| Elena Anisimova, Md, Pc | |
|
1260 S Parker Rd # 201 Denver CO 80231 | |
| (303) 802-5444 | |
| (303) 728-9872 |
| Full Name | Elena Anisimova, Md, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1260 S Parker Rd # 201, Denver, Colorado |
| Authorized Official Name and Position | Elena Anisimova (MEDICAL DOCTOR) |
| Authorized Official Contact | 3038025444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elena Anisimova, Md, Pc 1260 S Parker Rd # 201 Denver CO 80231-8064 Ph: (303) 802-5444 | Elena Anisimova, Md, Pc 1260 S Parker Rd # 201 Denver CO 80231 Ph: (303) 802-5444 |
| NPI Number | 1073784096 |
|---|---|
| Provider Enumeration Date | 03/18/2008 |
| Last Update Date | 08/01/2018 |
| Medicare PECOS PAC ID | 5496747255 |
|---|---|
| Medicare Enrollment ID | O20040401000159 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073784096 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 41995 (Colorado) | Primary |
| Provider Name | Elena Anisimova |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770564437 PECOS PAC ID: 6204828064 Enrollment ID: I20040402000141 |
| Provider Name | Jessica Mary Ponder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679255210 PECOS PAC ID: 6305291899 Enrollment ID: I20231019000099 |
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