| Pinnacle Pediatrics And Internal Medicine Professional Llc | |
|
13648 Orchard Pkwy Unit 900 Westminster CO 80023-9263 | |
| (816) 590-9456 | |
| Not Available |
| Full Name | Pinnacle Pediatrics And Internal Medicine Professional Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 13648 Orchard Pkwy Unit 900, Westminster, Colorado |
| Authorized Official Name and Position | Thomas Anh Pham (OWNER) |
| Authorized Official Contact | 8165909456 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pinnacle Pediatrics And Internal Medicine Professional Llc 13648 Orchard Pkwy Unit 900 Westminster CO 80023-9263 Ph: (720) 239-7725 | Pinnacle Pediatrics And Internal Medicine Professional Llc 13648 Orchard Pkwy Unit 900 Westminster CO 80023-9263 Ph: (816) 590-9456 |
| NPI Number | 1871018085 |
|---|---|
| Provider Enumeration Date | 08/08/2017 |
| Last Update Date | 04/08/2021 |
| Medicare PECOS PAC ID | 5496099400 |
|---|---|
| Medicare Enrollment ID | O20181203000848 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871018085 | NPI | - | NPPES |
| 27727238 | Medicaid | CO |
| Provider Name | Thomas Anh Pham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225088842 PECOS PAC ID: 0547299273 Enrollment ID: I20181203000889 |
| Provider Name | Teresa Salazar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518636141 PECOS PAC ID: 3779981279 Enrollment ID: I20211014000677 |
| Provider Name | Stephanie Nicole Swanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447960810 PECOS PAC ID: 2365813417 Enrollment ID: I20230127000650 |
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