| Gastroenterology Of The Rockies | |
|
1000 W South Boulder Rd Suite 200 Lafayette CO 80026-2752 | |
| (303) 604-5000 | |
| (720) 890-0364 |
| Full Name | Gastroenterology Of The Rockies |
|---|---|
| Speciality | Internal Medicine |
| Location | 1000 W South Boulder Rd, Lafayette, Colorado |
| Authorized Official Name and Position | Daus Mahnke (BOARD MEMBER) |
| Authorized Official Contact | 3036045000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastroenterology Of The Rockies 382 S Arthur Ave Louisville CO 80027-3094 Ph: (303) 604-5000 | Gastroenterology Of The Rockies 1000 W South Boulder Rd Suite 200 Lafayette CO 80026-2752 Ph: (303) 604-5000 |
| NPI Number | 1902832603 |
|---|---|
| Provider Enumeration Date | 06/24/2006 |
| Last Update Date | 12/11/2020 |
| Medicare PECOS PAC ID | 4688577174 |
|---|---|
| Medicare Enrollment ID | O20040130001035 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902832603 | NPI | - | NPPES |
| CD5666 | Other | CO | RAILROAD MEDICARE |
| GAA1308 | Other | CO | BCBS |
| 04004180 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | David Gatof |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1881613305 PECOS PAC ID: 0345142279 Enrollment ID: I20040122000327 |
| Provider Name | Kimberly Ryzner Ober |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760414155 PECOS PAC ID: 6800781188 Enrollment ID: I20040508000300 |
| Provider Name | Robert P Dolan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1558396614 PECOS PAC ID: 2769447267 Enrollment ID: I20041123001232 |
| Provider Name | Daus Mahnke |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1306878566 PECOS PAC ID: 8123056207 Enrollment ID: I20050729000899 |
| Provider Name | Candace S Glazier |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902825227 PECOS PAC ID: 3870495922 Enrollment ID: I20080612000203 |
| Provider Name | Joseph E Cassara |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275755290 PECOS PAC ID: 6103891528 Enrollment ID: I20081021000774 |
| Provider Name | Joel R Montbriand |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1417980038 PECOS PAC ID: 7012810500 Enrollment ID: I20090713000679 |
| Provider Name | Ramu P Raju |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275732984 PECOS PAC ID: 0648317842 Enrollment ID: I20091020000688 |
| Provider Name | Matthew W. Karowe |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851310478 PECOS PAC ID: 9638236177 Enrollment ID: I20101229000417 |
| Provider Name | Steven T Chetham |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316962376 PECOS PAC ID: 5799674073 Enrollment ID: I20101229000556 |
| Provider Name | Peter S Kaye |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1114946639 PECOS PAC ID: 7517856891 Enrollment ID: I20110208000742 |
| Provider Name | Eileen M Devoy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558664805 PECOS PAC ID: 5890970115 Enrollment ID: I20110502000747 |
| Provider Name | Brenda S Hollander |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225180078 PECOS PAC ID: 6305848839 Enrollment ID: I20110908001963 |
| Provider Name | Kaycee A Simon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982713996 PECOS PAC ID: 8022056696 Enrollment ID: I20111004000445 |
| Provider Name | Kristin Ann Monnat Jackson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740578707 PECOS PAC ID: 1658539085 Enrollment ID: I20120214000919 |
| Provider Name | Anne Sage |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144509902 PECOS PAC ID: 5496928616 Enrollment ID: I20120502000482 |
| Provider Name | Ellen M Bohan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073821229 PECOS PAC ID: 9133300254 Enrollment ID: I20130913000313 |
| Provider Name | Richard Moseley |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1447343843 PECOS PAC ID: 6305975962 Enrollment ID: I20140325001886 |
| Provider Name | Lyndsey B Lodha |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063650083 PECOS PAC ID: 4688731912 Enrollment ID: I20140328000725 |
| Provider Name | Darragh K Mccollum |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467883165 PECOS PAC ID: 9739310913 Enrollment ID: I20140401002150 |
| Provider Name | Emily Kay Ward |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1093927055 PECOS PAC ID: 3577687797 Enrollment ID: I20140721000607 |
| Provider Name | Amy Lara Fayling |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1992917678 PECOS PAC ID: 0042469850 Enrollment ID: I20140919001018 |
| Provider Name | Danny E Mccarty |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215950530 PECOS PAC ID: 1658265665 Enrollment ID: I20141115000193 |
| Provider Name | Nathan J Susnow |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1396891974 PECOS PAC ID: 7315110947 Enrollment ID: I20141217000760 |
| Provider Name | Tamas Otrok |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851386734 PECOS PAC ID: 4183697147 Enrollment ID: I20151028001396 |
| Provider Name | Courtney Cassias |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902264146 PECOS PAC ID: 6305145400 Enrollment ID: I20160425000362 |
| Provider Name | Andrea Michelle Schwieger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265826929 PECOS PAC ID: 1355653957 Enrollment ID: I20161215000309 |
| Provider Name | Katherine Cashman Porter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265799837 PECOS PAC ID: 2769648963 Enrollment ID: I20170125000176 |
| Provider Name | Caroline E Willingham |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639575517 PECOS PAC ID: 5193043412 Enrollment ID: I20170501000363 |
