Physician Housecalls Llc | |
10900 W 44th Ave Unit 200 Wheat Ridge CO 80033 | |
(303) 993-1330 | |
(303) 957-5757 |
Full Name | Physician Housecalls Llc |
---|---|
Speciality | Internal Medicine |
Location | 10900 W 44th Ave Unit 200, Wheat Ridge, Colorado |
Authorized Official Name and Position | Thomas J Lally (CEO) |
Authorized Official Contact | 3039931330 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Physician Housecalls Llc 10900 W 44th Ave Unit 200 Wheat Ridge CO 80033-2742 Ph: () - | Physician Housecalls Llc 10900 W 44th Ave Unit 200 Wheat Ridge CO 80033 Ph: (303) 993-1330 |
NPI Number | 1295789824 |
---|---|
Provider Enumeration Date | 05/19/2006 |
Last Update Date | 05/07/2019 |
Medicare PECOS PAC ID | 0840212809 |
---|---|
Medicare Enrollment ID | O20051219001031 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295789824 | NPI | - | NPPES |
42277531 | Medicaid | CO | |
DE1013 | Other | CO | RR MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Thomas J Lally |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1568438653 PECOS PAC ID: 2466354717 Enrollment ID: I20040205000779 |
Provider Name | Richard Wang |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1619067097 PECOS PAC ID: 4981797834 Enrollment ID: I20070907000670 |
Provider Name | Angela L Mills |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1104827054 PECOS PAC ID: 0143313049 Enrollment ID: I20070910000131 |
Provider Name | Danielle Ann Whitacre |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1134316540 PECOS PAC ID: 7517003601 Enrollment ID: I20091002000338 |
Provider Name | Siva Surapanani |
---|---|
Provider Type | Practitioner - Geriatric Medicine |
Provider Identifiers | NPI Number: 1588733968 PECOS PAC ID: 7416956206 Enrollment ID: I20100428000592 |
Provider Name | Diahn E Lohman |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1538145701 PECOS PAC ID: 5092843235 Enrollment ID: I20100510000672 |
Provider Name | Teri Ann Porter Benson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780916098 PECOS PAC ID: 9133318868 Enrollment ID: I20110112000395 |
Provider Name | Shannon D Ryan-cebula |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1619131018 PECOS PAC ID: 9638359649 Enrollment ID: I20110208001066 |
Provider Name | Joseph M Alisky |
---|---|
Provider Type | Practitioner - Geriatric Medicine |
Provider Identifiers | NPI Number: 1811004161 PECOS PAC ID: 8224201355 Enrollment ID: I20111104000247 |
Provider Name | William M Chisholm |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1932425923 PECOS PAC ID: 0547497059 Enrollment ID: I20131207000180 |
Provider Name | Jean Burnkrant |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659788248 PECOS PAC ID: 1759500622 Enrollment ID: I20140909000897 |
Provider Name | Michael A Green |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1972534329 PECOS PAC ID: 8527001122 Enrollment ID: I20140920000128 |
Provider Name | Laura Van Alstyne Jermyn |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689078263 PECOS PAC ID: 7315260379 Enrollment ID: I20141223001154 |
Provider Name | Kathy Michelle Butcher |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407272776 PECOS PAC ID: 5092020602 Enrollment ID: I20150811005473 |
Provider Name | Angela Marie Ziemba |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396112413 PECOS PAC ID: 4789992611 Enrollment ID: I20150926000031 |
Provider Name | Casey Richards |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447606074 PECOS PAC ID: 5395038517 Enrollment ID: I20160726002271 |
Provider Name | Nicholas A Senna |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1972944056 PECOS PAC ID: 2769701713 Enrollment ID: I20170109000140 |
Provider Name | Sharon Ross |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699042879 PECOS PAC ID: 6305094624 Enrollment ID: I20170327000014 |
Provider Name | Ann Pereira |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285144758 PECOS PAC ID: 6507122389 Enrollment ID: I20171110001388 |
Provider Name | Jessica Burns |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710498753 PECOS PAC ID: 2264799352 Enrollment ID: I20171128000825 |
Provider Name | Natasha Tylene Mitchell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225433444 PECOS PAC ID: 9335407253 Enrollment ID: I20171226002016 |
