| La Plata Family Medicine Assoc Pc | |
|
316 Sawyer Dr Durango CO 81303 | |
| (970) 259-3110 | |
| (970) 259-6605 |
| Full Name | La Plata Family Medicine Assoc Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 316 Sawyer Dr, Durango, Colorado |
| Authorized Official Name and Position | Ashley Beaver (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 4069272988 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| La Plata Family Medicine Assoc Pc 316 Sawyer Dr Durango CO 81303-6560 Ph: (970) 259-3110 | La Plata Family Medicine Assoc Pc 316 Sawyer Dr Durango CO 81303 Ph: (970) 259-3110 |
| NPI Number | 1609868116 |
|---|---|
| Provider Enumeration Date | 08/19/2005 |
| Last Update Date | 07/12/2023 |
| Medicare PECOS PAC ID | 5496727240 |
|---|---|
| Medicare Enrollment ID | O20040811000870 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609868116 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Colorado) | Primary |
| Provider Name | Martin Bradley Lyons |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548262397 PECOS PAC ID: 6406880392 Enrollment ID: I20050920001223 |
| Provider Name | Jude Bennett Harrison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154451383 PECOS PAC ID: 4486683448 Enrollment ID: I20120301000467 |
| Provider Name | Lauren N Loftis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528222064 PECOS PAC ID: 6608039474 Enrollment ID: I20120515000712 |
| Provider Name | Krista Ault |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700029774 PECOS PAC ID: 1759546302 Enrollment ID: I20120703000670 |
| Provider Name | Mandy J Morford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245224484 PECOS PAC ID: 2365455433 Enrollment ID: I20130326000418 |
| Provider Name | Ryan Duvall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841428075 PECOS PAC ID: 5496908154 Enrollment ID: I20160328000162 |
| Provider Name | Robert Alan Green |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902134380 PECOS PAC ID: 9537284583 Enrollment ID: I20180216000928 |
| Provider Name | Justin M Possner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689834046 PECOS PAC ID: 1658406038 Enrollment ID: I20180713000064 |
| Provider Name | Peter Davenport |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134395973 PECOS PAC ID: 9032273867 Enrollment ID: I20191107002135 |
| Provider Name | Taylor Shizuko Vicory |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982229373 PECOS PAC ID: 2365855541 Enrollment ID: I20210107000680 |
| Provider Name | Terrie H Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407109267 PECOS PAC ID: 7113170986 Enrollment ID: I20210316001261 |
| Provider Name | Andrew W Clarkinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669819322 PECOS PAC ID: 0143556076 Enrollment ID: I20220624000209 |
Mountain View Family Healthcare Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 72 Suttle St Ste C, Durango, CO 81303 Phone: 970-385-1770 Fax: 970-259-5876 | |
Mercy Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Mercado St, Suite 160, Durango, CO 81301 Phone: 970-385-9850 Fax: 970-385-9854 | |
San Juan Basin Public Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 281 Sawyer Dr, Durango, CO 81303 Phone: 970-247-5702 Fax: 970-247-9126 | |
Centura Health Physician Group Southwest Endocrinology Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1010 Three Springs Blvd, Suite 255, Durango, CO 81301 Phone: 970-764-3780 Fax: 970-764-3785 | |
Sano Vita Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 575 Rivergate Unit 111, Durango, CO 81301 Phone: 970-375-7711 | |
Prhg Pc Horse Gulch Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 810 E 3rd St Unit 201, Durango, CO 81301 Phone: 970-764-1790 Fax: 970-375-7927 | |
Mobile Vaccination Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 575 Rivergate, Durango, CO 81301 Phone: 970-247-3537 Fax: 970-247-1254 |