| Compassionate Concierge Physicians - Wound Grafts | |
|
5390 Saint Vrain Rd Longmont CO 80503-9307 | |
| (720) 986-0850 | |
| Not Available |
| Full Name | Compassionate Concierge Physicians - Wound Grafts |
|---|---|
| Speciality | Family Medicine |
| Location | 5390 Saint Vrain Rd, Longmont, Colorado |
| Authorized Official Name and Position | Kirk Ernest Mitchell (OWNER) |
| Authorized Official Contact | 3038599722 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Compassionate Concierge Physicians - Wound Grafts 5390 Saint Vrain Rd Longmont CO 80503-9307 Ph: (720) 986-0850 | Compassionate Concierge Physicians - Wound Grafts 5390 Saint Vrain Rd Longmont CO 80503-9307 Ph: (720) 986-0850 |
| NPI Number | 1003452301 |
|---|---|
| Provider Enumeration Date | 11/21/2019 |
| Last Update Date | 08/12/2023 |
| Medicare PECOS PAC ID | 4284069378 |
|---|---|
| Medicare Enrollment ID | O20200117001835 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003452301 | NPI | - | NPPES |
| Provider Name | Shahid Javery |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871658567 PECOS PAC ID: 6901930957 Enrollment ID: I20110323000695 |
| Provider Name | Kirk E Mitchell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811149685 PECOS PAC ID: 7517016264 Enrollment ID: I20110616000049 |
| Provider Name | Leslee Ronald Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083082283 PECOS PAC ID: 0648570804 Enrollment ID: I20151120000453 |
| Provider Name | Kindra L Leduc |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609350784 PECOS PAC ID: 5395082440 Enrollment ID: I20190128001094 |
| Provider Name | Maya Christie Trueman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1316467459 PECOS PAC ID: 2769804863 Enrollment ID: I20200618001484 |
| Provider Name | Jami Gorton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225633753 PECOS PAC ID: 8325296544 Enrollment ID: I20201211000371 |
| Provider Name | Hannah Whitney Holiday |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295206431 PECOS PAC ID: 4880087584 Enrollment ID: I20220201001804 |
| Provider Name | Paula Schulze Waldrop |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316222193 PECOS PAC ID: 9032569736 Enrollment ID: I20231221000255 |
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