Karen Judy, MD | |
8330 Willow St, Lone Tree, CO 80124-2945 | |
(303) 226-9760 | |
Not Available |
Full Name | Karen Judy |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 8330 Willow St, Lone Tree, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326012428 | NPI | - | NPPES |
920540027 | Other | IL | MEDICARE PTAN (INDIVIDUAL) |
920540 | Other | IL | MEDICARE PTAN (GROUP) |
036086447 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 0071468 (Colorado) | Primary |
208000000X | Pediatrics | 036086447 (Illinois) | Secondary |
Entity Name | Central Dupage Physician Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033149844 PECOS PAC ID: 5890696231 Enrollment ID: O20040303000601 |
Mailing Address | Practice Location Address |
---|---|
Karen Judy, MD 885 Roosevelt Rd, Glen Ellyn, IL 60137-6141 Ph: (630) 790-1555 | Karen Judy, MD 8330 Willow St, Lone Tree, CO 80124-2945 Ph: (303) 226-9760 |
Emily Jeanne Vangeti, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 10099 Ridgegate Pkwy Ste 290, Lone Tree, CO 80124 Phone: 303-803-1005 Fax: 303-798-3248 | |
Nancy Anne Taoka, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 10099 Ridgegate Pkwy Ste 290, Lone Tree, CO 80124 Phone: 303-803-1005 Fax: 303-798-3248 | |
Logan Gibson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 10465 Park Meadows Dr, Lone Tree, CO 80124 Phone: 303-790-1515 | |
Dr. Theodore Harry Stathos, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9224 Teddy Lane, Suite 200, Lone Tree, CO 80124 Phone: 303-790-1515 Fax: 303-790-1989 | |
Maren Boehnke, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 10099 Ridgegate Pkwy Ste 290, Lone Tree, CO 80124 Phone: 303-803-1005 Fax: 303-798-3248 | |
Robert A Kilpatrick, Pediatrics Medicare: Medicare Enrolled Practice Location: 10101 Ridgegate Pkwy, Lone Tree, CO 80124 Phone: 720-225-1000 Fax: 303-306-7753 | |
Dr. Matthew J Hadeed, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 10099 Ridgegate Pkwy Ste 290, Lone Tree, CO 80124 Phone: 303-803-1005 Fax: 303-798-3248 |