| Dr John Todd White, DO | |
|
729 E Spaulding Ave, Pueblo West, CO 81007-3512 | |
| (719) 547-9119 | |
| (719) 547-7555 |
| Full Name | Dr John Todd White |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 729 E Spaulding Ave, Pueblo West, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104821826 | NPI | - | NPPES |
| 92172261 | Medicaid | CO | |
| P00869198 | Other | CO | MCR RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 41374 (Colorado) | Primary |
| 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 | Healogics Specialty Physicians Of Colorado-professional Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114331006 PECOS PAC ID: 4183941834 Enrollment ID: O20150318000983 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John Todd White, DO 729 E Spaulding Ave, Pueblo West, CO 81007-3512 Ph: (719) 547-9119 | Dr John Todd White, DO 729 E Spaulding Ave, Pueblo West, CO 81007-3512 Ph: (719) 547-9119 |
Dr. Debra J Mccormack, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 729 E Spaulding Ave, Pueblo West, CO 81007 Phone: 719-547-9119 Fax: 719-547-7555 | |
Dr. Donald F Benton, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 121 S. Crescent Drive, Suite B, Pueblo West, CO 81007 Phone: 719-595-7575 Fax: 719-547-8368 | |
Dr. Abner Fernandez, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 121 S. Crescent Drive, Pueblo West, CO 81007 Phone: 719-595-7575 Fax: 719-547-8368 | |
Dana Ransom Bennett, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 121 S Crescent Dr, Pueblo West, CO 81007 Phone: 719-595-7575 Fax: 719-547-8368 | |
Dr. Noah Stephan Zimbelman, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 50 E Dunlap Dr, Pueblo West, CO 81007 Phone: 719-547-5138 Fax: 719-547-4374 | |
Steven James Simerville, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 109 S Burlington Dr, Pueblo West, CO 81007 Phone: 719-595-6020 Fax: 933-373-1043 |