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6801 S Yosemite St Centennial CO 80112-1406 | |
(303) 225-0080 | |
(303) 487-9103 |
Full Name | |
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Speciality | General Practice |
Location | 6801 S Yosemite St, Centennial, Colorado |
Authorized Official Name and Position | Isaac R. Melamed (CHIEF MEDICAL OFFICER) |
Authorized Official Contact | 3037739000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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2801 Network Blvd Ste 505 Frisco TX 75034-1895 Ph: (833) 765-3648 | 6801 S Yosemite St Centennial CO 80112-1406 Ph: (303) 225-0080 |
NPI Number | 1134718414 |
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Provider Enumeration Date | 01/12/2021 |
Last Update Date | 09/20/2022 |
Medicare PECOS PAC ID | 1254712359 |
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Medicare Enrollment ID | O20220721000121 |
Identifier | Type | State | Issuer |
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1134718414 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Richard C Gamuac |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1174576037 PECOS PAC ID: 3173566676 Enrollment ID: I20050606000943 |
Provider Name | Isaac Melamed |
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Provider Type | Practitioner - Allergy/immunology |
Provider Identifiers | NPI Number: 1366480816 PECOS PAC ID: 0749170538 Enrollment ID: I20070206000052 |
Provider Name | Raj P Terkonda |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1639176803 PECOS PAC ID: 5991829210 Enrollment ID: I20100824000193 |
Provider Name | Edan Sarid |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1700107208 PECOS PAC ID: 6204083132 Enrollment ID: I20141111000263 |
Provider Name | Marianne Morales |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386948206 PECOS PAC ID: 4082890462 Enrollment ID: I20150911000985 |
Provider Name | Kayla Matthews |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205485802 PECOS PAC ID: 0749662872 Enrollment ID: I20220805000202 |
Provider Name | Prashant Parmar |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1326576703 PECOS PAC ID: 9032488697 Enrollment ID: I20230209000831 |
Provider Name | Meagan Beaulieu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609538727 PECOS PAC ID: 2567851421 Enrollment ID: I20230915001496 |
Provider Name | Paul Sklarew |
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Provider Type | Practitioner - Allergy/immunology |
Provider Identifiers | NPI Number: 1891729554 PECOS PAC ID: 8527074103 Enrollment ID: I20240110002453 |
Provider Name | Makenna Rae Long |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750115515 PECOS PAC ID: 3476094178 Enrollment ID: I20240921000447 |
Provider Name | Sarah Megan Hurley |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275360497 PECOS PAC ID: 4981138104 Enrollment ID: I20241111003921 |
Provider Name | Bazak Sharon |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1407099054 PECOS PAC ID: 6406988856 Enrollment ID: I20241206002372 |
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Healthone Heart Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14200 E Arapahoe Rd, Centennial, CO 80112 Phone: 303-699-3000 | |
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