| The Neurology Center At Valley View | |
|
1906 Blake Avenue Glenwood Spgs CO 81601-4227 | |
| (970) 384-7291 | |
| (970) 384-7293 |
| Full Name | The Neurology Center At Valley View |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1906 Blake Avenue, Glenwood Spgs, Colorado |
| Authorized Official Name and Position | Charles Crevling (CFO) |
| Authorized Official Contact | 9703846606 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Neurology Center At Valley View 1830 Blake Ave Ste 204 Glenwood Spgs CO 81601-4275 Ph: (970) 384-7144 | The Neurology Center At Valley View 1906 Blake Avenue Glenwood Spgs CO 81601-4227 Ph: (970) 384-7291 |
| NPI Number | 1710371729 |
|---|---|
| Provider Enumeration Date | 03/27/2015 |
| Last Update Date | 04/28/2021 |
| Certification Date | 04/28/2021 |
| Medicare PECOS PAC ID | 1850294778 |
|---|---|
| Medicare Enrollment ID | O20150626000101 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710371729 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Jeffrey Siegel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952332132 PECOS PAC ID: 8921077090 Enrollment ID: I20080821000653 |
| Provider Name | Srinivas Bandi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093831687 PECOS PAC ID: 0244379378 Enrollment ID: I20091203000343 |
| Provider Name | William J Hwang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093714172 PECOS PAC ID: 1557260312 Enrollment ID: I20200224000137 |
| Provider Name | Jeffrey Wayne Thornton |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033163266 PECOS PAC ID: 0345251294 Enrollment ID: I20200817000822 |
| Provider Name | Jose Carrau Lebron |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023229317 PECOS PAC ID: 8325107394 Enrollment ID: I20220630000568 |
| Provider Name | Victoria Augusta Cannon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124412085 PECOS PAC ID: 4284940578 Enrollment ID: I20230822000564 |
| Provider Name | Karen Lee Dumars |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417059346 PECOS PAC ID: 7113938978 Enrollment ID: I20240115001942 |