| Scala Medical Pc | |
|
13111 E Briarwood Ave Ste 210 Centennial CO 80112-3846 | |
| (720) 463-0010 | |
| Not Available |
| Full Name | Scala Medical Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 13111 E Briarwood Ave Ste 210, Centennial, Colorado |
| Authorized Official Name and Position | John D Scala (PRESIDENT) |
| Authorized Official Contact | 7204630010 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Scala Medical Pc Po Box 4707 Greenwood Village CO 80155-4707 Ph: () - | Scala Medical Pc 13111 E Briarwood Ave Ste 210 Centennial CO 80112-3846 Ph: (720) 463-0010 |
| NPI Number | 1992223184 |
|---|---|
| Provider Enumeration Date | 09/07/2017 |
| Last Update Date | 03/26/2018 |
| Medicare PECOS PAC ID | 0648539189 |
|---|---|
| Medicare Enrollment ID | O20180109001510 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992223184 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 48613 (Colorado) | Primary |
| Provider Name | John D Scala |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972506160 PECOS PAC ID: 1456320084 Enrollment ID: I20110809000138 |
| Provider Name | Ivana Loos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811342199 PECOS PAC ID: 9234420001 Enrollment ID: I20160627000151 |
| Provider Name | John D Scala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972506160 PECOS PAC ID: 1456320084 Enrollment ID: I20180417001697 |
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