| Parker Integrated Medicine Pc | |
|
18801 E Mainstreet Ste 190 Parker CO 80134-3477 | |
| (303) 841-9565 | |
| Not Available |
| Full Name | Parker Integrated Medicine Pc |
|---|---|
| Speciality | General Practice |
| Location | 18801 E Mainstreet Ste 190, Parker, Colorado |
| Authorized Official Name and Position | Tamara Johnson (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3038419565 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Parker Integrated Medicine Pc 18801 E Mainstreet Ste 190 Parker CO 80134-3477 Ph: (303) 841-9565 | Parker Integrated Medicine Pc 18801 E Mainstreet Ste 190 Parker CO 80134-3477 Ph: (303) 841-9565 |
| NPI Number | 1982142725 |
|---|---|
| Provider Enumeration Date | 02/01/2017 |
| Last Update Date | 02/01/2017 |
| Medicare PECOS PAC ID | 9335416718 |
|---|---|
| Medicare Enrollment ID | O20170607000074 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982142725 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | DR.0049380 (Colorado) | Primary |
| Provider Name | Robert L Birch |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1154649812 PECOS PAC ID: 7416144134 Enrollment ID: I20101207001267 |
| Provider Name | Tamara Rae Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992739890 PECOS PAC ID: 7618905704 Enrollment ID: I20120601000305 |
| Provider Name | Brienne A Stoneberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851641039 PECOS PAC ID: 3678700978 Enrollment ID: I20131212000265 |
| Provider Name | David J Caldwell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437608817 PECOS PAC ID: 3971885401 Enrollment ID: I20170118001899 |
| Provider Name | Chelsey Camille Dobesh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720639545 PECOS PAC ID: 1658776810 Enrollment ID: I20210825004250 |
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