Healogics Specialty Physicians Of Colorado-professional, Llc | |
9399 Crown Crest Blvd Ste 430 Parker CO 80138-8527 | |
(303) 269-2310 | |
(303) 269-2319 |
Full Name | Healogics Specialty Physicians Of Colorado-professional, Llc |
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Speciality | Preventive Medicine |
Location | 9399 Crown Crest Blvd Ste 430, Parker, Colorado |
Authorized Official Name and Position | Frank Williams (CEO) |
Authorized Official Contact | 8556895105 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Healogics Specialty Physicians Of Colorado-professional, Llc Po Box 645743 Cincinnati OH 45264-6018 Ph: (855) 689-5105 | Healogics Specialty Physicians Of Colorado-professional, Llc 9399 Crown Crest Blvd Ste 430 Parker CO 80138-8527 Ph: (303) 269-2310 |
NPI Number | 1114331006 |
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Provider Enumeration Date | 06/18/2014 |
Last Update Date | 06/01/2023 |
Medicare PECOS PAC ID | 4183941834 |
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Medicare Enrollment ID | O20150318000983 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114331006 | NPI | - | NPPES |
1114331006 | Other | CO | NPI |
35233559 | Medicaid | CO |
Provider Name | John Todd White |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1104821826 PECOS PAC ID: 4880685189 Enrollment ID: I20040524000783 |
Provider Name | Megan W Eliassen |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1467461483 PECOS PAC ID: 2567413289 Enrollment ID: I20050209000960 |
Provider Name | Dennis P Cirillo |
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Provider Type | Practitioner - Plastic And Reconstructive Surgery |
Provider Identifiers | NPI Number: 1962563528 PECOS PAC ID: 2163455726 Enrollment ID: I20050914000495 |
Provider Name | Trent L Hovenga |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1881677821 PECOS PAC ID: 3577597475 Enrollment ID: I20050920001327 |
Provider Name | Antony C Pearson |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1235136201 PECOS PAC ID: 0244255198 Enrollment ID: I20051010000640 |
Provider Name | John Mcmanus |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1396761367 PECOS PAC ID: 4183647647 Enrollment ID: I20060110001181 |
Provider Name | Agnes M Eytchison |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205003076 PECOS PAC ID: 6002981438 Enrollment ID: I20080826000377 |
Provider Name | Craig A Reynolds |
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Provider Type | Practitioner - Plastic And Reconstructive Surgery |
Provider Identifiers | NPI Number: 1174706006 PECOS PAC ID: 4486796687 Enrollment ID: I20100127000170 |
Provider Name | Mark S Flora |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1417929019 PECOS PAC ID: 9133252216 Enrollment ID: I20100727000814 |
Provider Name | Gregory S Maeder |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1427387984 PECOS PAC ID: 4587798236 Enrollment ID: I20100817000327 |
Provider Name | Amanda M Mcsweeney |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1124073705 PECOS PAC ID: 5496769978 Enrollment ID: I20110211000416 |
Provider Name | David Boyd Cox |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1831351303 PECOS PAC ID: 3274705207 Enrollment ID: I20111017000195 |
Provider Name | Ilka V Nowak |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1114976776 PECOS PAC ID: 4284733908 Enrollment ID: I20120302000418 |
Provider Name | Glen D Kelley |
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Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1679860019 PECOS PAC ID: 5193968626 Enrollment ID: I20130830000342 |
Provider Name | Christopher A Morrison |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1134150501 PECOS PAC ID: 1153220025 Enrollment ID: I20150318001753 |
Provider Name | David M Hardin |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1639174907 PECOS PAC ID: 8527118785 Enrollment ID: I20150318002011 |
Provider Name | Jessica Fisher |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1528311487 PECOS PAC ID: 4688804867 Enrollment ID: I20160406000564 |
Provider Name | Constance Lynn Roark |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427193598 PECOS PAC ID: 0446320006 Enrollment ID: I20170518002728 |
Provider Name | Connie Hetzel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538697032 PECOS PAC ID: 2264700996 Enrollment ID: I20170621000405 |
Provider Name | Jennifer Henderson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407379399 PECOS PAC ID: 4981960754 Enrollment ID: I20171110000784 |
Provider Name | Tamara Shafer |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1356420707 PECOS PAC ID: 7618997701 Enrollment ID: I20171214001336 |
Provider Name | Jill M Aucoin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013405711 PECOS PAC ID: 7810252012 Enrollment ID: I20180517000066 |
