| Meadows Family Medical Center Inc | |
|
5920 Mcintyre St Golden CO 80403-7445 | |
| (303) 425-5536 | |
| (303) 425-0769 |
| Full Name | Meadows Family Medical Center Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 5920 Mcintyre St, Golden, Colorado |
| Authorized Official Name and Position | L Elane Shirar (PRESIDENT) |
| Authorized Official Contact | 7204344876 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Meadows Family Medical Center Inc 5920 Mcintyre St Golden CO 80403-7445 Ph: (303) 425-5536 | Meadows Family Medical Center Inc 5920 Mcintyre St Golden CO 80403-7445 Ph: (303) 425-5536 |
| NPI Number | 1962440412 |
|---|---|
| Provider Enumeration Date | 06/04/2006 |
| Last Update Date | 02/08/2019 |
| Medicare PECOS PAC ID | 0446151617 |
|---|---|
| Medicare Enrollment ID | O20040120000416 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962440412 | NPI | - | NPPES |
| 00279315 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Bookanakere S Niranjan |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1114010436 PECOS PAC ID: 8527963594 Enrollment ID: I20031203000357 |
| Provider Name | Robert J Fillion |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417916792 PECOS PAC ID: 2365350154 Enrollment ID: I20040407000664 |
| Provider Name | Linda B Reschl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265470256 PECOS PAC ID: 4688669260 Enrollment ID: I20040415000193 |
| Provider Name | Thomas G Castellano |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1912980293 PECOS PAC ID: 8426044207 Enrollment ID: I20040426000651 |
| Provider Name | Lor Anne J Gibans |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548205834 PECOS PAC ID: 7618964313 Enrollment ID: I20040426001651 |
| Provider Name | Lora Shirar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528013000 PECOS PAC ID: 6507779170 Enrollment ID: I20040524000046 |
| Provider Name | Shirley J Frantz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942209937 PECOS PAC ID: 8426952441 Enrollment ID: I20040914000619 |
| Provider Name | Clemencia Rasquinha |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1023021409 PECOS PAC ID: 3476517988 Enrollment ID: I20041115001007 |
| Provider Name | Cathy Marie O'neil |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003955279 PECOS PAC ID: 6608834387 Enrollment ID: I20041228000635 |
| Provider Name | Christopher Unrein |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1225033095 PECOS PAC ID: 6002881042 Enrollment ID: I20050120001060 |
| Provider Name | Maureen G Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770525925 PECOS PAC ID: 9133032709 Enrollment ID: I20050125000344 |
| Provider Name | Cydney N West |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942243548 PECOS PAC ID: 6709832553 Enrollment ID: I20050324000972 |
| Provider Name | Diane M Genova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700868247 PECOS PAC ID: 1153369046 Enrollment ID: I20050421000135 |
| Provider Name | Patricia L Head |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083935845 PECOS PAC ID: 6608819776 Enrollment ID: I20050609000336 |
| Provider Name | Charlotte E Brigham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851485650 PECOS PAC ID: 0648216762 Enrollment ID: I20050629000496 |
| Provider Name | Kathleen Joan Willemyns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841262557 PECOS PAC ID: 6002844107 Enrollment ID: I20050729001004 |
| Provider Name | John D Glick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821103706 PECOS PAC ID: 6406888627 Enrollment ID: I20050908000211 |
| Provider Name | Robert P Domaleski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427129378 PECOS PAC ID: 9133111867 Enrollment ID: I20050920001256 |
| Provider Name | Chima C Nwizu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902882517 PECOS PAC ID: 7214962554 Enrollment ID: I20051005000663 |
| Provider Name | Chang Woon Kang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689675852 PECOS PAC ID: 8022070572 Enrollment ID: I20051116000227 |
| Provider Name | Andrzej Dankowski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326014507 PECOS PAC ID: 2668492398 Enrollment ID: I20051128000116 |
| Provider Name | Leslie B Eber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114014768 PECOS PAC ID: 4789605585 Enrollment ID: I20051208000226 |
| Provider Name | Roger P Bermingham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053392282 PECOS PAC ID: 7214950666 Enrollment ID: I20060111001157 |
| Provider Name | Sushanthi Katta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588697726 PECOS PAC ID: 3375510852 Enrollment ID: I20060831000013 |
| Provider Name | Mark R Sanazaro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740287077 PECOS PAC ID: 6608978374 Enrollment ID: I20070227000228 |