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 | Amy Loomis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851830913 PECOS PAC ID: 0749567907 Enrollment ID: I20180312001276 |
Provider Name | Emily Clare Ross Kubovic |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023586468 PECOS PAC ID: 3476807959 Enrollment ID: I20181120000948 |
Provider Name | Amy M Dvorak |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336707868 PECOS PAC ID: 7618201898 Enrollment ID: I20190621000098 |
Provider Name | Kenneth Shane Hyman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942859152 PECOS PAC ID: 4880026129 Enrollment ID: I20191107001437 |
Provider Name | Julu A Wagle |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184161473 PECOS PAC ID: 1850723438 Enrollment ID: I20191120001139 |
Provider Name | Christi Burks |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396371944 PECOS PAC ID: 9234550195 Enrollment ID: I20200601001412 |
Provider Name | Kyle William Mueller |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104434935 PECOS PAC ID: 6709201973 Enrollment ID: I20200805000442 |
Provider Name | Lauren Pennartz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811514383 PECOS PAC ID: 0840617353 Enrollment ID: I20200828002334 |
Provider Name | Spencer Woolen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962014894 PECOS PAC ID: 4284052572 Enrollment ID: I20200918000951 |
Provider Name | Joanna Rice Hoopingarner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306448477 PECOS PAC ID: 8921419136 Enrollment ID: I20201119000648 |
Provider Name | Heather Anne Krohn |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184259178 PECOS PAC ID: 4284045279 Enrollment ID: I20201123003146 |
Provider Name | Jessica Binns |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487258174 PECOS PAC ID: 4981016581 Enrollment ID: I20201223000171 |
Provider Name | Shelby Salley Banks |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790189660 PECOS PAC ID: 0345653259 Enrollment ID: I20210114001700 |
Provider Name | Lauren Michelle Foster |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588188270 PECOS PAC ID: 4981017647 Enrollment ID: I20210119002778 |
Provider Name | Shannon Horn |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225629470 PECOS PAC ID: 0244646149 Enrollment ID: I20210301001070 |
Provider Name | Ashley P Baranoff |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194307751 PECOS PAC ID: 9739588583 Enrollment ID: I20210527000284 |
Provider Name | Justin Jimmy Fowler |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871138875 PECOS PAC ID: 3678974144 Enrollment ID: I20210622003130 |
Provider Name | Lauryn Rose Sulley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538742010 PECOS PAC ID: 9638575392 Enrollment ID: I20210903000169 |
Provider Name | Samjhana Pandey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053989319 PECOS PAC ID: 9931507746 Enrollment ID: I20211008001311 |
Provider Name | Pamela Allison Schultz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770254872 PECOS PAC ID: 9335547009 Enrollment ID: I20211011000955 |
Provider Name | Edmond C Hauser |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255096723 PECOS PAC ID: 1254720964 Enrollment ID: I20211118002490 |
Provider Name | Katie Direen Reeves |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164188306 PECOS PAC ID: 2769873454 Enrollment ID: I20220107001105 |
Provider Name | Alyssa J Kersch |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003574005 PECOS PAC ID: 6406249168 Enrollment ID: I20220202001249 |
Provider Name | Bijori Chanda |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063165694 PECOS PAC ID: 3072908144 Enrollment ID: I20220328002401 |
Provider Name | Olivia Marie Werner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730835273 PECOS PAC ID: 2961898853 Enrollment ID: I20220331003017 |
Provider Name | Jillian Adriana Koller |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700534203 PECOS PAC ID: 5294121000 Enrollment ID: I20220404002217 |
Provider Name | Alicia Lynn Sheppard |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225771793 PECOS PAC ID: 7517347958 Enrollment ID: I20220701002277 |
Provider Name | Talin Eliza Sullivan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770248072 PECOS PAC ID: 9638553985 Enrollment ID: I20220906000521 |
