| Pratima Agarwal, | |
| 9980 Park Meadows Dr Ste 200, Lone Tree, CO 80124-8406 | |
| (303) 744-1961 | |
| Not Available | 
| Full Name | Pratima Agarwal | 
|---|---|
| Gender | Female | 
| Speciality | Otolaryngology | 
| Location | 9980 Park Meadows Dr Ste 200, 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 | 
|---|---|---|---|
| 1538628789 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Y00000X | Otolaryngology | 280140 (Massachusetts) | Secondary | 
| 207Y00000X | Otolaryngology | 35.151172 (Ohio) | Secondary | 
| 207Y00000X | Otolaryngology | DR.0075745 (Colorado) | Primary | 
| Entity Name | The Cleveland Clinic Foundation | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1679525919 PECOS PAC ID: 1850203555 Enrollment ID: O20031103000049 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Pratima Agarwal, 850 E Harvard Ave Ste 505, Denver, CO 80210-5078 Ph: () - | Pratima Agarwal, 9980 Park Meadows Dr Ste 200, Lone Tree, CO 80124-8406 Ph: (303) 744-1961 | 
| Dr. Phillip Blaine Whiting, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 10099 Ridgegate Pkwy, Conifer Building, Suite 230, Lone Tree, CO 80124 Phone: 303-706-1616 Fax: 303-706-0151 | |
| Dr. Stephen Weber, MD, FACS Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 9695 S Yosemite St, Suite 359, Lone Tree, CO 80124 Phone: 303-792-2224 Fax: 888-378-4980 | |
| Timothy Frederick Pingree, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 10099 Ridgegate Pkwy, Suite 230, Lone Tree, CO 80124 Phone: 303-706-1616 Fax: 303-706-0177 | |
| Dr. Justin Dean Wilson, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 9980 Park Meadows Dr Ste 200, Lone Tree, CO 80124 Phone: 303-744-1961 Fax: 303-744-1154 | |
| Dr. Henry Patrick Carr, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 10099 Ridgegate Pkwy, Suite 230, Lone Tree, CO 80124 Phone: 303-706-1616 Fax: 303-706-0151 | |
| Clark William Walker, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 10099 Ridgegate Pkwy, Suite 230, Lone Tree, CO 80124 Phone: 303-706-1616 Fax: 303-706-0177 |