The Wray Clinic | |
1017 W 7th St Wray CO 80758-1420 | |
(970) 332-4895 | |
(970) 332-3235 |
Full Name | The Wray Clinic |
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Speciality | General Practice |
Location | 1017 W 7th St, Wray, Colorado |
Authorized Official Name and Position | John Hart (CEO) |
Authorized Official Contact | 9703322203 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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The Wray Clinic 1017 W 7th Street Wray CO 80758-1420 Ph: (970) 332-4895 | The Wray Clinic 1017 W 7th St Wray CO 80758-1420 Ph: (970) 332-4895 |
NPI Number | 1477587202 |
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Provider Enumeration Date | 07/10/2006 |
Last Update Date | 09/07/2022 |
Medicare PECOS PAC ID | 3274425038 |
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Medicare Enrollment ID | O20040326000383 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477587202 | NPI | - | NPPES |
90925769 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Oralee L Ekberg |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1205817855 PECOS PAC ID: 5698763381 Enrollment ID: I20040503000678 |
Provider Name | Gary D Kliewer |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1245208859 PECOS PAC ID: 9335128370 Enrollment ID: I20040714001279 |
Provider Name | James C Schiefen |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1477525285 PECOS PAC ID: 7315901279 Enrollment ID: I20041119000191 |
Provider Name | Fernando J Kim |
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Provider Type | Practitioner - Urology |
Provider Identifiers | NPI Number: 1538272570 PECOS PAC ID: 5395795140 Enrollment ID: I20050128000632 |
Provider Name | Lisa M Smalley |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1275729766 PECOS PAC ID: 0042255275 Enrollment ID: I20050628000223 |
Provider Name | John F Wolz |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1124004643 PECOS PAC ID: 4486673571 Enrollment ID: I20051123000657 |
Provider Name | Robert G Loyd |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1841257359 PECOS PAC ID: 4981627866 Enrollment ID: I20060105000771 |
Provider Name | Benjamin Sutton Clower |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1457321283 PECOS PAC ID: 3577593441 Enrollment ID: I20061030000413 |
Provider Name | Khashaiar Charepoo |
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Provider Type | Practitioner - Urology |
Provider Identifiers | NPI Number: 1669482279 PECOS PAC ID: 1355438920 Enrollment ID: I20071029000490 |
Provider Name | Dirk Dolbeare |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1245448984 PECOS PAC ID: 2961555719 Enrollment ID: I20090728000045 |
Provider Name | David Glen Reed |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1033176235 PECOS PAC ID: 7911993316 Enrollment ID: I20100817001009 |
Provider Name | Lindsey Lane Paulson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1275739120 PECOS PAC ID: 9537283767 Enrollment ID: I20100825000422 |
Provider Name | Lynn Voss |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1295784437 PECOS PAC ID: 0143261487 Enrollment ID: I20100907000445 |
Provider Name | Samuel Roos Sims |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1063635621 PECOS PAC ID: 3173690724 Enrollment ID: I20110504000234 |
Provider Name | Lauren Elizabeth Gerk |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1427325281 PECOS PAC ID: 7911167804 Enrollment ID: I20120330000297 |
Provider Name | Lane D Looka |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003047325 PECOS PAC ID: 9234275223 Enrollment ID: I20120809000645 |
Provider Name | William C Kramer |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1093978223 PECOS PAC ID: 9537393764 Enrollment ID: I20141219000256 |
Provider Name | Thomas C Kriley |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1164868980 PECOS PAC ID: 7416180427 Enrollment ID: I20160608000399 |
Provider Name | Benjamin Gehret |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1619423068 PECOS PAC ID: 1951699230 Enrollment ID: I20161019002846 |
Provider Name | Doreen Mae Pecar |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1235445453 PECOS PAC ID: 9032144647 Enrollment ID: I20170213000868 |
Provider Name | Paul Val Meredith |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1871607341 PECOS PAC ID: 1456387380 Enrollment ID: I20170304000129 |
Provider Name | Richard W Hammack |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639504871 PECOS PAC ID: 6800025651 Enrollment ID: I20170412002224 |
Provider Name | Briana C Lorenzini |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1174816029 PECOS PAC ID: 4880970383 Enrollment ID: I20170418001834 |
Provider Name | Susan M Kasza |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1720499197 PECOS PAC ID: 7719107879 Enrollment ID: I20171115001324 |
Provider Name | Donna Marie Roberts |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194216911 PECOS PAC ID: 3173433729 Enrollment ID: I20180619000685 |
Provider Name | Gregory Collins |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1821169533 PECOS PAC ID: 8325391097 Enrollment ID: I20181025002380 |
Provider Name | Stephanie Kettelson |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1831685775 PECOS PAC ID: 5294088977 Enrollment ID: I20181025002581 |
Provider Name | Madison N Glidden |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1902454697 PECOS PAC ID: 0345570800 Enrollment ID: I20190925003003 |
Provider Name | Emily C Rand |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1467809566 PECOS PAC ID: 8729366323 Enrollment ID: I20191206000420 |
Provider Name | Erik C Bowman |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1902211931 PECOS PAC ID: 0446572317 Enrollment ID: I20200706002132 |
Provider Name | Kathleen Mattison Kollitz Jegapragasan |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1376959593 PECOS PAC ID: 8921224999 Enrollment ID: I20200714001222 |
Provider Name | Meredith H Mayo |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1780940163 PECOS PAC ID: 2961644687 Enrollment ID: I20201008000192 |
Provider Name | Kaily Ann Baer |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1740843523 PECOS PAC ID: 5294078622 Enrollment ID: I20201028003217 |
Provider Name | Pyper Lea Miller |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1942809777 PECOS PAC ID: 2860802063 Enrollment ID: I20201029000064 |
Provider Name | Robert Alan Harper |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1124488572 PECOS PAC ID: 0648691303 Enrollment ID: I20210720004142 |
Provider Name | Megan Mckenna |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1851748180 PECOS PAC ID: 0749578037 Enrollment ID: I20210728002027 |
Provider Name | Brian P Davis |
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Provider Type | Practitioner - Sports Medicine |
Provider Identifiers | NPI Number: 1124473194 PECOS PAC ID: 4082017934 Enrollment ID: I20210729001553 |
Provider Name | Rachel Marie Doty |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1407496177 PECOS PAC ID: 6608260682 Enrollment ID: I20220309000035 |
Provider Name | Aditya J Yerrapragada |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1811351810 PECOS PAC ID: 6507158490 Enrollment ID: I20220715000818 |
Provider Name | Austin Dale Reed |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1841947264 PECOS PAC ID: 3375914013 Enrollment ID: I20230117002313 |
Provider Name | Josh Hill |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1447224993 PECOS PAC ID: 2466476536 Enrollment ID: I20230502001377 |
Provider Name | Adam Holzmeister |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1649701699 PECOS PAC ID: 0244502466 Enrollment ID: I20230711000943 |
Provider Name | Megan Renae Schipper |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1154029460 PECOS PAC ID: 4587025226 Enrollment ID: I20230727004105 |
Banner Health Physicians Colorado Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1017 W 7th St, Wray, CO 80758 Phone: 970-332-2225 |