| Provider Name | Ronald E Kramer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255324208 PECOS PAC ID: 1951335090 Enrollment ID: I20070608000130 |
| Provider Name | Erin Egan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902992381 PECOS PAC ID: 2466425947 Enrollment ID: I20070822001558 |
| Provider Name | Timothy John Rodgers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215939541 PECOS PAC ID: 8921192089 Enrollment ID: I20070919000994 |
| Provider Name | Carol D Wier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598958761 PECOS PAC ID: 0446345623 Enrollment ID: I20071003000178 |
| Provider Name | David J Tuuk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164554358 PECOS PAC ID: 3971699372 Enrollment ID: I20071017000219 |
| Provider Name | Cathy A Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750421814 PECOS PAC ID: 5890878292 Enrollment ID: I20080208000001 |
| Provider Name | Linda L Couger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306990635 PECOS PAC ID: 1951484104 Enrollment ID: I20080211000505 |
| Provider Name | Penelope Wagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164608477 PECOS PAC ID: 4284711870 Enrollment ID: I20080424000539 |
| Provider Name | Thuy T Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699943258 PECOS PAC ID: 6709955461 Enrollment ID: I20080521000097 |
| Provider Name | Stacey R Smith-bradfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013116318 PECOS PAC ID: 8729161971 Enrollment ID: I20080528000478 |
| Provider Name | James R Metzger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447222716 PECOS PAC ID: 1153491022 Enrollment ID: I20080604000129 |
| Provider Name | Kurt A Wever |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083613376 PECOS PAC ID: 5193893972 Enrollment ID: I20081007000125 |
| Provider Name | Kari A Schultz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710954508 PECOS PAC ID: 8224173976 Enrollment ID: I20100304001081 |
| Provider Name | Kelly A Henrichs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255642278 PECOS PAC ID: 8123142916 Enrollment ID: I20100831000605 |
| Provider Name | Douglas D Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902899073 PECOS PAC ID: 4385533678 Enrollment ID: I20101007000055 |
| Provider Name | Melissa Beth Gruen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487798021 PECOS PAC ID: 3870698202 Enrollment ID: I20101026001198 |
| Provider Name | David M Leon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174605737 PECOS PAC ID: 8022204114 Enrollment ID: I20101201000892 |
| Provider Name | Brad D Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558362657 PECOS PAC ID: 5193912848 Enrollment ID: I20101208000232 |
| Provider Name | Scot F Sickbert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831295070 PECOS PAC ID: 0648467720 Enrollment ID: I20101215000766 |
| Provider Name | Marsha A Jaroch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306865415 PECOS PAC ID: 9830387794 Enrollment ID: I20101220001077 |
| Provider Name | John M Hiner |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1063470086 PECOS PAC ID: 9830370386 Enrollment ID: I20110216001153 |
| Provider Name | Celsa T Tiu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922136431 PECOS PAC ID: 8123202744 Enrollment ID: I20110406000299 |
| Provider Name | Jamira Jones |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104938422 PECOS PAC ID: 5193727196 Enrollment ID: I20110809000283 |
| Provider Name | Ruth Cano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851485221 PECOS PAC ID: 6608896493 Enrollment ID: I20111021000291 |
| Provider Name | Stefano H Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194026435 PECOS PAC ID: 5496937880 Enrollment ID: I20120105000622 |
| Provider Name | John S Okeeffe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205855004 PECOS PAC ID: 6901795400 Enrollment ID: I20120515000487 |
| Provider Name | Beth A Weidner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265628606 PECOS PAC ID: 5496845208 Enrollment ID: I20120716000535 |
| Provider Name | Heather A Roth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942351333 PECOS PAC ID: 3678587656 Enrollment ID: I20120717000599 |
| Provider Name | Nancy Mikesell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992078174 PECOS PAC ID: 6305093592 Enrollment ID: I20120822000761 |
| Provider Name | Jameel R Chohan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902052236 PECOS PAC ID: 2961651161 Enrollment ID: I20121003000671 |
| Provider Name | Cheryl A Whiton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447406970 PECOS PAC ID: 5597914515 Enrollment ID: I20121009000036 |
