| Timothy M Crombleholme, MD | |
|
12605 E 16th Ave, Aurora, CO 80045-2545 | |
| (720) 848-0000 | |
| Not Available |
| Full Name | Timothy M Crombleholme |
|---|---|
| Gender | Male |
| Speciality | Surgery - Pediatric Surgery |
| Location | 12605 E 16th Ave, Aurora, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194882175 | NPI | - | NPPES |
| 03604764 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0120X | Surgery - Pediatric Surgery | 35.083881 (Ohio) | Secondary |
| 2086S0120X | Surgery - Pediatric Surgery | 50786 (Colorado) | Primary |
| Entity Name | Connecticut Children's Specialty Group, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669448882 PECOS PAC ID: 6002720117 Enrollment ID: O20031113000468 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy M Crombleholme, MD Po Box 110429, Aurora, CO 80042-0429 Ph: (303) 493-7000 | Timothy M Crombleholme, MD 12605 E 16th Ave, Aurora, CO 80045-2545 Ph: (720) 848-0000 |
Kevin Bradley Rothchild, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 12605 E 16th Ave, Aurora, CO 80045 Phone: 303-724-2728 Fax: 303-724-2761 | |
Dr. Juan Pablo Idrovo, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 12605 E 16th Ave, Aurora, CO 80045 Phone: 303-724-8366 | |
Madhuri Nagaraj, MD, MS Surgery Medicare: Medicare Enrolled Practice Location: 12605 E 16th Ave, Aurora, CO 80045 Phone: 720-848-0000 | |
Gregory Stiegmann, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 12605 E 16th Ave, Aurora, CO 80045 Phone: 720-848-0000 | |
Dr. Michael Kennth Dalton, MD, MPH Surgery Medicare: Medicare Enrolled Practice Location: 12605 E 16th Ave, Aurora, CO 80045 Phone: 720-848-0000 | |
Nathan W. Pearlman, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 12605 E 16th Ave, Aurora, CO 80045 Phone: 303-724-2728 Fax: 303-724-2733 | |
Mr. Julian Simon Winocour, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1635 Aurora Ct, Aurora, CO 80045 Phone: 720-848-0000 |