| Parker Family Care | |
|
10259 S. Parker Road Suite 200 Parker CO 80134 | |
| (303) 805-2273 | |
| (303) 805-2287 |
| Full Name | Parker Family Care |
|---|---|
| Speciality | Family Medicine |
| Location | 10259 S. Parker Road, Parker, Colorado |
| Authorized Official Name and Position | Christopher J West (PRACTICE OWNER/PHYSICIAN) |
| Authorized Official Contact | 3038052273 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Parker Family Care 10259 S. Parker Road Suite 200 Parker CO 80134 Ph: (303) 805-2273 | Parker Family Care 10259 S. Parker Road Suite 200 Parker CO 80134 Ph: (303) 805-2273 |
| NPI Number | 1629199062 |
|---|---|
| Provider Enumeration Date | 04/03/2007 |
| Last Update Date | 03/07/2023 |
| Medicare PECOS PAC ID | 1951343557 |
|---|---|
| Medicare Enrollment ID | O20050524000938 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629199062 | NPI | - | NPPES |
| 40652 | Other | CO | PHYSICIAN STATE LICENSE |
| 1790838266 | Other | CO | NPI FOR MIDLEVEL PROVIDER |
| 1179 | Other | CO | LICENSE FOR MIDLEVEL PROV |
| 126549112 | Other | CO | PHYSICIAN NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 40652 (Colorado) | Primary |
| 363AM0700X | Physician Assistant - Medical | 1179 (Colorado) | Secondary |
| Provider Name | Chris J West |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265491112 PECOS PAC ID: 2769424365 Enrollment ID: I20050525000299 |
| Provider Name | Tasha M Koedam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376977314 PECOS PAC ID: 9133350614 Enrollment ID: I20140326001239 |
| Provider Name | Shelby Sheldon Deuser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386099497 PECOS PAC ID: 8527351402 Enrollment ID: I20190930002013 |
| Provider Name | Alexandra M Girrens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508596511 PECOS PAC ID: 0446626709 Enrollment ID: I20221012001591 |
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