| Healthone Clinic Services - Pediatric Specialties Llc | |
|
2001 N High St, Denver, CO 80205-5555 | |
| (720) 754-1000 | |
| (303) 861-6254 |
| Full Name | Healthone Clinic Services - Pediatric Specialties Llc |
|---|---|
| Type | Facility |
| Speciality | Pediatrics |
| Location | 2001 N High St, Denver, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720293251 | NPI | - | NPPES |
| 39831264 | Medicaid | CO | |
| 88150062 | Medicaid | CO | |
| 06653065 | Medicaid | CO | |
| 91103355 | Medicaid | CO | |
| 01026208 | Medicaid | CO | |
| 17088372 | Medicaid | CO | |
| 04558367 | Medicaid | CO | |
| 35958898 | Medicaid | CO | |
| 73801089 | Medicaid | CO | |
| 37402552 | Medicaid | CO | |
| 65724089 | Medicaid | NM | |
| 78725259 | Medicaid | CO |
| Provider Name | David J Miller |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144279787 PECOS PAC ID: 6002806536 Enrollment ID: I20040515000482 |
| Provider Name | Kimberly Brooke Pengel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871680926 PECOS PAC ID: 0749267185 Enrollment ID: I20040702000416 |
| Provider Name | James Ball |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003864893 PECOS PAC ID: 8820030299 Enrollment ID: I20070809000158 |
| Provider Name | Steven S Rothenberg |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295726024 PECOS PAC ID: 7012989692 Enrollment ID: I20070904000661 |
| Provider Name | Saundra M Kay |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598756454 PECOS PAC ID: 8921191131 Enrollment ID: I20070904000673 |
| Provider Name | Donatella P Donatelli-martin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457547721 PECOS PAC ID: 9537257605 Enrollment ID: I20071127000209 |
| Provider Name | Jennifer J Clark |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336106053 PECOS PAC ID: 9830288513 Enrollment ID: I20071203000613 |
| Provider Name | Jaren M Riley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770791055 PECOS PAC ID: 2466630595 Enrollment ID: I20110620000685 |
| Provider Name | Michael Darby Pettersen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700824430 PECOS PAC ID: 8729103791 Enrollment ID: I20120203000131 |
| Provider Name | Laurel J Benson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316034465 PECOS PAC ID: 9133020530 Enrollment ID: I20120817000202 |
| Provider Name | Andrew V Pytiak |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1003046095 PECOS PAC ID: 7810219730 Enrollment ID: I20150923001077 |
| Provider Name | Sarah W Lai |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336674183 PECOS PAC ID: 8729350764 Enrollment ID: I20170825000192 |
| Provider Name | Jue Cao |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558650168 PECOS PAC ID: 5496997843 Enrollment ID: I20181009003389 |
| Provider Name | Molly Jo Weaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750553632 PECOS PAC ID: 4981956240 Enrollment ID: I20181015002085 |
| Provider Name | Teresa Wolanski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154705135 PECOS PAC ID: 1658618764 Enrollment ID: I20190128003206 |
| Provider Name | John A Van Doorninck |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194970350 PECOS PAC ID: 9436212412 Enrollment ID: I20190321002347 |
| Provider Name | Kristin Elaine Shipman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952591901 PECOS PAC ID: 7719227834 Enrollment ID: I20190327000495 |
| Provider Name | Christopher R Landis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093280026 PECOS PAC ID: 5395085427 Enrollment ID: I20190327001286 |
| Provider Name | Kate Elizabeth Geisen Nimocks |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1205223864 PECOS PAC ID: 7214241306 Enrollment ID: I20190904000842 |
| Provider Name | Rachel B Brewer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801943618 PECOS PAC ID: 3072645951 Enrollment ID: I20191015000330 |
| Provider Name | Brittany Elizabeth Slaff |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1689218174 PECOS PAC ID: 2769815539 Enrollment ID: I20191209002442 |
| Provider Name | Elisha E Mcguire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003452137 PECOS PAC ID: 3476981911 Enrollment ID: I20200317001664 |
| Provider Name | Sarah Barnard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326529082 PECOS PAC ID: 1557790664 Enrollment ID: I20200410000149 |
| Provider Name | Ryan Michael Mitchell |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1295050060 PECOS PAC ID: 8325359474 Enrollment ID: I20201013002343 |
| Provider Name | Jason Garnreiter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790988962 PECOS PAC ID: 4789830944 Enrollment ID: I20210629000152 |
| Provider Name | Richard Ohye |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1720170111 PECOS PAC ID: 4082623343 Enrollment ID: I20211111000832 |
| Provider Name | Florence Choo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356720528 PECOS PAC ID: 3678825536 Enrollment ID: I20211214002922 |
| Provider Name | Zoe Michelle Schmitz |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1922599257 PECOS PAC ID: 0648664474 Enrollment ID: I20220222000139 |
| Provider Name | Timothy Ardell Hadley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609216183 PECOS PAC ID: 2567603988 Enrollment ID: I20220701002474 |
| Provider Name | Logan C Gibson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083009468 PECOS PAC ID: 8426438797 Enrollment ID: I20220704000248 |
| Provider Name | Jose M Barrios |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245327089 PECOS PAC ID: 7810969409 Enrollment ID: I20220705001957 |
| Provider Name | Jill K Stearns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750921102 PECOS PAC ID: 7810370079 Enrollment ID: I20220820000364 |
| Provider Name | Richard Frye |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902291693 PECOS PAC ID: 3971881335 Enrollment ID: I20220903000325 |
| Provider Name | Mackenzie B Montag |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609439371 PECOS PAC ID: 2466836606 Enrollment ID: I20220907001290 |
| Provider Name | Sarah May Deignan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902539430 PECOS PAC ID: 3971979014 Enrollment ID: I20221014001902 |
| Provider Name | Amit Patange |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942487863 PECOS PAC ID: 8426286402 Enrollment ID: I20230428000621 |
| Provider Name | Ryan Town |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427589480 PECOS PAC ID: 3476823667 Enrollment ID: I20230814000287 |
| Provider Name | Ian Milligan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841727450 PECOS PAC ID: 3971872268 Enrollment ID: I20231122003040 |
| Provider Name | Richard Sidlow |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1689647380 PECOS PAC ID: 4880952670 Enrollment ID: I20240424001496 |
| Provider Name | Nuphar Lendner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457883712 PECOS PAC ID: 9133463615 Enrollment ID: I20240429001527 |
| Provider Name | Jessica Perz Wulfekuhler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104128537 PECOS PAC ID: 5799227682 Enrollment ID: I20240606002878 |
| Provider Name | Lara Riegler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710121488 PECOS PAC ID: 8628223567 Enrollment ID: I20240930001562 |
| Provider Name | Lillian G Mauroner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679063119 PECOS PAC ID: 9436542123 Enrollment ID: I20241028002131 |
| Provider Name | Katharine Woods |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457013021 PECOS PAC ID: 2567853070 Enrollment ID: I20250407002879 |
| Mailing Address | Practice Location Address |
|---|---|
| Healthone Clinic Services - Pediatric Specialties Llc 2000 Health Park Dr, Brentwood, TN 37027-4692 Ph: (615) 373-7406 | Healthone Clinic Services - Pediatric Specialties Llc 2001 N High St, Denver, CO 80205-5555 Ph: (720) 754-1000 |