| Indian Peaks Medical Group | |
|
14062 Denver West Pkwy Bldg 52, Ste 150 Lakewood CO 80401-3187 | |
| (303) 893-8300 | |
| (303) 825-7927 |
| Full Name | Indian Peaks Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 14062 Denver West Pkwy, Lakewood, Colorado |
| Authorized Official Name and Position | Arwyn Bree Taffs (OWNER) |
| Authorized Official Contact | 3038938300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Indian Peaks Medical Group 14062 Denver West Pkwy Bldg 52, Ste 150 Lakewood CO 80401-3187 Ph: (303) 893-8300 | Indian Peaks Medical Group 14062 Denver West Pkwy Bldg 52, Ste 150 Lakewood CO 80401-3187 Ph: (303) 893-8300 |
| NPI Number | 1548633670 |
|---|---|
| Provider Enumeration Date | 11/11/2015 |
| Last Update Date | 11/11/2015 |
| Medicare PECOS PAC ID | 3476857905 |
|---|---|
| Medicare Enrollment ID | O20160203002481 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548633670 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Charles E Goodell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457301897 PECOS PAC ID: 2668454471 Enrollment ID: I20040604000683 |
| Provider Name | Tiffany Fonte-ordonez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588754006 PECOS PAC ID: 0840261764 Enrollment ID: I20040804000706 |
| Provider Name | Robert Springs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235246075 PECOS PAC ID: 6507811064 Enrollment ID: I20050323000553 |
| Provider Name | Christine Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790367886 PECOS PAC ID: 6800291600 Enrollment ID: I20210817001796 |
| Provider Name | Miranda L Minter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548990021 PECOS PAC ID: 8123400447 Enrollment ID: I20220803002553 |
| Provider Name | Jamie Steadman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841973617 PECOS PAC ID: 6204283807 Enrollment ID: I20231103000047 |
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