| Healthone Clinic Services - Primary Care Llc | |
|
4545 E 9th Ave Ste 400 Denver CO 80220-3904 | |
| (303) 320-2929 | |
| (303) 388-1865 |
| Full Name | Healthone Clinic Services - Primary Care Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 4545 E 9th Ave Ste 400, 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 - Primary Care Llc 2000 Health Park Dr Brentwood TN 37027-4525 Ph: (615) 372-5426 | Healthone Clinic Services - Primary Care Llc 4545 E 9th Ave Ste 400 Denver CO 80220-3904 Ph: (303) 320-2929 |
| NPI Number | 1518141761 |
|---|---|
| Provider Enumeration Date | 12/24/2007 |
| Last Update Date | 01/02/2023 |
| Medicare PECOS PAC ID | 7012804446 |
|---|---|
| Medicare Enrollment ID | O20040301001279 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518141761 | NPI | - | NPPES |
| 34758551 | Medicaid | CO | |
| 73570281 | Medicaid | CO | |
| 31930743 | Medicaid | CO | |
| 07709773 | Medicaid | CO | |
| 13401548 | Medicaid | CO | |
| 65724577 | Medicaid | CO | |
| 30136253 | Medicaid | CO | |
| 46684069 | Medicaid | CO | |
| 31433367 | Medicaid | CO | |
| 39771571 | Medicaid | CO | |
| 27302270 | Medicaid | CO | |
| 60827211 | Medicaid | CO | |
| 98059378 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| Provider Name | Andrew J Schiavoni |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689662900 PECOS PAC ID: 1456264076 Enrollment ID: I20031110000667 |
| Provider Name | Christopher A Carpenter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508846023 PECOS PAC ID: 5799744967 Enrollment ID: I20041005000477 |
| Provider Name | Thomas M Li |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023005576 PECOS PAC ID: 9638108624 Enrollment ID: I20050812000503 |
| Provider Name | Tunde Ghincea |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689700304 PECOS PAC ID: 7810921202 Enrollment ID: I20050926000004 |
| Provider Name | Crista C Keller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982631131 PECOS PAC ID: 9032124326 Enrollment ID: I20060208000095 |
| Provider Name | Mark A Huun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366579245 PECOS PAC ID: 3779599287 Enrollment ID: I20060221000578 |
| Provider Name | John W Schultz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174671390 PECOS PAC ID: 4981613411 Enrollment ID: I20060413000530 |
| Provider Name | Ted K Lin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518092683 PECOS PAC ID: 6204931603 Enrollment ID: I20070413000078 |
| Provider Name | Preston Nein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194807404 PECOS PAC ID: 2567560519 Enrollment ID: I20070614000382 |
| Provider Name | Alexandra Von Lindeman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629146816 PECOS PAC ID: 5991704256 Enrollment ID: I20070910001053 |
| Provider Name | Andrew J Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174629919 PECOS PAC ID: 4688754724 Enrollment ID: I20080102000459 |
| Provider Name | Debra J Hoffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750575494 PECOS PAC ID: 1254414790 Enrollment ID: I20080207000253 |
| Provider Name | Martin C Kalevik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841289766 PECOS PAC ID: 3274612197 Enrollment ID: I20080505000162 |
| Provider Name | Mary Vrabec |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447387444 PECOS PAC ID: 4486722162 Enrollment ID: I20081008000133 |
| Provider Name | Saurabh Mangalik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801971486 PECOS PAC ID: 0345306890 Enrollment ID: I20090306000535 |
| Provider Name | Elizabeth H Sebestyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407891542 PECOS PAC ID: 7618026915 Enrollment ID: I20090515000280 |
| Provider Name | Daniel Craig Citron |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861442410 PECOS PAC ID: 5294739587 Enrollment ID: I20110208000675 |
| Provider Name | Kenyon J Weidle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083903165 PECOS PAC ID: 7719158088 Enrollment ID: I20110916000096 |
| Provider Name | Michael D Erlandson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992799100 PECOS PAC ID: 0042482747 Enrollment ID: I20110930000105 |
| Provider Name | Tara G O Connor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265692776 PECOS PAC ID: 4587821772 Enrollment ID: I20120130000915 |
| Provider Name | Phillis J Rutt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447564109 PECOS PAC ID: 4688831779 Enrollment ID: I20120201000234 |
| Provider Name | Lisa My Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225270135 PECOS PAC ID: 3173779428 Enrollment ID: I20120802000222 |
