| 5280 Medical Concierge Inc | |
|
10050 Ralston Rd Ste 1 Arvada CO 80004-4974 | |
| (515) 447-3582 | |
| Not Available |
| Full Name | 5280 Medical Concierge Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 10050 Ralston Rd Ste 1, Arvada, Colorado |
| Authorized Official Name and Position | Ellie Titarenko (OWNER, AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 7205836145 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| 5280 Medical Concierge Inc 2902 Oak St Lakewood CO 80215-7161 Ph: () - | 5280 Medical Concierge Inc 10050 Ralston Rd Ste 1 Arvada CO 80004-4974 Ph: (515) 447-3582 |
| NPI Number | 1659988616 |
|---|---|
| Provider Enumeration Date | 09/24/2020 |
| Last Update Date | 01/22/2021 |
| Medicare PECOS PAC ID | 5092120410 |
|---|---|
| Medicare Enrollment ID | O20210217002239 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659988616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Ellie Titarenko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164801841 PECOS PAC ID: 4183926090 Enrollment ID: I20160111000215 |
| Provider Name | Jordan Zavala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275256166 PECOS PAC ID: 2567834955 Enrollment ID: I20230213000989 |
| Provider Name | Gabriel Rose Barrientos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518742857 PECOS PAC ID: 6709240179 Enrollment ID: I20230919000909 |
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