Center Pointe Family Medical Group Llc | |
1 Oakwood Park Plz Ste 101 Castle Rock CO 80104-1849 | |
(719) 282-6100 | |
Not Available |
Full Name | Center Pointe Family Medical Group Llc |
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Speciality | Family Medicine |
Location | 1 Oakwood Park Plz Ste 101, Castle Rock, Colorado |
Authorized Official Name and Position | Baiju Abdulla (MEDICAL DIRECTOR) |
Authorized Official Contact | 7192826100 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Center Pointe Family Medical Group Llc 5410 Powers Center Pt Ste 230 Colorado Springs CO 80920-7148 Ph: (719) 282-6100 | Center Pointe Family Medical Group Llc 1 Oakwood Park Plz Ste 101 Castle Rock CO 80104-1849 Ph: (719) 282-6100 |
NPI Number | 1154825230 |
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Provider Enumeration Date | 03/22/2018 |
Last Update Date | 03/22/2018 |
Medicare PECOS PAC ID | 7113281809 |
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Medicare Enrollment ID | O20180504000571 |
Identifier | Type | State | Issuer |
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1154825230 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Baiju Abdulla |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1316119076 PECOS PAC ID: 5890964324 Enrollment ID: I20120718000552 |
Provider Name | Alan F Stage |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1821044975 PECOS PAC ID: 3779838933 Enrollment ID: I20180612003026 |
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