| Healthone Clinic Services - Medical Specialties Llc | |
|
1601 E 19th Ave Ste 4350 Denver CO 80218-1253 | |
| (303) 228-1240 | |
| Not Available |
| Full Name | Healthone Clinic Services - Medical Specialties Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1601 E 19th Ave Ste 4350, Denver, Colorado |
| Authorized Official Name and Position | John Rebok (VP) |
| Authorized Official Contact | 6153725004 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthone Clinic Services - Medical Specialties Llc 2000 Health Park Dr Brentwood TN 37027-4525 Ph: (615) 372-5426 | Healthone Clinic Services - Medical Specialties Llc 1601 E 19th Ave Ste 4350 Denver CO 80218-1253 Ph: (303) 228-1240 |
| NPI Number | 1457549461 |
|---|---|
| Provider Enumeration Date | 10/04/2007 |
| Last Update Date | 01/02/2023 |
| Medicare PECOS PAC ID | 1850480807 |
|---|---|
| Medicare Enrollment ID | O20071129000065 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457549461 | NPI | - | NPPES |
| 72707062 | Medicaid | CO | |
| 14173565 | Medicaid | NM | |
| 30906571 | Medicaid | CO | |
| 94170363 | Medicaid | CO | |
| 74305263 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| Provider Name | Robert Curtis Mcclay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972570554 PECOS PAC ID: 2769469121 Enrollment ID: I20040702000552 |
| Provider Name | Sarah V Bull |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1427165547 PECOS PAC ID: 3577534791 Enrollment ID: I20040803000086 |
| Provider Name | Jonathan C Manheim |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730156506 PECOS PAC ID: 6103899174 Enrollment ID: I20040817001234 |
| Provider Name | Tara M Snow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609985233 PECOS PAC ID: 9436101284 Enrollment ID: I20050221000222 |
| Provider Name | Beverly F Gilder |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871658393 PECOS PAC ID: 7618909045 Enrollment ID: I20050907000527 |
| Provider Name | Edward H Maa |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053426643 PECOS PAC ID: 6709896798 Enrollment ID: I20060504000859 |
| Provider Name | Clark C Kulig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669423430 PECOS PAC ID: 5294748505 Enrollment ID: I20060802000468 |
| Provider Name | Joel Witter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912017716 PECOS PAC ID: 8820090491 Enrollment ID: I20070210000076 |
| Provider Name | Leslie S Gamache |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1851303002 PECOS PAC ID: 1355445180 Enrollment ID: I20070403000460 |
| Provider Name | Kirsten A Bracht |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417940453 PECOS PAC ID: 0143254284 Enrollment ID: I20070608000117 |
| Provider Name | Richard Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619067097 PECOS PAC ID: 4981797834 Enrollment ID: I20070907000670 |
| Provider Name | Michelle Reeves |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578679007 PECOS PAC ID: 9931296449 Enrollment ID: I20071031000240 |
| Provider Name | Seth D Reiner |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1497887624 PECOS PAC ID: 2668546300 Enrollment ID: I20080730000070 |
| Provider Name | Katarzyna A Mastalerz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861514275 PECOS PAC ID: 5092831909 Enrollment ID: I20100929000180 |
| Provider Name | Jorge L Sallaberry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841270519 PECOS PAC ID: 7113011974 Enrollment ID: I20101117001099 |
| Provider Name | Aaron M Haug |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962606467 PECOS PAC ID: 8527222819 Enrollment ID: I20120618000624 |
| Provider Name | Patrick Ryan Wood |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1114216926 PECOS PAC ID: 5799911293 Enrollment ID: I20141009002511 |
| Provider Name | Karina Handoyo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396034930 PECOS PAC ID: 7012141450 Enrollment ID: I20141013000667 |
| Provider Name | Andrew Koch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104125954 PECOS PAC ID: 6305070640 Enrollment ID: I20141028000516 |
| Provider Name | Lauren Elaine Thompson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053600288 PECOS PAC ID: 0648596551 Enrollment ID: I20150311001017 |
| Provider Name | Gerard L Bernales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639597909 PECOS PAC ID: 0244455087 Enrollment ID: I20160126000168 |
| Provider Name | Matthew Jonathon Stotts |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043536717 PECOS PAC ID: 7911209390 Enrollment ID: I20160706002360 |
| Provider Name | Eugene I Chung |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1285834945 PECOS PAC ID: 2769638402 Enrollment ID: I20160803003151 |
| Provider Name | Paige L Dorn |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1679740914 PECOS PAC ID: 4880842889 Enrollment ID: I20170130002719 |
| Provider Name | Alexander R Dietz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568725919 PECOS PAC ID: 6204065121 Enrollment ID: I20170615001134 |
| Provider Name | Meagan C Murgel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134537707 PECOS PAC ID: 5698041580 Enrollment ID: I20171020000455 |
| Provider Name | Ann Pereira |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285144758 PECOS PAC ID: 6507122389 Enrollment ID: I20171110001388 |
| Provider Name | Kristen Demaria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225684129 PECOS PAC ID: 6002147139 Enrollment ID: I20191003002736 |
| Provider Name | Sarah Barnard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326529082 PECOS PAC ID: 1557790664 Enrollment ID: I20200410000149 |
| Provider Name | Oliver Jeffery |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083929160 PECOS PAC ID: 9234375189 Enrollment ID: I20201005002424 |
| Provider Name | Alexandra D. Meihofer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942965934 PECOS PAC ID: 3476944471 Enrollment ID: I20211230001210 |
| Provider Name | Benjamin Fischer Valuck |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1023351673 PECOS PAC ID: 3870736028 Enrollment ID: I20220513000198 |
| Provider Name | Melanie C Ellers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558786293 PECOS PAC ID: 8921222886 Enrollment ID: I20230524003045 |
| Provider Name | Rajal Anup Patel |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1548608334 PECOS PAC ID: 5092097816 Enrollment ID: I20231109003699 |
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