| Thomas G Chiavetta, MD | |
|
2121 E Harmony Rd, Suite 250, Fort Collins, CO 80528-3400 | |
| (970) 482-6456 | |
| (970) 482-3921 |
| Full Name | Thomas G Chiavetta |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 2121 E Harmony Rd, Fort Collins, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114030533 | NPI | - | NPPES |
| 01263342 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 26334 (Colorado) | Primary |
| Entity Name | Poudre Valley Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225356868 PECOS PAC ID: 9638208549 Enrollment ID: O20100602000122 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas G Chiavetta, MD 2121 E Harmony Rd, Suite 250, Fort Collins, CO 80528-3400 Ph: (970) 482-6456 | Thomas G Chiavetta, MD 2121 E Harmony Rd, Suite 250, Fort Collins, CO 80528-3400 Ph: (970) 482-6456 |
Dr. Richard Thomas Ethridge, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1100 Poudre River Dr Unit A, Fort Collins, CO 80524 Phone: 970-484-6303 Fax: 704-843-0369 | |
Dr. John A Collins, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2121 E Harmony Rd, Ste 330, Fort Collins, CO 80528 Phone: 970-221-5878 Fax: 970-221-3564 | |
Dr. John Marshall Hunter, M. D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2315 E Harmony Rd, Suite 130, Fort Collins, CO 80528 Phone: 970-221-5878 Fax: 970-221-3564 | |
Steven Lewis Kaufman, MD, PHD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1136 East Stuart St., Suite 4102, Fort Collins, CO 80525 Phone: 970-498-8346 Fax: 970-419-8346 | |
Dr. Nathan Paul Narasimhan, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2315 E Harmony Rd Ste 160, Fort Collins, CO 80528 Phone: 970-493-8800 Fax: 970-498-8800 | |
Dr. Heather Lynn Lewis, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2121 E Harmony Rd Unit 330, Fort Collins, CO 80528 Phone: 970-221-5878 Fax: 970-221-3564 |