| Smoky Hill Family Medicine | |
|
13111 E Briarwood Ave Ste 215 Centennial CO 80112-3846 | |
| (303) 680-9150 | |
| (303) 680-9149 |
| Full Name | Smoky Hill Family Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 13111 E Briarwood Ave Ste 215, Centennial, Colorado |
| Authorized Official Name and Position | Joel Shebowich (PHYSICIAN - OWNER) |
| Authorized Official Contact | 3036809150 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Smoky Hill Family Medicine 13111 E Briarwood Ave Ste 215 Centennial CO 80112-3846 Ph: (303) 680-9150 | Smoky Hill Family Medicine 13111 E Briarwood Ave Ste 215 Centennial CO 80112-3846 Ph: (303) 680-9150 |
| NPI Number | 1619993250 |
|---|---|
| Provider Enumeration Date | 07/15/2006 |
| Last Update Date | 06/17/2014 |
| Medicare PECOS PAC ID | 6305733718 |
|---|---|
| Medicare Enrollment ID | O20040301001126 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619993250 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Joel C Shebowich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366468902 PECOS PAC ID: 0749177152 Enrollment ID: I20120313000282 |
| Provider Name | Liberty Amador Barry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730100066 PECOS PAC ID: 1658536206 Enrollment ID: I20120703000678 |
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