| Hampden Medical Group | |
|
221 E Hampden Ave Englewood CO 80113-2620 | |
| (303) 789-2251 | |
| (303) 789-2505 |
| Full Name | Hampden Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 221 E Hampden Ave, Englewood, Colorado |
| Authorized Official Name and Position | Christina Hubbard (BILLING MANAGER) |
| Authorized Official Contact | 3037892251 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hampden Medical Group 221 E Hampden Ave Englewood CO 80113-2620 Ph: (303) 789-2251 | Hampden Medical Group 221 E Hampden Ave Englewood CO 80113-2620 Ph: (303) 789-2251 |
| NPI Number | 1366506131 |
|---|---|
| Provider Enumeration Date | 12/19/2006 |
| Last Update Date | 06/02/2008 |
| Medicare PECOS PAC ID | 4082607197 |
|---|---|
| Medicare Enrollment ID | O20040405001765 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366506131 | NPI | - | NPPES |
| DG1678 | Other | RAILROAD MEDICARE | |
| 04006524 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Todd J Avant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659363240 PECOS PAC ID: 2860423670 Enrollment ID: I20050822000950 |
| Provider Name | Jeffrey K Hansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093892580 PECOS PAC ID: 8426151614 Enrollment ID: I20070308000200 |
| Provider Name | Leah M Cooper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740288968 PECOS PAC ID: 7618156738 Enrollment ID: I20110121000367 |
| Provider Name | Vanessa Sue Burnham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104594720 PECOS PAC ID: 9133526973 Enrollment ID: I20210922000490 |
| Provider Name | Teresa Salazar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518636141 PECOS PAC ID: 3779981279 Enrollment ID: I20211014000677 |
| Provider Name | Cristina Kuta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508377086 PECOS PAC ID: 9335499755 Enrollment ID: I20230123002046 |
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