| Aurora Internal Medicine Clinic, Pc | |
|
13111 E Briarwood Ave Suite 250 Centennial CO 80112-3930 | |
| (303) 810-6269 | |
| (303) 805-9323 |
| Full Name | Aurora Internal Medicine Clinic, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 13111 E Briarwood Ave, Centennial, Colorado |
| Authorized Official Name and Position | Arthur A Burroughs (TREASURER) |
| Authorized Official Contact | 3038051800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aurora Internal Medicine Clinic, Pc 13111 E Briarwood Ave Suite 250 Centennial CO 80112-3930 Ph: (303) 805-1800 | Aurora Internal Medicine Clinic, Pc 13111 E Briarwood Ave Suite 250 Centennial CO 80112-3930 Ph: (303) 810-6269 |
| NPI Number | 1356566657 |
|---|---|
| Provider Enumeration Date | 04/13/2007 |
| Last Update Date | 11/10/2022 |
| Medicare PECOS PAC ID | 5395637433 |
|---|---|
| Medicare Enrollment ID | O20040325000713 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356566657 | NPI | - | NPPES |
| 04021804 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | 36303 (Colorado) | Primary |
| Provider Name | Alan P Aboaf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003866393 PECOS PAC ID: 2365578762 Enrollment ID: I20101130000166 |
| Provider Name | Thomas Scott Gilmer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750331930 PECOS PAC ID: 3173659570 Enrollment ID: I20101130001242 |
| Provider Name | Arthur A Burroughs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770533911 PECOS PAC ID: 8426184839 Enrollment ID: I20101130001307 |
| Provider Name | Lisa A Lumley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700140407 PECOS PAC ID: 3779739396 Enrollment ID: I20120813000829 |
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