| Southpark Internal Medicine Pc | |
|
9088 Ridgeline Blvd Ste 201 Highlands Ranch CO 80129-2383 | |
| (720) 266-6900 | |
| (303) 791-9920 |
| Full Name | Southpark Internal Medicine Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 9088 Ridgeline Blvd, Highlands Ranch, Colorado |
| Authorized Official Name and Position | Ellen M Burkett (MD) |
| Authorized Official Contact | 7202666900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southpark Internal Medicine Pc 9088 Ridgeline Blvd Ste 201 Highlands Ranch CO 80129-2383 Ph: (720) 266-6900 | Southpark Internal Medicine Pc 9088 Ridgeline Blvd Ste 201 Highlands Ranch CO 80129-2383 Ph: (720) 266-6900 |
| NPI Number | 1538293790 |
|---|---|
| Provider Enumeration Date | 03/16/2007 |
| Last Update Date | 08/09/2013 |
| Medicare PECOS PAC ID | 3375434541 |
|---|---|
| Medicare Enrollment ID | O20040324001524 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538293790 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 29558 (Colorado) | Primary |
| Provider Name | Ellen M Burkett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659334118 PECOS PAC ID: 0941211833 Enrollment ID: I20060509000026 |
| Provider Name | Jennifer Elizabeth Skalla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588044614 PECOS PAC ID: 5395047112 Enrollment ID: I20160111000750 |
| Provider Name | Creagh E Milford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386897221 PECOS PAC ID: 4688845795 Enrollment ID: I20210712000905 |
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