| James R Stjernholm, MD | |
|
1925 E Orman Ave, Suite 535a, Pueblo, CO 81004-3537 | |
| (719) 564-0450 | |
| (719) 564-1659 |
| Full Name | James R Stjernholm |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 1925 E Orman Ave, Pueblo, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275545469 | NPI | - | NPPES |
| 01216027 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 21602 (Colorado) | Primary |
| Entity Name | Heritage Internal Medicine, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669681581 PECOS PAC ID: 9032192463 Enrollment ID: O20040608001020 |
| Mailing Address | Practice Location Address |
|---|---|
| James R Stjernholm, MD 1925 E Orman Ave, Suite 535a, Pueblo, CO 81004-3537 Ph: (719) 564-0450 | James R Stjernholm, MD 1925 E Orman Ave, Suite 535a, Pueblo, CO 81004-3537 Ph: (719) 564-0450 |
Dr. Christopher John Calcagno, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1600 N. Grand Ave., Ste. 300, Pueblo, CO 81003 Phone: 719-562-2001 Fax: 719-562-2742 | |
Christopher Jon Stark, Internal Medicine Medicare: Medicare Enrolled Practice Location: 400 W 16th St, Pueblo, CO 81003 Phone: 719-595-2218 Fax: 719-595-7994 | |
Greg Alan Bowman, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1600 N Grand Ave, Suite 500, Pueblo, CO 81003 Phone: 719-545-0663 Fax: 719-595-7903 | |
Peter Lochow, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3670 Parker Blvd Ste 101, Pueblo, CO 81008 Phone: 719-564-1544 Fax: 719-924-1593 | |
Dr. Raj Vashistha, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3670 Parker Blvd., Ste 101, Pueblo, CO 81008 Phone: 719-564-1544 Fax: 719-924-1592 | |
Dr. Bryant Pinto Javier, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 400 W 16th St, Pueblo, CO 81003 Phone: 719-544-1488 Fax: 719-595-7994 | |
Thomas Christian Stjernholm, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3670 Parker Blvd Ste 101, Pueblo, CO 81008 Phone: 719-564-1544 Fax: 719-924-1593 |