| St. Vincent General Hospital District | |
|
822 W 4th Street Leadville CO 80461 | |
| (719) 486-0230 | |
| (719) 486-1077 |
| Full Name | St. Vincent General Hospital District |
|---|---|
| Speciality | Clinic/Center |
| Location | 822 W 4th Street, Leadville, Colorado |
| Authorized Official Name and Position | Andrew Dreesen (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 7194867161 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Vincent General Hospital District 822 W 4th Street Leadville CO 80461 Ph: (719) 486-0230 | St. Vincent General Hospital District 822 W 4th Street Leadville CO 80461 Ph: (719) 486-0230 |
| NPI Number | 1497710958 |
|---|---|
| Provider Enumeration Date | 04/19/2006 |
| Last Update Date | 08/27/2024 |
| Certification Date | 08/27/2024 |
| Medicare PECOS PAC ID | 4587574884 |
|---|---|
| Medicare Enrollment ID | O20040316001421 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497710958 | NPI | - | NPPES |
| 04003828 | Medicaid | CO |
| Provider Name | Sonja K Stilp |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1659304343 PECOS PAC ID: 7810885837 Enrollment ID: I20040310000143 |
| Provider Name | Jeffrey S. Beckman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184634925 PECOS PAC ID: 2264323872 Enrollment ID: I20040323001063 |
| Provider Name | David P Wiebe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053385351 PECOS PAC ID: 6204828940 Enrollment ID: I20040401000737 |
| Provider Name | Dana L Greene |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013982925 PECOS PAC ID: 9830188259 Enrollment ID: I20040511000524 |
| Provider Name | Gary D Kliewer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245208859 PECOS PAC ID: 9335128370 Enrollment ID: I20040714001279 |
| Provider Name | Michael Scott Solomon |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1891736633 PECOS PAC ID: 1254396641 Enrollment ID: I20041124000675 |
| Provider Name | Heather L Naiman Crysel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922081439 PECOS PAC ID: 1254398357 Enrollment ID: I20041209001077 |
| Provider Name | Gilbert V Pineda |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033197439 PECOS PAC ID: 2961452966 Enrollment ID: I20050127000512 |
| Provider Name | Christopher M Holmes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336127679 PECOS PAC ID: 7214988716 Enrollment ID: I20050202000227 |
| Provider Name | Dylan Luyten |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376529545 PECOS PAC ID: 1951352038 Enrollment ID: I20050207000226 |
| Provider Name | Stephen D Stahl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104931088 PECOS PAC ID: 1153368188 Enrollment ID: I20050912001309 |
| Provider Name | Steven A. Furer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760467831 PECOS PAC ID: 0840353314 Enrollment ID: I20090109000042 |
| Provider Name | William J Scott |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871571265 PECOS PAC ID: 8022145895 Enrollment ID: I20100427000661 |
| Provider Name | Mark J Kozlowski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285610683 PECOS PAC ID: 2567453806 Enrollment ID: I20100504000750 |
| Provider Name | Neal P Oconnor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063495778 PECOS PAC ID: 9537297775 Enrollment ID: I20100510000675 |
| Provider Name | Jonathan S Tashkin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164408969 PECOS PAC ID: 9436287588 Enrollment ID: I20100511000142 |
| Provider Name | Barry I Sandler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992782874 PECOS PAC ID: 5991838070 Enrollment ID: I20100727000895 |
| Provider Name | Frank R Lansville |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417933789 PECOS PAC ID: 9436347713 Enrollment ID: I20101230000983 |
| Provider Name | Robert Mclean |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1558364398 PECOS PAC ID: 2961399092 Enrollment ID: I20110330000532 |
| Provider Name | Jacqueline Anne Woodrum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285642199 PECOS PAC ID: 7012801426 Enrollment ID: I20110610000475 |
| Provider Name | Renee J Carson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861605008 PECOS PAC ID: 4880785534 Enrollment ID: I20110620000513 |
| Provider Name | James P. Brewer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467656942 PECOS PAC ID: 0648315176 Enrollment ID: I20110620000531 |
| Provider Name | Alexandra Weaver |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821322652 PECOS PAC ID: 9638349905 Enrollment ID: I20110823000957 |
| Provider Name | Gary L Petry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073605085 PECOS PAC ID: 4789744095 Enrollment ID: I20130710000248 |
| Provider Name | Mary K Sprinkel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336465582 PECOS PAC ID: 6608017017 Enrollment ID: I20130729000161 |
| Provider Name | Matthew C Grzegozewski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417163536 PECOS PAC ID: 8022105543 Enrollment ID: I20130909000463 |