Provider Name | Mallory E Knott |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477049864 PECOS PAC ID: 5799035465 Enrollment ID: I20180830002551 |
Provider Name | Heather Ann Tribble |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437572898 PECOS PAC ID: 3476785866 Enrollment ID: I20181029002066 |
Provider Name | Grace Ann Staehlin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164991238 PECOS PAC ID: 9537403258 Enrollment ID: I20181207000416 |
Provider Name | Elizabeth C Santaniello |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851822175 PECOS PAC ID: 1052661394 Enrollment ID: I20190124001530 |
Provider Name | Christine A Wibby |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932574092 PECOS PAC ID: 8325341258 Enrollment ID: I20190627002412 |
Provider Name | Amy J Pate |
---|---|
Provider Type | Practitioner - Preventive Medicine |
Provider Identifiers | NPI Number: 1164724258 PECOS PAC ID: 5799053260 Enrollment ID: I20190814002955 |
Provider Name | David Andrew Southwick |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1619966462 PECOS PAC ID: 1456454032 Enrollment ID: I20190906000108 |
Provider Name | David B Stuart |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1881040707 PECOS PAC ID: 4284922063 Enrollment ID: I20190920001346 |
Provider Name | Robert Steven Gazaway |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144297409 PECOS PAC ID: 8527390764 Enrollment ID: I20191021003453 |
Provider Name | Donette Survance |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487047775 PECOS PAC ID: 0648599464 Enrollment ID: I20191113001778 |
Provider Name | Laura E Noel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447778444 PECOS PAC ID: 3375809114 Enrollment ID: I20200302002502 |
Provider Name | Fariba Brady |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891301800 PECOS PAC ID: 1557772613 Enrollment ID: I20201120000344 |
Provider Name | Margarita Justa Ortiz |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811547672 PECOS PAC ID: 2567877269 Enrollment ID: I20210210001320 |
Provider Name | Charles Porter Sloan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720541170 PECOS PAC ID: 1153721568 Enrollment ID: I20210607001133 |
Provider Name | Elizabeth Moore |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114475019 PECOS PAC ID: 7416221247 Enrollment ID: I20210622000757 |
Provider Name | Bryan Sleigh |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1780771782 PECOS PAC ID: 4284859398 Enrollment ID: I20210727000854 |
Provider Name | Angela Stokes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730685959 PECOS PAC ID: 7416206909 Enrollment ID: I20220103000039 |
Provider Name | Saeed Payvar |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1134339104 PECOS PAC ID: 2466601281 Enrollment ID: I20220127001502 |
Provider Name | Amy D Miller |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114681566 PECOS PAC ID: 0446644371 Enrollment ID: I20220218000941 |
Provider Name | Melissa Stephanie Sisko |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518686351 PECOS PAC ID: 1355727538 Enrollment ID: I20220927000710 |
Provider Name | Shawna Phillips |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700296001 PECOS PAC ID: 0749666469 Enrollment ID: I20221004002500 |
Provider Name | Jared J Johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124736418 PECOS PAC ID: 7315319720 Enrollment ID: I20230213001752 |
Provider Name | Jamie Kathryn Rendler |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861808750 PECOS PAC ID: 8628345782 Enrollment ID: I20230726001662 |
Provider Name | Jonathan Borjeson |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1801870589 PECOS PAC ID: 3971584392 Enrollment ID: I20240306004128 |
Provider Name | Lauren Brogis |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1003267493 PECOS PAC ID: 5496040560 Enrollment ID: I20240424003787 |
20 Mile Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11355 S Parker Rd Ste 103, Parker, CO 80134 Phone: 303-974-7210 | |
Crown Point Pediatrics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9235 Crown Crest Blvd, Suite 100, Parker, CO 80138 Phone: 303-695-7667 Fax: 303-695-8146 | |
Greenwood Pediatrics Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16830 Northgate Dr, Suite 150, Parker, CO 80134 Phone: 303-805-7879 Fax: 720-851-2434 | |
Arapahoe Mental Health Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9235 Crown Crest Blvd Ste 125, Parker, CO 80138 Phone: 303-730-8858 | |
Miramont Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9251 Twenty Mile Rd, Parker, CO 80134 Phone: 303-805-5528 Fax: 303-805-5529 | |
Varsity Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13009 S Parker Rd # 319, Parker, CO 80134 Phone: 972-367-4845 Fax: 972-367-3451 |