| Provider Name | Scott V Joy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144304205 PECOS PAC ID: 8123190972 Enrollment ID: I20130219000429 |
| Provider Name | Angela Giampaolo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720205479 PECOS PAC ID: 2769668714 Enrollment ID: I20130503000204 |
| Provider Name | Pamela R Havlen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255490801 PECOS PAC ID: 3173658663 Enrollment ID: I20130823000546 |
| Provider Name | Kenneth D Tompkins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548586050 PECOS PAC ID: 9638312580 Enrollment ID: I20130826000581 |
| Provider Name | Alexis Chryse Michopoulos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073878146 PECOS PAC ID: 0143541391 Enrollment ID: I20150601000776 |
| Provider Name | Kelly A Montoya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396105433 PECOS PAC ID: 8224337944 Enrollment ID: I20160502002080 |
| Provider Name | Megan Mackenzie Watanabe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811341043 PECOS PAC ID: 0446546410 Enrollment ID: I20160928000727 |
| Provider Name | Lisa R Rothlein-naron |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588007785 PECOS PAC ID: 8426291477 Enrollment ID: I20161219000853 |
| Provider Name | Maryem Kianinejad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831638386 PECOS PAC ID: 8729362363 Enrollment ID: I20170228000786 |
| Provider Name | Carmen M Vandal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881013571 PECOS PAC ID: 0446476030 Enrollment ID: I20171002000861 |
| Provider Name | Jennifer Hathaway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467957555 PECOS PAC ID: 7012265648 Enrollment ID: I20180730002173 |
| Provider Name | Marianne Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457838518 PECOS PAC ID: 3971855891 Enrollment ID: I20181004000155 |
| Provider Name | Julienne L Bemski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881071280 PECOS PAC ID: 9436467057 Enrollment ID: I20181004002570 |
| Provider Name | Krista Bowers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467464453 PECOS PAC ID: 8921006172 Enrollment ID: I20190501000771 |
| Provider Name | Jessica A Ridgley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306076054 PECOS PAC ID: 0143471441 Enrollment ID: I20190524000941 |
| Provider Name | Sean R Kark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588025589 PECOS PAC ID: 1951696210 Enrollment ID: I20190729000765 |
| Provider Name | Emily C Rosenfeld |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700230695 PECOS PAC ID: 9234425703 Enrollment ID: I20190913000266 |
| Provider Name | Katie Lynn Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639834716 PECOS PAC ID: 8325430465 Enrollment ID: I20220121000956 |
| Provider Name | Zoya Karimov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366196941 PECOS PAC ID: 9133509649 Enrollment ID: I20220630000512 |
| Provider Name | Kayla M Myren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154064517 PECOS PAC ID: 5698992550 Enrollment ID: I20220720001439 |
| Provider Name | Justin Peters |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750843801 PECOS PAC ID: 9739565888 Enrollment ID: I20220927004019 |
| Provider Name | Raina Shah Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689302374 PECOS PAC ID: 7618345984 Enrollment ID: I20221116003041 |
| Provider Name | Margaret Reynolds Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073233508 PECOS PAC ID: 3274903117 Enrollment ID: I20230110001766 |
| Provider Name | Kathryn Margaret Vreeland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457700197 PECOS PAC ID: 9133492796 Enrollment ID: I20230126001421 |
| Provider Name | Ashley Dawn Archer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184322596 PECOS PAC ID: 7911363544 Enrollment ID: I20230523003050 |
| Provider Name | Jordan Wolynski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750081428 PECOS PAC ID: 8628439403 Enrollment ID: I20230726000739 |
| Provider Name | Kiana Allred |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386329068 PECOS PAC ID: 9133583248 Enrollment ID: I20230907003360 |
| Provider Name | Nina M Ball |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194344739 PECOS PAC ID: 2860818911 Enrollment ID: I20230913002154 |
| Provider Name | Franca Sofia Samoilovich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063048072 PECOS PAC ID: 5294180063 Enrollment ID: I20231013002041 |
| Provider Name | Paula Vogel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710761309 PECOS PAC ID: 5991153132 Enrollment ID: I20231128002043 |
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