| Rocky Mountain Gastroenterology Associates, Pllc | |
|
3333 S Wadsworth Blvd Ste. D-100 Lakewood CO 80227-5122 | |
| (303) 205-1090 | |
| (303) 205-1120 |
| Full Name | Rocky Mountain Gastroenterology Associates, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3333 S Wadsworth Blvd, Lakewood, Colorado |
| Authorized Official Name and Position | Alexander P. Cmil (CFO) |
| Authorized Official Contact | 3032051090 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rocky Mountain Gastroenterology Associates, Pllc 3333 S Wadsworth Blvd Ste. D-100 Lakewood CO 80227-5122 Ph: (303) 205-1090 | Rocky Mountain Gastroenterology Associates, Pllc 3333 S Wadsworth Blvd Ste. D-100 Lakewood CO 80227-5122 Ph: (303) 205-1090 |
| NPI Number | 1669414272 |
|---|---|
| Provider Enumeration Date | 06/11/2006 |
| Last Update Date | 11/04/2016 |
| Medicare PECOS PAC ID | 5991797532 |
|---|---|
| Medicare Enrollment ID | O20040401001433 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669414272 | NPI | - | NPPES |
| CN3117 | Other | RAILROAD MEDICARE | |
| 04018503 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Asif Husain |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1578591160 PECOS PAC ID: 9931194867 Enrollment ID: I20040419001252 |
| Provider Name | Julie A Leblanc |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093091787 PECOS PAC ID: 7416948971 Enrollment ID: I20040524001409 |
| Provider Name | Anthony E Madrid |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134154313 PECOS PAC ID: 0547250383 Enrollment ID: I20040621000456 |
| Provider Name | Erik W Springer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1194711622 PECOS PAC ID: 3072589290 Enrollment ID: I20040908001119 |
| Provider Name | Luke T Evans |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205822707 PECOS PAC ID: 4880635440 Enrollment ID: I20050513000592 |
| Provider Name | Waymon C Lattimore |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437188679 PECOS PAC ID: 7911933148 Enrollment ID: I20050711000548 |
| Provider Name | William F Kinn |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1679590210 PECOS PAC ID: 4789689902 Enrollment ID: I20060921000642 |
| Provider Name | Nuray Gun |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720073323 PECOS PAC ID: 1850492026 Enrollment ID: I20070718000761 |
| Provider Name | Scott H Mackenzie |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568501997 PECOS PAC ID: 9739272675 Enrollment ID: I20070907000633 |
| Provider Name | Andrzej T Triebling |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1487640017 PECOS PAC ID: 4688748080 Enrollment ID: I20080804000105 |
| Provider Name | Jennifer L Moss |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265690374 PECOS PAC ID: 8527126580 Enrollment ID: I20081020000231 |
| Provider Name | John S. Goff |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1942231832 PECOS PAC ID: 3577558212 Enrollment ID: I20100428000617 |
| Provider Name | Patrice Michaletz Onody |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861424582 PECOS PAC ID: 9234124975 Enrollment ID: I20100709000818 |
| Provider Name | Rajesh Jain |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1811922339 PECOS PAC ID: 5193710838 Enrollment ID: I20100715000219 |
| Provider Name | James Pulju |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1194757823 PECOS PAC ID: 6305831033 Enrollment ID: I20100715000397 |
| Provider Name | Bruce Walker |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1790717486 PECOS PAC ID: 5092700732 Enrollment ID: I20100802000046 |
| Provider Name | Paul Deneault |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346276177 PECOS PAC ID: 1456346196 Enrollment ID: I20100802000114 |
| Provider Name | Gareth R Weiner |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003845249 PECOS PAC ID: 1254326994 Enrollment ID: I20100802000685 |
| Provider Name | Shazad Rana |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285670323 PECOS PAC ID: 1850471038 Enrollment ID: I20100802000772 |
| Provider Name | Sam Anouna |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639119365 PECOS PAC ID: 4082609722 Enrollment ID: I20100804000775 |
| Provider Name | Steven P Lawrence |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1487641106 PECOS PAC ID: 9537358197 Enrollment ID: I20110112000859 |
| Provider Name | James Y Rhee |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033105531 PECOS PAC ID: 9931398500 Enrollment ID: I20110112000942 |
| Provider Name | Bahri Bilir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649266701 PECOS PAC ID: 4981883147 Enrollment ID: I20110120000865 |
| Provider Name | Kristy M Severson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861569998 PECOS PAC ID: 9638275563 Enrollment ID: I20120927000194 |
| Provider Name | Jehad Barakat |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770598229 PECOS PAC ID: 3971575036 Enrollment ID: I20121010000083 |
