| Stephen M Girard, MD | |
|
1925 E Orman Ave, Suite A109, Pueblo, CO 81004-3537 | |
| (719) 564-0210 | |
| (719) 564-9483 |
| Full Name | Stephen M Girard |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 28 Years |
| Location | 1925 E Orman 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 |
|---|---|---|---|
| 1912999574 | NPI | - | NPPES |
| 22475729 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 40232 (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 |
|---|---|---|
| Catholic Health Initiatives Colorado | 8022927342 | 1231 |
| 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 | Corwin Clinic Surgical Professional Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356492219 PECOS PAC ID: 4981698958 Enrollment ID: O20040413000226 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen M Girard, MD 1925 E Orman Ave, Suite A109, Pueblo, CO 81004-3537 Ph: (719) 564-0210 | Stephen M Girard, MD 1925 E Orman Ave, Suite A109, Pueblo, CO 81004-3537 Ph: (719) 564-0210 |
Dr. Paul Raymond Radway, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 3506 San Jose Ct, Pueblo, CO 81005 Phone: 719-252-6467 | |
Pantelis Hadjizacharia, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1401 Court St, Pueblo, CO 81003 Phone: 719-562-2300 | |
Michael Lee King, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1600 N Grand Ave, Ste 510, Pueblo, CO 81003 Phone: 719-566-3535 Fax: 719-566-3565 | |
Dr. Gregory Dewayne Mcclain, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1020 Lakeview Ave, Pueblo, CO 81004 Phone: 719-557-3777 Fax: 719-557-3775 | |
Dr. Rina K. Shinn, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1600 W 24th St, Pueblo, CO 81003 Phone: 719-546-4947 | |
Priscilla Nobecourt, Surgery Medicare: Accepting Medicare Assignments Practice Location: 1600 N Grand Ave Ste 430, Pueblo, CO 81003 Phone: 719-545-8240 | |
Philip Charles Marin, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1304 N Grand Ave, Pueblo, CO 81003 Phone: 719-669-8487 Fax: 719-669-8488 |