| Provider Name | Gregory L Mesa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417099490 PECOS PAC ID: 4981853629 Enrollment ID: I20121012000454 |
| Provider Name | Ghassan M Ghuneim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669493805 PECOS PAC ID: 4082796081 Enrollment ID: I20121109000440 |
| Provider Name | Donald Remaly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497969125 PECOS PAC ID: 4587818992 Enrollment ID: I20130213000190 |
| Provider Name | Ryan Anthony Hatch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720170970 PECOS PAC ID: 8628218716 Enrollment ID: I20130715000167 |
| Provider Name | Lynn B Kalert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467665281 PECOS PAC ID: 1052554516 Enrollment ID: I20130830000690 |
| Provider Name | Marina Vladimirovna Bachurina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033370556 PECOS PAC ID: 2365601721 Enrollment ID: I20130913000405 |
| Provider Name | Bert Bergland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407111768 PECOS PAC ID: 5395725709 Enrollment ID: I20131123000037 |
| Provider Name | Jennifer L Lewey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538336300 PECOS PAC ID: 5193952976 Enrollment ID: I20131227000250 |
| Provider Name | Arti Karna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326158627 PECOS PAC ID: 9931107406 Enrollment ID: I20131227000558 |
| Provider Name | Angela L Kubie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730459033 PECOS PAC ID: 6204065840 Enrollment ID: I20140131000888 |
| Provider Name | Lisa A Duggan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518186527 PECOS PAC ID: 9739319500 Enrollment ID: I20140224001821 |
| Provider Name | Bao Ho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265850564 PECOS PAC ID: 8325261274 Enrollment ID: I20140521001094 |
| Provider Name | Neal David Kraus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598083453 PECOS PAC ID: 5799934998 Enrollment ID: I20140725000038 |
| Provider Name | Arin W Iman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184696668 PECOS PAC ID: 0941258289 Enrollment ID: I20140929002061 |
| Provider Name | Erik Berger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003120502 PECOS PAC ID: 5496976342 Enrollment ID: I20141020000208 |
| Provider Name | Shannon M Tapia |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1851610406 PECOS PAC ID: 2961644570 Enrollment ID: I20141105002036 |
| Provider Name | Patricia Ann Beat Reisinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093743585 PECOS PAC ID: 0749503118 Enrollment ID: I20141217000172 |
| Provider Name | Katherine Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013906585 PECOS PAC ID: 0547347205 Enrollment ID: I20150219001935 |
| Provider Name | April Yeager |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396123220 PECOS PAC ID: 9638499916 Enrollment ID: I20150528000994 |
| Provider Name | Dennis Scott Bronstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801272935 PECOS PAC ID: 6002122546 Enrollment ID: I20150831000217 |
| Provider Name | Stecy A Ola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609204528 PECOS PAC ID: 2163645268 Enrollment ID: I20150831001904 |
| Provider Name | David C Duncan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427065705 PECOS PAC ID: 7416997663 Enrollment ID: I20150924000253 |
| Provider Name | Barbara Read |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679942163 PECOS PAC ID: 7810206836 Enrollment ID: I20151014000900 |
| Provider Name | Linda German |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578650024 PECOS PAC ID: 0244549731 Enrollment ID: I20151023001208 |
| Provider Name | Rose Macalister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851721153 PECOS PAC ID: 6406079243 Enrollment ID: I20151107000028 |
| Provider Name | Joanna Trojanowski |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1891957056 PECOS PAC ID: 3577733963 Enrollment ID: I20151112000406 |
| Provider Name | Hong Chang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720458524 PECOS PAC ID: 3274843644 Enrollment ID: I20151116000536 |
| Provider Name | Stacey Kay Molinar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821338211 PECOS PAC ID: 8022237213 Enrollment ID: I20151229000697 |
| Provider Name | Mary Ann Dimberio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073677654 PECOS PAC ID: 9638492283 Enrollment ID: I20151231000073 |
| Provider Name | Mary Tuuk |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1174630701 PECOS PAC ID: 8729979018 Enrollment ID: I20160130000050 |
| Provider Name | Lisa Marie Buss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639537723 PECOS PAC ID: 6507160488 Enrollment ID: I20160212002316 |
