Ponderosa Family Physicians Pc | |
14991 E Hampden Ave Suite 210 Aurora CO 80014 | |
(303) 690-4891 | |
(303) 690-5082 |
Full Name | Ponderosa Family Physicians Pc |
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Speciality | Family Medicine |
Location | 14991 E Hampden Ave, Aurora, Colorado |
Authorized Official Name and Position | Steve P Elliott (OFFICE MANAGER) |
Authorized Official Contact | 3035371010 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ponderosa Family Physicians Pc 14991 E Hampden Ave Suite 210 Aurora CO 80014 Ph: (303) 690-4891 | Ponderosa Family Physicians Pc 14991 E Hampden Ave Suite 210 Aurora CO 80014 Ph: (303) 690-4891 |
NPI Number | 1629021209 |
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Provider Enumeration Date | 05/18/2006 |
Last Update Date | 10/04/2013 |
Medicare PECOS PAC ID | 1658261854 |
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Medicare Enrollment ID | O20040319000792 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629021209 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Spencer D Walker |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1831150564 PECOS PAC ID: 5890741128 Enrollment ID: I20050329001249 |
Provider Name | Michael D Lipnick |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1407863871 PECOS PAC ID: 3173552502 Enrollment ID: I20050805000796 |
Provider Name | Virginia Ann Hrywnak |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1487603338 PECOS PAC ID: 7911903554 Enrollment ID: I20061004000626 |
Provider Name | John Md Draper |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1174541817 PECOS PAC ID: 8820149545 Enrollment ID: I20110330000634 |
Provider Name | Janet L Pederson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1356369094 PECOS PAC ID: 4880745504 Enrollment ID: I20110330000690 |
Provider Name | Celeste D Dean |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1831350040 PECOS PAC ID: 0345411054 Enrollment ID: I20110928000600 |
Provider Name | Scott Jon Beougher |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1063421683 PECOS PAC ID: 8729050208 Enrollment ID: I20120222000403 |
Provider Name | Kristin P Beougher |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1891704417 PECOS PAC ID: 0244204758 Enrollment ID: I20120222000762 |
Provider Name | Arazu Wanna |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1487913497 PECOS PAC ID: 8921227125 Enrollment ID: I20151112000085 |
Provider Name | Nina P Le |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1962781666 PECOS PAC ID: 3173805850 Enrollment ID: I20170914002858 |
Provider Name | Ryan T Frank |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1720373061 PECOS PAC ID: 6709151541 Enrollment ID: I20171004003588 |
Provider Name | Jared S Ankerman |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1538519764 PECOS PAC ID: 7214220995 Enrollment ID: I20220815002721 |
Provider Name | Emily S Schrader |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1356704506 PECOS PAC ID: 3779878731 Enrollment ID: I20230112002649 |
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