| John R Sandoval, MD | |
|
1008 Minnequa Ave, Pueblo, CO 81004-3733 | |
| (719) 557-4221 | |
| (719) 557-3834 |
| Full Name | John R Sandoval |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 28 Years |
| Location | 1008 Minnequa Ave, Pueblo, Colorado |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881664670 | NPI | - | NPPES |
| 41224060 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | DR-38609 (Colorado) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Mary Corwin Med Ctr, Centura Health | Pueblo, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Us Anesthesia Partners Of Colorado Inc | 6002072055 | 452 |
| Entity Name | Catholic Health Initiatives Colorado |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356783351 PECOS PAC ID: 8022927342 Enrollment ID: O20031215000462 |
| Entity Name | Us Anesthesia Partners Of Colorado Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922365782 PECOS PAC ID: 6002072055 Enrollment ID: O20120725000032 |
| Mailing Address | Practice Location Address |
|---|---|
| John R Sandoval, MD Po Box 911244, Denver, CO 80291-1244 Ph: (719) 557-4221 | John R Sandoval, MD 1008 Minnequa Ave, Pueblo, CO 81004-3733 Ph: (719) 557-4221 |
Dr. James C Karn, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 916 Indiana Ave, Ste 120, Pueblo, CO 81004 Phone: 719-296-5841 Fax: 719-542-0746 | |
Christopher W. Harper, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 400 W. 16th St., Pueblo, CO 81003 Phone: 719-543-7877 Fax: 719-543-7882 | |
Eric A Bernauer, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 916 Indiana Ave Ste 120, Pueblo, CO 81004 Phone: 719-296-5841 Fax: 719-542-0746 | |
Dr. Benjamin H Massey, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 25 Montebello Rd, Pueblo, CO 81001 Phone: 719-544-1600 Fax: 719-544-2599 | |
Dr. Ian H Black, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 400 W 16th St, Pueblo, CO 81003 Phone: 719-584-4045 | |
Nicholas Brent Denardin, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 400 W 16th St, Pueblo, CO 81003 Phone: 719-584-4045 | |
Dr. James A Salvatore, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 916 Indiana Ave, Ste 120, Pueblo, CO 81004 Phone: 719-296-5841 Fax: 719-542-0746 |