| Colorado Gastroenterology Prof Llc | |
|
1960 Ogden St #220 Denver CO 80218-1022 | |
| (303) 861-0808 | |
| (303) 861-2193 |
| Full Name | Colorado Gastroenterology Prof Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1960 Ogden St, Denver, Colorado |
| Authorized Official Name and Position | Kevin S Sieja (MANAGING PHYSICIAN) |
| Authorized Official Contact | 3038610808 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Colorado Gastroenterology Prof Llc 1960 Ogden St #220 Denver CO 80218-1022 Ph: (303) 861-0808 | Colorado Gastroenterology Prof Llc 1960 Ogden St #220 Denver CO 80218-1022 Ph: (303) 861-0808 |
| NPI Number | 1396790101 |
|---|---|
| Provider Enumeration Date | 05/23/2006 |
| Last Update Date | 07/21/2011 |
| Medicare PECOS PAC ID | 6608846506 |
|---|---|
| Medicare Enrollment ID | O20040728001078 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396790101 | NPI | - | NPPES |
| DC0276 | Other | KS | RAILROAD MEDICARE |
| 47457236 | Medicaid | CO | |
| DB9573 | Other | CO | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Thomas E Trouillot |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1902850811 PECOS PAC ID: 8729072814 Enrollment ID: I20040729001458 |
| Provider Name | Jeffrey W Frank |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619922424 PECOS PAC ID: 9436143526 Enrollment ID: I20040729001491 |
| Provider Name | Kevin Scott Sieja |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1952356677 PECOS PAC ID: 2860401775 Enrollment ID: I20060420000141 |
| Provider Name | Jennifer W Brenner |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760611305 PECOS PAC ID: 0547313512 Enrollment ID: I20090810000141 |
| Provider Name | Kevin M Rufner |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1427195718 PECOS PAC ID: 7618133893 Enrollment ID: I20120717000343 |
| Provider Name | Stephen Russell Nash |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1053414045 PECOS PAC ID: 5597990655 Enrollment ID: I20131025000258 |
| Provider Name | Michael Gilger |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1467782003 PECOS PAC ID: 1254553654 Enrollment ID: I20141120000592 |
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