| Mr Charles J Ruzkowski, MD | |
|
1600 N Grand Ave, Suite 150, Pueblo, CO 81003-2749 | |
| (719) 595-7680 | |
| (719) 595-7687 |
| Full Name | Mr Charles J Ruzkowski |
|---|---|
| Gender | Male |
| Speciality | Gastroenterology |
| Experience | 43 Years |
| Location | 1600 N Grand 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 |
|---|---|---|---|
| 1669576757 | NPI | - | NPPES |
| 90023030 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | MD-23100 (Hawaii) | Secondary |
| 207RG0100X | Internal Medicine - Gastroenterology | 39991 (Colorado) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hilo Medical Center | Hilo, HI | Hospital |
| Deer Lodge Medical Center - Cah | Deer lodge, MT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Digestive Diseases Specialists Of Colorado,llc | 8527022060 | 5 |
| Alii Health Center | 4486984549 | 44 |
| Hilo Benioff Medical Center | 1254422900 | 98 |
| Powell County Memorial Hospital Association Inc. | 6103734728 | 13 |
| Kau Hospital | 7416945548 | 114 |
| Entity Name | Digestive Diseases Specialists Of Colorado,llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033135330 PECOS PAC ID: 8527022060 Enrollment ID: O20041115001261 |
| Entity Name | Banner Health Physicians Colorado Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073899134 PECOS PAC ID: 8921273038 Enrollment ID: O20111219000237 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Charles J Ruzkowski, MD Po Box 560825, Denver, CO 80256-0825 Ph: (719) 595-7580 | Mr Charles J Ruzkowski, MD 1600 N Grand Ave, Suite 150, Pueblo, CO 81003-2749 Ph: (719) 595-7680 |
Dr. Christopher John Calcagno, D.O. Gastroenterology 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, Gastroenterology Medicare: Medicare Enrolled Practice Location: 400 W 16th St, Pueblo, CO 81003 Phone: 719-595-2218 Fax: 719-595-7994 | |
Greg Alan Bowman, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 1600 N Grand Ave, Suite 500, Pueblo, CO 81003 Phone: 719-545-0663 Fax: 719-595-7903 | |
Dr. Darya Blednova, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 400 W 16th St, Pueblo, CO 81003 Phone: 970-624-2403 Fax: 970-490-4173 | |
Peter Lochow, M.D. Gastroenterology 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 Gastroenterology 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 Gastroenterology Medicare: Medicare Enrolled Practice Location: 400 W 16th St, Pueblo, CO 81003 Phone: 719-544-1488 Fax: 719-595-7994 |