| Gastroenterology Associates Of Colorado Springs Llp | |
|
1699 Medical Center Pt Colorado Springs CO 80907-5700 | |
| (719) 632-7101 | |
| Not Available |
| Full Name | Gastroenterology Associates Of Colorado Springs Llp |
|---|---|
| Speciality | Internal Medicine |
| Location | 1699 Medical Center Pt, Colorado Springs, Colorado |
| Authorized Official Name and Position | Patricia Tappan (ADMINISTRATOR) |
| Authorized Official Contact | 7196327101 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastroenterology Associates Of Colorado Springs Llp 1699 Medical Center Pt Colorado Springs CO 80907-5700 Ph: () - | Gastroenterology Associates Of Colorado Springs Llp 1699 Medical Center Pt Colorado Springs CO 80907-5700 Ph: (719) 632-7101 |
| NPI Number | 1457498396 |
|---|---|
| Provider Enumeration Date | 01/31/2007 |
| Last Update Date | 08/01/2007 |
| Medicare PECOS PAC ID | 2163416934 |
|---|---|
| Medicare Enrollment ID | O20040413001806 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457498396 | NPI | - | NPPES |
| 04016317 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Thomas E Meister |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689761371 PECOS PAC ID: 5890764088 Enrollment ID: I20040924000633 |
| Provider Name | Elena Sidorenko |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1831281674 PECOS PAC ID: 1153361183 Enrollment ID: I20050509000770 |
| Provider Name | Richard D Folan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649362435 PECOS PAC ID: 1759458508 Enrollment ID: I20101012000257 |
| Provider Name | Kathryn L Genoshe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063687861 PECOS PAC ID: 2062584790 Enrollment ID: I20131218000493 |
| Provider Name | Patricia Sanford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063699924 PECOS PAC ID: 2062570666 Enrollment ID: I20131218001159 |
| Provider Name | Kendell Mann |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1053384347 PECOS PAC ID: 3779891387 Enrollment ID: I20151001000608 |
| Provider Name | Kathryn N Hachuela |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356726160 PECOS PAC ID: 0446568828 Enrollment ID: I20151005001737 |
| Provider Name | Caroline R Tadros |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1427107770 PECOS PAC ID: 8022047117 Enrollment ID: I20160516000193 |
| Provider Name | Emily Lounsbury |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821486457 PECOS PAC ID: 2769709468 Enrollment ID: I20190115000128 |
| Provider Name | Heather Renee Winfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689220741 PECOS PAC ID: 0042645202 Enrollment ID: I20200115002773 |
| Provider Name | Jill S Dana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063184869 PECOS PAC ID: 0547658874 Enrollment ID: I20231206000029 |
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