| Provider Name | Aminata Tounkara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962866681 PECOS PAC ID: 3577852441 Enrollment ID: I20160516002150 |
| Provider Name | Joan Feldman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700231651 PECOS PAC ID: 3173812070 Enrollment ID: I20160517000471 |
| Provider Name | Terri Paschetag |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568528313 PECOS PAC ID: 0840396966 Enrollment ID: I20160527000787 |
| Provider Name | Anthony W Cooper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457588428 PECOS PAC ID: 0749506046 Enrollment ID: I20160609001365 |
| Provider Name | Myrtle C Barlow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629331186 PECOS PAC ID: 8325295066 Enrollment ID: I20160802000864 |
| Provider Name | Amy Cohen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780037044 PECOS PAC ID: 5991090854 Enrollment ID: I20160817001813 |
| Provider Name | Javier Enriquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033666458 PECOS PAC ID: 9335436609 Enrollment ID: I20160930000151 |
| Provider Name | Stacy Jessen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831387968 PECOS PAC ID: 3274613732 Enrollment ID: I20161021000552 |
| Provider Name | Nnenna Nwizu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578011003 PECOS PAC ID: 1850672031 Enrollment ID: I20161230000258 |
| Provider Name | Ricko Fahy Rask |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437694668 PECOS PAC ID: 7113200551 Enrollment ID: I20170210000135 |
| Provider Name | Ashley Milavsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831640945 PECOS PAC ID: 2668756628 Enrollment ID: I20170313000183 |
| Provider Name | Jaime Depue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316471618 PECOS PAC ID: 5193002483 Enrollment ID: I20170516001596 |
| Provider Name | Susan Sufit |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881678951 PECOS PAC ID: 1850571225 Enrollment ID: I20170518000454 |
| Provider Name | Yvonne Miya Bodemann |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447665575 PECOS PAC ID: 2062783418 Enrollment ID: I20170803002849 |
| Provider Name | Sagar Dhanawade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669992681 PECOS PAC ID: 1951673714 Enrollment ID: I20170815001037 |
| Provider Name | Sarah Poythress |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992221220 PECOS PAC ID: 3274807268 Enrollment ID: I20170914000621 |
| Provider Name | Jennifer Keefe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982120382 PECOS PAC ID: 4082988936 Enrollment ID: I20170916000037 |
| Provider Name | Cynthia Forsblad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487172185 PECOS PAC ID: 3375818438 Enrollment ID: I20170929001372 |
| Provider Name | Amy Stoll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437673878 PECOS PAC ID: 2860767738 Enrollment ID: I20171003003956 |
| Provider Name | Che Kheng Pang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306365804 PECOS PAC ID: 5799050571 Enrollment ID: I20171004001180 |
| Provider Name | Karen Ann Erickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851819981 PECOS PAC ID: 9638435365 Enrollment ID: I20171113001097 |
| Provider Name | Clarence Edward Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609278290 PECOS PAC ID: 4587921523 Enrollment ID: I20171130000589 |
| Provider Name | Lisa Marie Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922513563 PECOS PAC ID: 0244598324 Enrollment ID: I20171219000649 |
| Provider Name | Tamara Coughlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700338019 PECOS PAC ID: 6800155433 Enrollment ID: I20180105000320 |
| Provider Name | Tiffany Michelle Camp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861903270 PECOS PAC ID: 9739448309 Enrollment ID: I20180108000688 |
| Provider Name | Erin Ramsay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063920429 PECOS PAC ID: 4587924295 Enrollment ID: I20180126002553 |
| Provider Name | Anita G Shah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932488467 PECOS PAC ID: 6204009772 Enrollment ID: I20180205001394 |
| Provider Name | Crystal Carmody |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750880902 PECOS PAC ID: 4688934417 Enrollment ID: I20180215002537 |
| Provider Name | Juline Tannicia Mclean-murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255832895 PECOS PAC ID: 9234490285 Enrollment ID: I20180308000094 |
| Provider Name | Carol Eisenhauer Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306107354 PECOS PAC ID: 6709019995 Enrollment ID: I20180308001166 |
| Provider Name | Elaine Catherine Henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184605818 PECOS PAC ID: 1759374754 Enrollment ID: I20180404000282 |
