| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 05/18/2006 |
| Last Update Date | 10/04/2013 |
| Medicare PECOS PAC ID | 1658261854 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831150564 PECOS PAC ID: 5890741128 Enrollment ID: I20050329001249 |
| Provider Name | Michael D Lipnick |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1407863871 PECOS PAC ID: 3173552502 Enrollment ID: I20050805000796 |
| Provider Name | Virginia Ann Hrywnak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487603338 PECOS PAC ID: 7911903554 Enrollment ID: I20061004000626 |
| Provider Name | John Md Draper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174541817 PECOS PAC ID: 8820149545 Enrollment ID: I20110330000634 |
| Provider Name | Janet L Pederson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356369094 PECOS PAC ID: 4880745504 Enrollment ID: I20110330000690 |
| Provider Name | Celeste D Dean |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831350040 PECOS PAC ID: 0345411054 Enrollment ID: I20110928000600 |
| Provider Name | Scott Jon Beougher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063421683 PECOS PAC ID: 8729050208 Enrollment ID: I20120222000403 |
| Provider Name | Kristin P Beougher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891704417 PECOS PAC ID: 0244204758 Enrollment ID: I20120222000762 |
| Provider Name | Arazu Wanna |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487913497 PECOS PAC ID: 8921227125 Enrollment ID: I20151112000085 |
| Provider Name | Nina P Le |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962781666 PECOS PAC ID: 3173805850 Enrollment ID: I20170914002858 |
| Provider Name | Ryan T Frank |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720373061 PECOS PAC ID: 6709151541 Enrollment ID: I20171004003588 |
| Provider Name | Jared S Ankerman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538519764 PECOS PAC ID: 7214220995 Enrollment ID: I20220815002721 |
| Provider Name | Emily S Schrader |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356704506 PECOS PAC ID: 3779878731 Enrollment ID: I20230112002649 |
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