| Provider Name | Stephen Russell Nash |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1053414045 PECOS PAC ID: 5597990655 Enrollment ID: I20131025000258 |
| Provider Name | Brenda Sassen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740614585 PECOS PAC ID: 4183852577 Enrollment ID: I20140109001564 |
| Provider Name | Shazia Rafiq |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548354939 PECOS PAC ID: 5799711545 Enrollment ID: I20140624001051 |
| Provider Name | Heidi Kay Crull |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013281427 PECOS PAC ID: 0244490258 Enrollment ID: I20140829000102 |
| Provider Name | Michael Gilger |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1467782003 PECOS PAC ID: 1254553654 Enrollment ID: I20141120000592 |
| Provider Name | Tonya M. Delano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598006504 PECOS PAC ID: 4789822438 Enrollment ID: I20150324000245 |
| Provider Name | Kara Lindsey Siedman |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1114310703 PECOS PAC ID: 5193043826 Enrollment ID: I20150409001107 |
| Provider Name | Andrew S Korson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023338654 PECOS PAC ID: 6507181344 Enrollment ID: I20160816002071 |
| Provider Name | Teal J Mefford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932654555 PECOS PAC ID: 1658669536 Enrollment ID: I20161010000088 |
| Provider Name | James Charles Higham Kessler |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003105636 PECOS PAC ID: 6507182847 Enrollment ID: I20170731000737 |
| Provider Name | Kathryn M. Wisser |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073545273 PECOS PAC ID: 9537313002 Enrollment ID: I20170905002432 |
| Provider Name | Maria L Aguirre |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1669447645 PECOS PAC ID: 5496778052 Enrollment ID: I20180509001963 |
| Provider Name | Ashley Mckillop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851885446 PECOS PAC ID: 9032465281 Enrollment ID: I20180702001920 |
| Provider Name | Anne Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518451350 PECOS PAC ID: 0941554851 Enrollment ID: I20181113000682 |
| Provider Name | Michael B Mccabe |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538425087 PECOS PAC ID: 3971733700 Enrollment ID: I20190215001760 |
| Provider Name | Sumy Anthony |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003240862 PECOS PAC ID: 5890920649 Enrollment ID: I20190228000247 |
| Provider Name | Tyler Rodman Mcvay |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1245573815 PECOS PAC ID: 6305066499 Enrollment ID: I20190820000157 |
| Provider Name | Gabrielle Paige Vandergriff |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1548817760 PECOS PAC ID: 5890128698 Enrollment ID: I20191210000603 |
| Provider Name | Nicole Lindel |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1063045045 PECOS PAC ID: 9133559958 Enrollment ID: I20200420000317 |
| Provider Name | Spencer Woolen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962014894 PECOS PAC ID: 4284052572 Enrollment ID: I20200918000951 |
| Provider Name | Kyley Leroy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760876668 PECOS PAC ID: 0648671883 Enrollment ID: I20210625001560 |
| Provider Name | Christopher Morgan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1629264197 PECOS PAC ID: 2163578303 Enrollment ID: I20210712001977 |
| Provider Name | Allison Marie Hosack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033721287 PECOS PAC ID: 5294134169 Enrollment ID: I20210726000475 |
| Provider Name | Lindsay Marie Fawcett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053982967 PECOS PAC ID: 5193120384 Enrollment ID: I20210826001213 |
| Provider Name | Eric Sellers |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720468523 PECOS PAC ID: 5890095319 Enrollment ID: I20210901002956 |
| Provider Name | Laura Kochman Maron |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1891456844 PECOS PAC ID: 7719370865 Enrollment ID: I20220214000038 |
| Provider Name | Nicole Goitia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578124947 PECOS PAC ID: 3870821812 Enrollment ID: I20220408002319 |
| Provider Name | Katie Lee Chmielewski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073281937 PECOS PAC ID: 7416326434 Enrollment ID: I20221214002609 |
| Provider Name | Brooke Mcvey |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1215651997 PECOS PAC ID: 9436529062 Enrollment ID: I20221223000044 |
| Provider Name | Amanda N Sullivan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1124557863 PECOS PAC ID: 1759792849 Enrollment ID: I20230709000095 |
| Provider Name | Ajit Ramadugu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316473762 PECOS PAC ID: 6103195813 Enrollment ID: I20230823004678 |
| Provider Name | Anne Luongo |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1407515802 PECOS PAC ID: 9931563988 Enrollment ID: I20230911001173 |
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