| Mr Ryan Glynn Goodman, | |
|
1060 Orchard Ave, Grand Junction, CO 81501-2997 | |
| (970) 644-3740 | |
| Not Available |
| Full Name | Mr Ryan Glynn Goodman |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 10 Years |
| Location | 1060 Orchard Ave, Grand Junction, 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 |
|---|---|---|---|
| 1053860387 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA.0004792 (Colorado) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Community Hospital | Grand junction, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Community Medical Group Llc | 1052612785 | 109 |
| Entity Name | St Marys Hospital and Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275714081 PECOS PAC ID: 1557267069 Enrollment ID: O20031218000149 |
| Entity Name | Colorado West Healthcare System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497723407 PECOS PAC ID: 3971491887 Enrollment ID: O20040310000712 |
| Entity Name | Intermountain Medical Group Grand Junction, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356765556 PECOS PAC ID: 3779707856 Enrollment ID: O20140611000363 |
| Entity Name | Community Medical Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043640634 PECOS PAC ID: 1052612785 Enrollment ID: O20151222000695 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Ryan Glynn Goodman, 1060 Orchard Ave, Grand Junction, CO 81501-2997 Ph: (970) 644-3740 | Mr Ryan Glynn Goodman, 1060 Orchard Ave, Grand Junction, CO 81501-2997 Ph: (970) 644-3740 |
Sophia Eve Wengier, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1100 North Ave, Grand Junction, CO 81501 Phone: 805-896-2545 |
Mindy Hill, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1100 North Ave, Grand Junction, CO 81501 Phone: 970-248-1020 |
Valerie H Mcelroy, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2643 Patterson Rd, Ste 503, Grand Junction, CO 81506 Phone: 970-245-2400 |
Amalia Michalek, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2440 N 11th St, Grand Junction, CO 81501 Phone: 970-243-0900 |
Hannah Denton, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1100 North Ave, Grand Junction, CO 81501 Phone: 530-219-9333 |
Jackson Harris, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1100 North Ave, Grand Junction, CO 81501 Phone: 970-248-1020 |
Michael Lee Hanson, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2643 Patterson Rd, Suite 503, Grand Junction, CO 81506 Phone: 970-245-2400 Fax: 970-242-9092 |