| Mark S Fraley, D.o.,p.c. | |
|
2141 Academy Cir Colorado Springs CO 80909-1686 | |
| (719) 597-4200 | |
| (719) 597-4495 |
| Full Name | Mark S Fraley, D.o.,p.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 2141 Academy Cir, Colorado Springs, Colorado |
| Authorized Official Name and Position | Mark S Fraley (OWNER) |
| Authorized Official Contact | 7195974200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark S Fraley, D.o.,p.c. 2141 Academy Cir Colorado Springs CO 80909-1686 Ph: (719) 597-4200 | Mark S Fraley, D.o.,p.c. 2141 Academy Cir Colorado Springs CO 80909-1686 Ph: (719) 597-4200 |
| NPI Number | 1225222748 |
|---|---|
| Provider Enumeration Date | 08/28/2007 |
| Last Update Date | 10/02/2019 |
| Medicare PECOS PAC ID | 4486635083 |
|---|---|
| Medicare Enrollment ID | O20040528000665 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225222748 | NPI | - | NPPES |
| 1225222748 | Other | CO | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 34357 (Colorado) | Primary |
| Provider Name | Mark S Fraley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134163819 PECOS PAC ID: 5092796698 Enrollment ID: I20110527000321 |
| Provider Name | Cynthia Burdick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700254497 PECOS PAC ID: 4385943422 Enrollment ID: I20160425001253 |
| Provider Name | Kimberly S Stein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679091383 PECOS PAC ID: 3971879479 Enrollment ID: I20171028000297 |
| Provider Name | Jillian Leigh Ramage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275068496 PECOS PAC ID: 8628408564 Enrollment ID: I20200417000180 |
| Provider Name | Maria-ann Holubowicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881293447 PECOS PAC ID: 8628488244 Enrollment ID: I20201110000012 |
| Provider Name | Mihaela Maria Farley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104111277 PECOS PAC ID: 6103092226 Enrollment ID: I20210125002963 |
| Provider Name | Taylor E Senko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184311383 PECOS PAC ID: 4587021050 Enrollment ID: I20230530000729 |
Amazing Medicine Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5777 N Academy Blvd, Colorado Springs, CO 80918 Phone: 719-266-5800 Fax: 719-960-2039 | |
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Northwest Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5390 N Academy Blvd, #300, Colorado Springs, CO 80918 Phone: 719-884-1210 | |
Peak Gastroenterology Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2920 N Cascade Ave Ste 301, Colorado Springs, CO 80907 Phone: 719-636-1201 Fax: 719-955-0986 |