| |
4100 E Mississippi Ave 110 Glendale CO 80246-3048 | |
(303) 552-9522 | |
Not Available |
Full Name | |
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Speciality | Internal Medicine |
Location | 4100 E Mississippi Ave, Glendale, Colorado |
Authorized Official Name and Position | Suzanne Hansen (CHIEF MEDICARE PROGRAM OFFICER) |
Authorized Official Contact | 4158140927 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1 Embarcadero Ctr Fl 19 San Francisco CA 94111-3628 Ph: () - | 4100 E Mississippi Ave 110 Glendale CO 80246-3048 Ph: (303) 552-9522 |
NPI Number | 1366827024 |
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Provider Enumeration Date | 07/23/2015 |
Last Update Date | 09/07/2023 |
Medicare PECOS PAC ID | 0143520189 |
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Medicare Enrollment ID | O20151230001000 |
Identifier | Type | State | Issuer |
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1366827024 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Emily S Marsh |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1851493613 PECOS PAC ID: 0446275531 Enrollment ID: I20051007000459 |
Provider Name | Lynn L Rooney |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1023086733 PECOS PAC ID: 2062569239 Enrollment ID: I20090406000444 |
Provider Name | Kerry Lynn Hildreth |
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Provider Type | Practitioner - Geriatric Medicine |
Provider Identifiers | NPI Number: 1982825543 PECOS PAC ID: 9739232737 Enrollment ID: I20090807000353 |
Provider Name | Jason V Barmore |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1902933948 PECOS PAC ID: 7416138946 Enrollment ID: I20110216000976 |
Provider Name | Haleigh Borneman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285179176 PECOS PAC ID: 4789965559 Enrollment ID: I20170110002330 |
Provider Name | Jennifer Hubbard |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1144632647 PECOS PAC ID: 4284915976 Enrollment ID: I20170112000684 |
Provider Name | Sheila Miriam Antony |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1083989339 PECOS PAC ID: 7810281003 Enrollment ID: I20170505000727 |
Provider Name | Douglas Golding |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1306803143 PECOS PAC ID: 8224089065 Enrollment ID: I20180111000843 |
Provider Name | Angela Poppe Ries |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1346458197 PECOS PAC ID: 6608961081 Enrollment ID: I20180606002910 |
Provider Name | Emily Lounsbury |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821486457 PECOS PAC ID: 2769709468 Enrollment ID: I20190115000128 |
Provider Name | Dana Marie Haines |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326686908 PECOS PAC ID: 7911332887 Enrollment ID: I20200123000136 |
Provider Name | Fatima Tagle |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033201405 PECOS PAC ID: 0143277392 Enrollment ID: I20200806002598 |
Provider Name | Melody M Carpenter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033792593 PECOS PAC ID: 5193124170 Enrollment ID: I20210524002224 |
Provider Name | Regina C Lee |
---|---|
Provider Type | Practitioner - Interventional Cardiology |
Provider Identifiers | NPI Number: 1164710083 PECOS PAC ID: 1951652759 Enrollment ID: I20211111001107 |
Provider Name | Grace A Noynay |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457955759 PECOS PAC ID: 9638560394 Enrollment ID: I20220106002946 |
Provider Name | Katharine Elizabeth Gellish |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083373633 PECOS PAC ID: 0244624609 Enrollment ID: I20220301000091 |
Provider Name | Jennifer Burke Krieg |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1790070258 PECOS PAC ID: 4688807589 Enrollment ID: I20220329000377 |
Provider Name | Lawanda Martindale |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346699188 PECOS PAC ID: 3072809623 Enrollment ID: I20221101000499 |
Provider Name | Modupeola Abiodun |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1225326853 PECOS PAC ID: 5597983551 Enrollment ID: I20230426001912 |
Provider Name | Reade Selcke |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972201317 PECOS PAC ID: 6901263524 Enrollment ID: I20230613000515 |
Provider Name | Saori Schmal |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912342114 PECOS PAC ID: 9931341898 Enrollment ID: I20230727001226 |
Provider Name | Ashley Woodworth |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1962964221 PECOS PAC ID: 6901131622 Enrollment ID: I20231227002637 |
Provider Name | Laura Cornish |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649637497 PECOS PAC ID: 3476968827 Enrollment ID: I20231228002666 |
Provider Name | Alison Donovan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518375823 PECOS PAC ID: 3274750286 Enrollment ID: I20231229002098 |
Provider Name | Halary Patch |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255631248 PECOS PAC ID: 0840461018 Enrollment ID: I20240115001301 |
Provider Name | Angela Ro |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1962732271 PECOS PAC ID: 6406026608 Enrollment ID: I20240123004996 |
Provider Name | Alexis Atwater |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1922328830 PECOS PAC ID: 9537303854 Enrollment ID: I20240611001956 |
Provider Name | Aarti Surti |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1114284742 PECOS PAC ID: 6103133350 Enrollment ID: I20240715001311 |
Provider Name | Mary Grace Nuega |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407342603 PECOS PAC ID: 2466798418 Enrollment ID: I20240807000190 |
Provider Name | Joy Jones |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942552807 PECOS PAC ID: 4385929538 Enrollment ID: I20240826004302 |
Provider Name | Jenniffer Ramirez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982120457 PECOS PAC ID: 2769740323 Enrollment ID: I20240903002020 |
Provider Name | Tonya Wallace |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730563982 PECOS PAC ID: 6002185808 Enrollment ID: I20241002001993 |
Provider Name | Christina Kang |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1417197161 PECOS PAC ID: 0143454264 Enrollment ID: I20241008000200 |
Provider Name | Marisa D Christensen |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1417049974 PECOS PAC ID: 1456381193 Enrollment ID: I20241018001466 |
Provider Name | Usha Tatini |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1376526376 PECOS PAC ID: 0749322428 Enrollment ID: I20241024000166 |
Provider Name | Michael Medrano |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1386382372 PECOS PAC ID: 7214318823 Enrollment ID: I20241112002113 |
Provider Name | Karen Hye |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1710348511 PECOS PAC ID: 1456648179 Enrollment ID: I20241112003268 |
Provider Name | Roshini Malaney |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1134418783 PECOS PAC ID: 2264759380 Enrollment ID: I20241205001958 |
Portercare Adventist Health System Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 425 S Cherry St Ste 410, Glendale, CO 80246 Phone: 303-333-3388 Fax: 303-333-5094 | |
Healthone Carenow Urgent Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4500 Leetsdale Dr, Glendale, CO 80246 Phone: 972-745-7500 | |