| Provider Name | Fatimah Aisha Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871081737 PECOS PAC ID: 5991069577 Enrollment ID: I20180507002315 |
| Provider Name | Ryan Foley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750751582 PECOS PAC ID: 1951611276 Enrollment ID: I20180601000018 |
| Provider Name | Ashley Mckillop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851885446 PECOS PAC ID: 9032465281 Enrollment ID: I20180702001920 |
| Provider Name | Elizabeth Mweru Wambugu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982199899 PECOS PAC ID: 7012265663 Enrollment ID: I20180730003017 |
| Provider Name | Erika Alexis Quintana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790157543 PECOS PAC ID: 1052683471 Enrollment ID: I20180802001805 |
| Provider Name | Brittany Horrigan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245716075 PECOS PAC ID: 7012265333 Enrollment ID: I20180802002671 |
| Provider Name | Sweta Kharel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225464381 PECOS PAC ID: 7416170477 Enrollment ID: I20180820001158 |
| Provider Name | Mark Hawkins Adams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881682888 PECOS PAC ID: 4981843646 Enrollment ID: I20180924000645 |
| Provider Name | Krystina Eden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033672597 PECOS PAC ID: 5597008748 Enrollment ID: I20190510000640 |
| Provider Name | Sarah Johannes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316255565 PECOS PAC ID: 5799945390 Enrollment ID: I20190925002276 |
| Provider Name | Elizabeth Claire Ingram |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437706769 PECOS PAC ID: 8820328024 Enrollment ID: I20191002000927 |
| Provider Name | Nakia A Fields |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578106696 PECOS PAC ID: 9436581121 Enrollment ID: I20191119000771 |
| Provider Name | Joseph N Namongo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598312456 PECOS PAC ID: 6305278896 Enrollment ID: I20191121002862 |
| Provider Name | Amanda Griffith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699329029 PECOS PAC ID: 2668806878 Enrollment ID: I20191221000143 |
| Provider Name | Corinna Ter Antonyan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760033856 PECOS PAC ID: 3173958261 Enrollment ID: I20200117001888 |
| Provider Name | Dana Marie Haines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326686908 PECOS PAC ID: 7911332887 Enrollment ID: I20200123000136 |
| Provider Name | Erika R Power |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992107536 PECOS PAC ID: 1557796273 Enrollment ID: I20200127000491 |
| Provider Name | Sylvia Knop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184256489 PECOS PAC ID: 1456780113 Enrollment ID: I20200331002473 |
| Provider Name | Brooke Juhree Thomason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770118713 PECOS PAC ID: 1759710221 Enrollment ID: I20200403001880 |
| Provider Name | Jocelyn R Reeves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558907220 PECOS PAC ID: 3779904123 Enrollment ID: I20200610003436 |
| Provider Name | Michele Alba |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184006397 PECOS PAC ID: 1557626298 Enrollment ID: I20200730000467 |
| Provider Name | Argelia Archuletta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033739818 PECOS PAC ID: 2769510262 Enrollment ID: I20201013002941 |
| Provider Name | William Wilcox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740241470 PECOS PAC ID: 6608772835 Enrollment ID: I20201208002072 |
| Provider Name | Lauren Abigail Dieterman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598378846 PECOS PAC ID: 4385057397 Enrollment ID: I20210113000249 |
| Provider Name | Sarah E Burton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730774597 PECOS PAC ID: 3971910092 Enrollment ID: I20210407001429 |
| Provider Name | Tammie L Hilliard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457936973 PECOS PAC ID: 8729496195 Enrollment ID: I20210423001086 |
| Provider Name | Kalene M Ethington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790320844 PECOS PAC ID: 2961811914 Enrollment ID: I20210504002425 |
| Provider Name | Lauren Kearney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881203842 PECOS PAC ID: 9436569985 Enrollment ID: I20210615000773 |
| Provider Name | Brittany Delmonico |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770190415 PECOS PAC ID: 6800297516 Enrollment ID: I20210630004332 |
| Provider Name | Ramona Karen Perkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710463609 PECOS PAC ID: 3375940836 Enrollment ID: I20210927000034 |
| Provider Name | Rachael Ann Krueger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851060743 PECOS PAC ID: 5597163998 Enrollment ID: I20211015001962 |
