| Elan Sleep LLC | |
|
1630 Dry Creek Drive Suite 200 Longmont CO 80503-6405 | |
| (720) 279-9098 | |
| (303) 248-3589 |
| Full Name | Elan Sleep LLC |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1630 Dry Creek Drive, Longmont, Colorado |
| Authorized Official Name and Position | Adam T Wertz (PRESIDENT) |
| Authorized Official Contact | 7209386918 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elan Sleep LLC 1630 Dry Creek Drive Suite 200 Longmont CO 80503-6405 Ph: (720) 279-9098 | Elan Sleep LLC 1630 Dry Creek Drive Suite 200 Longmont CO 80503-6405 Ph: (720) 279-9098 |
| NPI Number | 1982958435 |
|---|---|
| Provider Enumeration Date | 11/06/2012 |
| Last Update Date | 10/24/2024 |
| Medicare PECOS PAC ID | 8426587742 |
|---|---|
| Medicare Enrollment ID | O20250130002677 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982958435 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084S0012X | Psychiatry & Neurology - Sleep Medicine | (NU) | Primary |
| Provider Name | Laura Medina |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033357942 PECOS PAC ID: 8921136516 Enrollment ID: I20100430000556 |
| Provider Name | Kim C Lindquist |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407881196 PECOS PAC ID: 6103856992 Enrollment ID: I20130109000020 |
| Provider Name | David Mccarty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831193630 PECOS PAC ID: 8022116151 Enrollment ID: I20150225000422 |
| Provider Name | Anthony S Barber |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1376747444 PECOS PAC ID: 6406012962 Enrollment ID: I20151008000677 |
| Provider Name | Meryn E Harwood |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437524147 PECOS PAC ID: 4789986654 Enrollment ID: I20160108001801 |
| Provider Name | Ivy M Andersen |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1013064997 PECOS PAC ID: 8527155050 Enrollment ID: I20160505000234 |
| Provider Name | Stacie M Jackson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538683909 PECOS PAC ID: 8527331073 Enrollment ID: I20170905000730 |
| Provider Name | Sarah Phyllis Janine Pfeiffer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417460213 PECOS PAC ID: 3375802903 Enrollment ID: I20180105000230 |
| Provider Name | Dara R Pitts |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508374018 PECOS PAC ID: 6305106113 Enrollment ID: I20180215001346 |
| Provider Name | Sylvia Balabusta |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265930010 PECOS PAC ID: 0648527077 Enrollment ID: I20180717001842 |
| Provider Name | Eduardo Onate |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699036681 PECOS PAC ID: 5294034815 Enrollment ID: I20190809001085 |
| Provider Name | John P Bailey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528587748 PECOS PAC ID: 2769749316 Enrollment ID: I20210310002730 |
| Provider Name | Erica Danik |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073109476 PECOS PAC ID: 7618361197 Enrollment ID: I20220225002129 |
| Provider Name | David Rothfuss |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447827837 PECOS PAC ID: 0244624690 Enrollment ID: I20220228002411 |
| Provider Name | Emily K Myers |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336699438 PECOS PAC ID: 4688929862 Enrollment ID: I20220720001484 |
| Provider Name | Alexander O'dea |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922688605 PECOS PAC ID: 4486062346 Enrollment ID: I20230706000243 |
| Provider Name | Ari Philip Walter |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1922669431 PECOS PAC ID: 6800126400 Enrollment ID: I20241105000391 |
| Provider Name | Aicha Diakite |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306680442 PECOS PAC ID: 4789114018 Enrollment ID: I20250214003370 |
| Provider Name | Nicole Doran |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588152326 PECOS PAC ID: 7416205315 Enrollment ID: I20250227002569 |
| Provider Name | Tani Calderon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174296636 PECOS PAC ID: 6507368784 Enrollment ID: I20250906000558 |
| Provider Name | Nicole Frakes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619511706 PECOS PAC ID: 5496181562 Enrollment ID: I20250906000597 |
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