| Provider Name | Lindsey Hanyzewski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427561430 PECOS PAC ID: 9436410594 Enrollment ID: I20180306001596 |
| Provider Name | Melissa A Piskozub |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992048409 PECOS PAC ID: 7719120294 Enrollment ID: I20180716000250 |
| Provider Name | Matthew Seto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003163486 PECOS PAC ID: 7416204532 Enrollment ID: I20180720001023 |
| Provider Name | Marissa Lee Fahrbach |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427430032 PECOS PAC ID: 9931419181 Enrollment ID: I20181219000859 |
| Provider Name | Richard Wayne Husfeld |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346714854 PECOS PAC ID: 6406199546 Enrollment ID: I20190513002689 |
| Provider Name | Taimur Khan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235387358 PECOS PAC ID: 0840472692 Enrollment ID: I20190515000038 |
| Provider Name | Raul Eduardo Cubillas Manrique |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679636120 PECOS PAC ID: 7911196266 Enrollment ID: I20190917001287 |
| Provider Name | Rohan Courtney Clarke |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336364041 PECOS PAC ID: 0547349532 Enrollment ID: I20191203000319 |
| Provider Name | David J Cristin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841685781 PECOS PAC ID: 1658687108 Enrollment ID: I20200114002487 |
| Provider Name | Annabelle Flanagan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467811349 PECOS PAC ID: 9133424443 Enrollment ID: I20200609000982 |
| Provider Name | Bibiana Steinbauer |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1548527385 PECOS PAC ID: 7517264153 Enrollment ID: I20200930002307 |
| Provider Name | Grant S. Geisler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538400973 PECOS PAC ID: 2567601263 Enrollment ID: I20201112002784 |
| Provider Name | Spencer Harvey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679711758 PECOS PAC ID: 2668538364 Enrollment ID: I20201204001341 |
| Provider Name | Brenna Burnette |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447488788 PECOS PAC ID: 5597817684 Enrollment ID: I20210415000934 |
| Provider Name | Patrick M Dandaneau |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982905741 PECOS PAC ID: 8224219803 Enrollment ID: I20210421001310 |
| Provider Name | Wesley Prichard |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1194142166 PECOS PAC ID: 2264658459 Enrollment ID: I20210517000359 |
| Provider Name | Julene Rae Moore |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1144367426 PECOS PAC ID: 1052479466 Enrollment ID: I20210519000017 |
| Provider Name | Simranjit Singh Bedi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447678271 PECOS PAC ID: 0143443895 Enrollment ID: I20210615001355 |
| Provider Name | Erin M. Murphy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972544534 PECOS PAC ID: 2668361544 Enrollment ID: I20210630004249 |
| Provider Name | Lauren Nicole Hamm |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831532068 PECOS PAC ID: 8921240094 Enrollment ID: I20210707004079 |
| Provider Name | Joshua Steinberg |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1154749042 PECOS PAC ID: 5395176887 Enrollment ID: I20210713004015 |
| Provider Name | Rachael M Saeler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366082448 PECOS PAC ID: 9537595509 Enrollment ID: I20210719000167 |
| Provider Name | Eric J Swartz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114388873 PECOS PAC ID: 8325345747 Enrollment ID: I20211214000448 |
| Provider Name | Shana Hudson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508405457 PECOS PAC ID: 3577994409 Enrollment ID: I20220427002925 |
| Provider Name | Timothy James Dobin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649624347 PECOS PAC ID: 7618354408 Enrollment ID: I20220517001537 |
| Provider Name | Joey P Martsolf |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649461716 PECOS PAC ID: 5294811873 Enrollment ID: I20221130003437 |
| Provider Name | Kelly Zucker |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1952793846 PECOS PAC ID: 5597188078 Enrollment ID: I20230711004093 |
| Provider Name | Jennifer Humphreys |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942556014 PECOS PAC ID: 4587815667 Enrollment ID: I20231019000187 |
Intermountain Health Good Samaritan Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 200 Exempla Cir, Lafayette, CO 80026 Phone: 303-689-4000 Fax: 303-467-4156 | |
Mental Health Partners Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1455 Dixon Ave, Lafayette, CO 80026 Phone: 303-443-8500 Fax: 303-413-6256 | |
Partners In Health Healing Arts Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 308 W Baseline Rd, Lafayette, CO 80026 Phone: 303-543-9504 Fax: 303-543-9729 | |
Community Medical Assoc Of Bch Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 W South Boulder Rd Ste 214, Lafayette, CO 80026 Phone: 303-415-4325 Fax: 303-661-9496 | |
Banner Greeley Specialists Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Exempla Cir, Suite 200, Lafayette, CO 80026 Phone: 970-378-4433 | |
Mental Health Partners Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1455 Dixon Ave, Lafayette, CO 80026 Phone: 303-443-8500 Fax: 720-687-2752 | |
Arcpoint Labs Lafayette/boulder Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 W South Boulder Rd Ste 103, Lafayette, CO 80026 Phone: 303-954-9864 Fax: 303-963-5782 |