| Redwood Medical Aurora | |
|
1411 S Potomac St Ste 140 Aurora CO 80012-4537 | |
| (720) 485-3178 | |
| Not Available |
| Full Name | Redwood Medical Aurora |
|---|---|
| Speciality | Family Medicine |
| Location | 1411 S Potomac St Ste 140, Aurora, Colorado |
| Authorized Official Name and Position | Brent Herron (PRESIDENT) |
| Authorized Official Contact | 3032490908 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Redwood Medical Aurora 1411 S Potomac St Ste 140 Aurora CO 80012-4537 Ph: (720) 485-3178 | Redwood Medical Aurora 1411 S Potomac St Ste 140 Aurora CO 80012-4537 Ph: (720) 485-3178 |
| NPI Number | 1487343075 |
|---|---|
| Provider Enumeration Date | 05/01/2023 |
| Last Update Date | 02/08/2024 |
| Medicare PECOS PAC ID | 0547620593 |
|---|---|
| Medicare Enrollment ID | O20230721001988 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487343075 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Kristin Rinn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447374210 PECOS PAC ID: 8022114297 Enrollment ID: I20070504000041 |
| Provider Name | Rachel L Stolley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124017967 PECOS PAC ID: 8820391998 Enrollment ID: I20191031003049 |
| Provider Name | Jamie Hanosh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497471197 PECOS PAC ID: 5799155222 Enrollment ID: I20221228000870 |
| Provider Name | Kathleen Marie Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235855032 PECOS PAC ID: 2769853514 Enrollment ID: I20230113002196 |
| Provider Name | Brent Herron |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437544558 PECOS PAC ID: 4688982788 Enrollment ID: I20230721002483 |
| Provider Name | Adam Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427779008 PECOS PAC ID: 2163894890 Enrollment ID: I20240125000619 |
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