| Immunoe Health Centers, A Veros Health Company | |
|
6801 S Yosemite St Centennial CO 80112-1406 | |
| (303) 225-0080 | |
| (303) 487-9103 |
| Full Name | Immunoe Health Centers, A Veros Health Company |
|---|---|
| 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 |
|---|---|
| Immunoe Health Centers, A Veros Health Company 2801 Network Blvd Ste 505 Frisco TX 75034-1895 Ph: (833) 765-3648 | Immunoe Health Centers, A Veros Health Company 6801 S Yosemite St Centennial CO 80112-1406 Ph: (303) 225-0080 |
| NPI Number | 1134718414 |
|---|---|
| Provider Enumeration Date | 01/12/2021 |
| Last Update Date | 09/20/2022 |
| Medicare PECOS PAC ID | 1254712359 |
|---|---|
| Medicare Enrollment ID | O20220721000121 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134718414 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Richard C Gamuac |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174576037 PECOS PAC ID: 3173566676 Enrollment ID: I20050606000943 |
| Provider Name | Edward J Hepworth |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1588766562 PECOS PAC ID: 5395715734 Enrollment ID: I20060317000253 |
| Provider Name | Isaac Melamed |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700107208 PECOS PAC ID: 6204083132 Enrollment ID: I20141111000263 |
| Provider Name | Marianne Morales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386948206 PECOS PAC ID: 4082890462 Enrollment ID: I20150911000985 |
| Provider Name | Sarah Marie G Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851722615 PECOS PAC ID: 5395020937 Enrollment ID: I20170323000417 |
| Provider Name | Kayla Matthews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205485802 PECOS PAC ID: 0749662872 Enrollment ID: I20220805000202 |
| Provider Name | Prashant Parmar |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1891729554 PECOS PAC ID: 8527074103 Enrollment ID: I20240110002453 |
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