| Scl Physicians - Rmpc Llc | |
|
3520 W 92nd Ave Ste 104 Westminster CO 80031-3304 | |
| (303) 429-6600 | |
| (303) 429-6601 |
| Full Name | Scl Physicians - Rmpc Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3520 W 92nd Ave Ste 104, Westminster, Colorado |
| Authorized Official Name and Position | Jon Mcdaniel (VP FINANCE PSO) |
| Authorized Official Contact | 3032720231 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Scl Physicians - Rmpc Llc 500 Eldorado Blvd Ste 6300 Broomfield CO 80021-3422 Ph: (303) 272-0566 | Scl Physicians - Rmpc Llc 3520 W 92nd Ave Ste 104 Westminster CO 80031-3304 Ph: (303) 429-6600 |
| NPI Number | 1780293456 |
|---|---|
| Provider Enumeration Date | 07/28/2020 |
| Last Update Date | 07/28/2020 |
| Medicare PECOS PAC ID | 4082907258 |
|---|---|
| Medicare Enrollment ID | O20160726000832 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780293456 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| Provider Name | Martha Muka Ives |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942289806 PECOS PAC ID: 5597750299 Enrollment ID: I20040420000577 |
| Provider Name | Mark Donald Engelstad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619914447 PECOS PAC ID: 2062460595 Enrollment ID: I20050113000780 |
| Provider Name | Aimee Sue Nelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023097896 PECOS PAC ID: 4082663042 Enrollment ID: I20050117000261 |
| Provider Name | Gregory Thomas Hirons |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013996982 PECOS PAC ID: 2961451927 Enrollment ID: I20050117000296 |
| Provider Name | Brian K Wegner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649259508 PECOS PAC ID: 4082641873 Enrollment ID: I20050723000037 |
| Provider Name | Tiffany L Ancheril |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417006768 PECOS PAC ID: 3971601634 Enrollment ID: I20070605000167 |
| Provider Name | Karen L Burnett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639254386 PECOS PAC ID: 3476588328 Enrollment ID: I20071010000825 |
| Provider Name | Krystyna M Lindenmuth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437286499 PECOS PAC ID: 5890861868 Enrollment ID: I20080828000202 |
| Provider Name | Dora H Hilty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194797431 PECOS PAC ID: 5294929154 Enrollment ID: I20101104000605 |
| Provider Name | Carlos G Vela Brol |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861710956 PECOS PAC ID: 6800076647 Enrollment ID: I20110210000558 |
| Provider Name | Scott D Kaiser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093799215 PECOS PAC ID: 1658353685 Enrollment ID: I20110825000735 |
| Provider Name | Dominique Jeanne Walker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427352947 PECOS PAC ID: 0547417545 Enrollment ID: I20120827000602 |
| Provider Name | Adam Slack |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275701484 PECOS PAC ID: 8426279621 Enrollment ID: I20141030002307 |
| Provider Name | Catherine R O Day |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649486218 PECOS PAC ID: 1658593785 Enrollment ID: I20141118001557 |
| Provider Name | Peter Lowell Hansen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447272646 PECOS PAC ID: 7315269487 Enrollment ID: I20141126000662 |
| Provider Name | Morgan L Campbell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497011431 PECOS PAC ID: 1456509603 Enrollment ID: I20150928000977 |
| Provider Name | Christy Tran Kleinke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205017720 PECOS PAC ID: 7012205230 Enrollment ID: I20161004000682 |
| Provider Name | Gregory Andrew Ambuske |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093920746 PECOS PAC ID: 1153429857 Enrollment ID: I20170202001673 |
| Provider Name | Aaron M Shupp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194164806 PECOS PAC ID: 5496049587 Enrollment ID: I20170502000781 |
| Provider Name | Julie Sefcik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558772624 PECOS PAC ID: 9234455742 Enrollment ID: I20170728000774 |
| Provider Name | Julie M Greenwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104314442 PECOS PAC ID: 9638422611 Enrollment ID: I20181020000388 |
| Provider Name | William Covell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336222017 PECOS PAC ID: 8325934086 Enrollment ID: I20210210000087 |
| Provider Name | Colleen Elizabeth Diferdinando |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558946533 PECOS PAC ID: 0749697563 Enrollment ID: I20210323002020 |
| Provider Name | Madalyn Cecile Kovarik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619325578 PECOS PAC ID: 9032447776 Enrollment ID: I20220505001673 |
| Provider Name | Joann O Rivera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871556266 PECOS PAC ID: 6305913757 Enrollment ID: I20220803003822 |
| Provider Name | Catherine Ann Pheasant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043471865 PECOS PAC ID: 7416323936 Enrollment ID: I20221024002629 |
| Provider Name | Bryan Thomas Gayne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023541992 PECOS PAC ID: 2668890914 Enrollment ID: I20230307003327 |
| Provider Name | Jessica Maria Frederick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538879671 PECOS PAC ID: 3971968777 Enrollment ID: I20230501001860 |
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