| Green Mountain Partners For Health Pllc | |
|
200 Union Blvd Suite 311 Lakewood CO 80228-1830 | |
| (303) 566-7170 | |
| (303) 566-7172 |
| Full Name | Green Mountain Partners For Health Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 200 Union Blvd, Lakewood, Colorado |
| Authorized Official Name and Position | James T Boyd (MD/OWNER) |
| Authorized Official Contact | 3035667170 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Green Mountain Partners For Health Pllc 200 Union Suite 311 Lakewood CO 80228-1831 Ph: (303) 566-7170 | Green Mountain Partners For Health Pllc 200 Union Blvd Suite 311 Lakewood CO 80228-1830 Ph: (303) 566-7170 |
| NPI Number | 1316330368 |
|---|---|
| Provider Enumeration Date | 03/16/2015 |
| Last Update Date | 04/19/2016 |
| Medicare PECOS PAC ID | 9436470648 |
|---|---|
| Medicare Enrollment ID | O20150529002441 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316330368 | NPI | - | NPPES |
| 36987263 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | DR0050120 (Colorado) | Primary |
| Provider Name | Diana L Tidler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487769469 PECOS PAC ID: 3375672330 Enrollment ID: I20100601000207 |
| Provider Name | James Boyd |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720254204 PECOS PAC ID: 3476728908 Enrollment ID: I20111213000216 |
| Provider Name | Jennifer L Sapp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295020071 PECOS PAC ID: 7911164900 Enrollment ID: I20130916000607 |
| Provider Name | Carolynn S Francavilla Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568753739 PECOS PAC ID: 6305088006 Enrollment ID: I20150227001581 |
| Provider Name | Katherine O Spira |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346601754 PECOS PAC ID: 2668760737 Enrollment ID: I20161006000106 |
| Provider Name | Rachel K. Saul |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851652044 PECOS PAC ID: 9537449756 Enrollment ID: I20161206000370 |
| Provider Name | Kelsey J Sherman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245734755 PECOS PAC ID: 2961759451 Enrollment ID: I20220324002521 |
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