| Provider Name | Andrew L Walshak |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487662805 PECOS PAC ID: 6507042124 Enrollment ID: I20140616000310 |
| Provider Name | Clay Michael Pendleton |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1942555081 PECOS PAC ID: 2062637689 Enrollment ID: I20140715001136 |
| Provider Name | Phillip R Knowles |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366760894 PECOS PAC ID: 8820120041 Enrollment ID: I20140917002782 |
| Provider Name | Cynthia R Souleret |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518210228 PECOS PAC ID: 0345553947 Enrollment ID: I20150724010333 |
| Provider Name | Paul David Wardlaw |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821064114 PECOS PAC ID: 4688572027 Enrollment ID: I20160216000603 |
| Provider Name | Jeffrey P Alpert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386635027 PECOS PAC ID: 3375677909 Enrollment ID: I20160603000307 |
| Provider Name | Kathryn Flake Echols |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1629334594 PECOS PAC ID: 0143519918 Enrollment ID: I20170613001130 |
| Provider Name | Ramnik S Dhaliwal |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316238421 PECOS PAC ID: 7113153586 Enrollment ID: I20170822002053 |
| Provider Name | Richard Tsambikos |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467985713 PECOS PAC ID: 6901163310 Enrollment ID: I20171120001277 |
| Provider Name | Timothy L Brininger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124008164 PECOS PAC ID: 9537247630 Enrollment ID: I20180312001273 |
| Provider Name | Michael Craig Browning |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104034693 PECOS PAC ID: 4183723778 Enrollment ID: I20180418001863 |
| Provider Name | Nicholas Tsipis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689060865 PECOS PAC ID: 6608124680 Enrollment ID: I20180808000393 |
| Provider Name | Lauren Huffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346713245 PECOS PAC ID: 2365782083 Enrollment ID: I20190315002081 |
| Provider Name | Zach D Hartman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528358173 PECOS PAC ID: 3678714714 Enrollment ID: I20190819001132 |
| Provider Name | David B Stuart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881040707 PECOS PAC ID: 4284922063 Enrollment ID: I20190920001346 |
| Provider Name | Shannon J Woznick |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912187568 PECOS PAC ID: 6305927104 Enrollment ID: I20200610002628 |
| Provider Name | Kenneth Martin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124256656 PECOS PAC ID: 4981756491 Enrollment ID: I20201001000382 |
| Provider Name | Tamaki Anne Harrold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841629722 PECOS PAC ID: 3678797479 Enrollment ID: I20201216001779 |
| Provider Name | Naveen Reddy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851719306 PECOS PAC ID: 4587888367 Enrollment ID: I20210917001284 |
| Provider Name | Brent William Barrett |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245209865 PECOS PAC ID: 6709868730 Enrollment ID: I20211025001527 |
| Provider Name | Michael Clifton Mcgowan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386914828 PECOS PAC ID: 8820259344 Enrollment ID: I20211103001866 |
| Provider Name | Jacob Miller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992110498 PECOS PAC ID: 1254656408 Enrollment ID: I20211108000793 |
| Provider Name | Breann Marie Rocksund |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1750927380 PECOS PAC ID: 0749664209 Enrollment ID: I20220901000164 |
| Provider Name | Bruce E Noxon |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1043263171 PECOS PAC ID: 4688577620 Enrollment ID: I20230803000150 |
| Provider Name | Sanjay Dronavalli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790179752 PECOS PAC ID: 0042516072 Enrollment ID: I20230820000055 |
| Provider Name | Julieanne M Zenz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154434371 PECOS PAC ID: 2860487394 Enrollment ID: I20230908002678 |
Susanne Neal Dba Clearwater Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1206 Harrison Ave, Leadville, CO 80461 Phone: 719-293-0750 | |
Colorado Autism Consultants, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1609 Poplar St, Leadville, CO 80461 Phone: 720-584-8055 Fax: 303-957-2251 | |
St. Vincent General Hospital District Bh Leadville Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 735 Us Highway 24, Leadville, CO 80461 Phone: 719-486-0230 Fax: 719-486-1077 | |
Colorado Autism Consultants, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1609 Poplar St, Leadville, CO 80461 Phone: 719-584-8055 Fax: 303-957-2251 | |
Solvista Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 714 Front St, Leadville, CO 80461 Phone: 719-486-0985 | |
Solvista Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 714 Front St, Leadville, CO 80461 Phone: 719-486-0985 |