, Pc 9235 Crown Crest Blvd Suite 200 Parker CO 80138-8880 Ph: (303) 840-5051 |
| NPI Number | 1538280466 |
|---|---|
| Provider Enumeration Date | 04/02/2007 |
| Last Update Date | 09/02/2014 |
| Medicare PECOS PAC ID | 7315962008 |
|---|---|
| Medicare Enrollment ID | O20051011001222 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538280466 | NPI | - | NPPES |
| 70553076 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 43539 (Colorado) | Primary |
| Provider Name | Adam Wolff |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053349597 PECOS PAC ID: 3678474764 Enrollment ID: I20040907000529 |
| Provider Name | Ravi C Shah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1013999895 PECOS PAC ID: 3678598364 Enrollment ID: I20051011001223 |
| Provider Name | Jeffrey Tamsing |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457518680 PECOS PAC ID: 5395810915 Enrollment ID: I20080818000016 |
| Provider Name | Pamela R Kinder |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851437925 PECOS PAC ID: 2961670195 Enrollment ID: I20110714000305 |
| Provider Name | Khoi D Pham |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083632731 PECOS PAC ID: 4082880323 Enrollment ID: I20120109000103 |
| Provider Name | Kathryn Ann Polovitz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457557191 PECOS PAC ID: 3678729878 Enrollment ID: I20120803000095 |
| Provider Name | Stefanie D Eymar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639579790 PECOS PAC ID: 5294955373 Enrollment ID: I20141014000236 |
| Provider Name | Judy C Lane |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407819584 PECOS PAC ID: 3870757438 Enrollment ID: I20150622002048 |
| Provider Name | Karen Abhijit Karwa |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205114485 PECOS PAC ID: 4587968615 Enrollment ID: I20160922002519 |
| Provider Name | Claude Fortin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235225780 PECOS PAC ID: 8921904327 Enrollment ID: I20161014000311 |
| Provider Name | Beverly Baker-newsholme |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649330218 PECOS PAC ID: 1153322359 Enrollment ID: I20161121002000 |
| Provider Name | Luisa Solis-cohen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215299193 PECOS PAC ID: 9335406891 Enrollment ID: I20171208001093 |
| Provider Name | Hamid Mortazavi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134145758 PECOS PAC ID: 5890790505 Enrollment ID: I20180807002533 |
| Provider Name | Katie Yates Nading |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053912196 PECOS PAC ID: 0446659775 Enrollment ID: I20210519000103 |
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