| Digestive Diseases Specialists Of Colorado,llc | |
|
1600 N Grand Ave Suite 440 Pueblo CO 81003-2700 | |
| (719) 543-3500 | |
| (719) 543-3504 |
| Full Name | Digestive Diseases Specialists Of Colorado,llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1600 N Grand Ave, Pueblo, Colorado |
| Authorized Official Name and Position | Atul Vahil (PRESIDENT/OWNER) |
| Authorized Official Contact | 7195433500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Digestive Diseases Specialists Of Colorado,llc 1600 N Grand Ave Suite 440 Pueblo CO 81003-2700 Ph: (719) 543-3500 | Digestive Diseases Specialists Of Colorado,llc 1600 N Grand Ave Suite 440 Pueblo CO 81003-2700 Ph: (719) 543-3500 |
| NPI Number | 1033135330 |
|---|---|
| Provider Enumeration Date | 07/14/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 8527022060 |
|---|---|
| Medicare Enrollment ID | O20041115001261 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033135330 | NPI | - | NPPES |
| 85954764 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Brenda K Carver Torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700970142 PECOS PAC ID: 3971534058 Enrollment ID: I20050829000534 |
| Provider Name | Teri Alberty |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588851497 PECOS PAC ID: 6800979139 Enrollment ID: I20080211000291 |
| Provider Name | Trevor Ray Willardson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437417748 PECOS PAC ID: 4183889926 Enrollment ID: I20120629000344 |
| Provider Name | Richard E Fenn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164782769 PECOS PAC ID: 5698930832 Enrollment ID: I20120713000108 |
| Provider Name | Darran Sawyer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598032013 PECOS PAC ID: 6103083035 Enrollment ID: I20161019002413 |
| Provider Name | Maritza Proano |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1194742676 PECOS PAC ID: 1759395817 Enrollment ID: I20170228000817 |
Lake Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2001 Lake Ave, Pueblo, CO 81004 Phone: 719-564-0300 Fax: 719-564-0303 | |
Risley School Based Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 625 N Monument Ave, Pueblo, CO 81001 Phone: 719-543-8711 Fax: 719-543-5340 | |
Aleracare Of Colorado, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1303 Fortino Blvd, Pueblo, CO 81008 Phone: 888-209-8874 | |
Parkview Ancillary Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 525 West 15th Street, Ste. 300, Pueblo, CO 81003 Phone: 719-542-1696 Fax: 719-542-1698 | |
Concentra Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4117 N Elizabeth St, Pueblo, CO 81008 Phone: 719-545-0788 | |
Front Range Clinic Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1249 E Routt Ave, Pueblo, CO 81004 Phone: 720-808-0051 |