Provider Name | Elizabeth Ballinger Sweeney |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558097162 PECOS PAC ID: 0648654889 Enrollment ID: I20220907001286 |
Provider Name | Brianna Kellett |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053049403 PECOS PAC ID: 2466838511 Enrollment ID: I20220927004037 |
Provider Name | Sandra Ann Vigil |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205584208 PECOS PAC ID: 1153791835 Enrollment ID: I20221222000356 |
Provider Name | Jeremy Orson Silva Casas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518677194 PECOS PAC ID: 8325418155 Enrollment ID: I20230112000067 |
Provider Name | Jordan Zavala |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275256166 PECOS PAC ID: 2567834955 Enrollment ID: I20230213000989 |
Provider Name | Hannah L Tudor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922712363 PECOS PAC ID: 7315310240 Enrollment ID: I20230223002987 |
Provider Name | Mindy Jane Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801508767 PECOS PAC ID: 0446623391 Enrollment ID: I20230224000608 |
Provider Name | Chelsea Goston |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760180590 PECOS PAC ID: 3476928581 Enrollment ID: I20230403001558 |
Provider Name | Meredith Lynn Griffith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215646252 PECOS PAC ID: 0941665806 Enrollment ID: I20230427001664 |
Provider Name | Caitlin Moore Hinz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801583760 PECOS PAC ID: 1254791189 Enrollment ID: I20230724002103 |
Provider Name | April D Davis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205583911 PECOS PAC ID: 6002277852 Enrollment ID: I20230726004180 |
Provider Name | Jessica Lorraine Michel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649959701 PECOS PAC ID: 5294198479 Enrollment ID: I20230906001450 |
Provider Name | Trang Thi Nguyen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174203061 PECOS PAC ID: 9931563673 Enrollment ID: I20230913001845 |
Provider Name | Laura Fries Mccrery |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912780057 PECOS PAC ID: 9234593625 Enrollment ID: I20230919001505 |
Provider Name | Jenny Kay Allgire |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134903156 PECOS PAC ID: 0345694667 Enrollment ID: I20230920002592 |
Provider Name | Emily Barton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790484434 PECOS PAC ID: 6709230188 Enrollment ID: I20231004001380 |
Provider Name | Jill Renee Knudsen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528751245 PECOS PAC ID: 1355796772 Enrollment ID: I20231004003188 |
Provider Name | Lauren Buckley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205617347 PECOS PAC ID: 7810345238 Enrollment ID: I20231127000351 |
Provider Name | Tenzin Kalden |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053198820 PECOS PAC ID: 1658721295 Enrollment ID: I20231222002040 |
Provider Name | Janet L Monson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861269565 PECOS PAC ID: 4688018690 Enrollment ID: I20240219000310 |
Provider Name | Rachael Elaine Shockley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417712019 PECOS PAC ID: 4981040136 Enrollment ID: I20240309000704 |
Provider Name | Adam Harrison Petrovich |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447015326 PECOS PAC ID: 7618313891 Enrollment ID: I20240311000845 |
Provider Name | Matthew Capell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245092295 PECOS PAC ID: 2860838646 Enrollment ID: I20240314004105 |
Provider Name | Tyla Ann Healton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851309801 PECOS PAC ID: 4183717242 Enrollment ID: I20240315001493 |
Provider Name | Audrey Marie Helt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902659527 PECOS PAC ID: 1254771983 Enrollment ID: I20240429002953 |
Provider Name | Courtney Irene Davidson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366294506 PECOS PAC ID: 8527408277 Enrollment ID: I20240429003358 |
Provider Name | Sandra Mary Melling |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033965827 PECOS PAC ID: 0749622942 Enrollment ID: I20240520001982 |
Provider Name | Samantha Wing |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285483255 PECOS PAC ID: 4789026576 Enrollment ID: I20240524001070 |
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