| Doctors Medical Group Of Colorado | |
|
3210 N Academy Blvd Ste 3 Colorado Springs CO 80917 | |
| (719) 531-0409 | |
| (719) 531-0410 |
| Full Name | Doctors Medical Group Of Colorado |
|---|---|
| Speciality | Internal Medicine |
| Location | 3210 N Academy Blvd, Colorado Springs, Colorado |
| Authorized Official Name and Position | Robert Keith Spees (PHYSICIAN TREASURER) |
| Authorized Official Contact | 7195310409 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Doctors Medical Group Of Colorado 3210 N Academy Blvd Ste 3 Colorado Springs CO 80917 Ph: (719) 531-0409 | Doctors Medical Group Of Colorado 3210 N Academy Blvd Ste 3 Colorado Springs CO 80917 Ph: (719) 531-0409 |
| NPI Number | 1366530404 |
|---|---|
| Provider Enumeration Date | 10/11/2006 |
| Last Update Date | 09/09/2010 |
| Medicare PECOS PAC ID | 6305732819 |
|---|---|
| Medicare Enrollment ID | O20040223000921 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366530404 | NPI | - | NPPES |
| 01370998 | Medicaid | CO | |
| 86903543 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| Provider Name | Robert K Spees |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154419281 PECOS PAC ID: 7911893433 Enrollment ID: I20040712000154 |
| Provider Name | Peggi Ryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366419582 PECOS PAC ID: 9436207222 Enrollment ID: I20111109000499 |
| Provider Name | Jessica Lee Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447713102 PECOS PAC ID: 1052654142 Enrollment ID: I20190513000457 |
| Provider Name | Candace Kaye Kaufhold Baily |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497482194 PECOS PAC ID: 6901261494 Enrollment ID: I20230505002388 |
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