| Provider Name | Yan Chen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528738473 PECOS PAC ID: 9032508460 Enrollment ID: I20211105000698 |
| Provider Name | Christine M Azelby |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033641717 PECOS PAC ID: 0547533929 Enrollment ID: I20211123000896 |
| Provider Name | Vanessa S Sandlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609536077 PECOS PAC ID: 2668864000 Enrollment ID: I20220118000042 |
| Provider Name | Eltigani M Abdelhai |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538233531 PECOS PAC ID: 4082507496 Enrollment ID: I20220223000007 |
| Provider Name | Angela Marie Palma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346625647 PECOS PAC ID: 7719373398 Enrollment ID: I20220407000925 |
| Provider Name | Amy Lynn Hinckley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891205811 PECOS PAC ID: 0648546770 Enrollment ID: I20220426000352 |
| Provider Name | Karthik Yarlagadda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184150898 PECOS PAC ID: 0547529364 Enrollment ID: I20220621001175 |
| Provider Name | Christina Lockwitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306575097 PECOS PAC ID: 6800277161 Enrollment ID: I20220718001646 |
| Provider Name | Sara Konopka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205561529 PECOS PAC ID: 2668856402 Enrollment ID: I20220829001951 |
| Provider Name | Qin Liu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649907999 PECOS PAC ID: 4486038114 Enrollment ID: I20220830002728 |
| Provider Name | Nicole Khazei |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205564184 PECOS PAC ID: 6103201264 Enrollment ID: I20220910000592 |
| Provider Name | Silvia Coss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598497091 PECOS PAC ID: 3870969215 Enrollment ID: I20221026001415 |
| Provider Name | Danielle Joy Dunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982327490 PECOS PAC ID: 3274901301 Enrollment ID: I20221122001082 |
| Provider Name | Suraksha Thapa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558027524 PECOS PAC ID: 0446637235 Enrollment ID: I20221130001838 |
| Provider Name | Nkechi A Ikpoh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215658372 PECOS PAC ID: 9436527132 Enrollment ID: I20221130003655 |
| Provider Name | Margaret Elizabeth Kareus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295455160 PECOS PAC ID: 8921477258 Enrollment ID: I20221208002270 |
| Provider Name | Lamija Quinonez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316651540 PECOS PAC ID: 9638428980 Enrollment ID: I20230209001997 |
| Provider Name | Melissa Anne Huff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386345940 PECOS PAC ID: 5395100515 Enrollment ID: I20230422000041 |
| Provider Name | Alexander Ochoa |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1184088221 PECOS PAC ID: 9133591563 Enrollment ID: I20230426001713 |
| Provider Name | Miho Dicke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891481958 PECOS PAC ID: 0042678237 Enrollment ID: I20230620003557 |
| Provider Name | Mohd Salah Mankash |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1881223717 PECOS PAC ID: 4082063102 Enrollment ID: I20231213003933 |
| Provider Name | Danice Rinderknecht |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447315304 PECOS PAC ID: 9335115930 Enrollment ID: I20231226000713 |
| Provider Name | Kathleen Bridges |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134393408 PECOS PAC ID: 2466689179 Enrollment ID: I20240229003823 |
| Provider Name | Abigail Jean Magwire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497524912 PECOS PAC ID: 1153767728 Enrollment ID: I20240306002265 |
Simms Crossing Family Practice Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5932 Mcintyre St, Golden, CO 80403 Phone: 303-425-5536 Fax: 303-425-0769 | |
Nutritional Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2801 Youngfield St Ste 300, Golden, CO 80401 Phone: 720-432-4524 | |
Optumcare Colorado Medical Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 N Rubey Dr Unit 200, Golden, CO 80403 Phone: 303-376-0975 Fax: 303-731-3500 | |
Pete Coors Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1109 Ford St, Golden, CO 80401 Phone: 303-277-2138 Fax: 303-277-6915 | |
Mesa View Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 350 Indiana St Ste 250, Golden, CO 80401 Phone: 720-898-9427 Fax: 303-302-0808 | |
Stride Chc - Golden High School Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 701 24th St, Golden, CO 80401 Phone: 303-360-6276 Fax: 303-789-7222 | |
Rocky Mountain Senior Care Sc Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5920 Mcintyre St, Suite 201, Golden, CO 80403 Phone: 303-949-1250 |