| American Vein & Vascular | |
|
115 E Riverwalk Unit 200 Pueblo CO 81003-3320 | |
| (719) 543-8346 | |
| (719) 545-1829 |
| Full Name | American Vein & Vascular |
|---|---|
| Speciality | Radiology |
| Location | 115 E Riverwalk Unit 200, Pueblo, Colorado |
| Authorized Official Name and Position | Gordon Fabing Gibbs (OWNER/PROVIDER) |
| Authorized Official Contact | 7195438346 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| American Vein & Vascular Po Box 7702 Loveland CO 80537-0702 Ph: (970) 663-2742 | American Vein & Vascular 115 E Riverwalk Unit 200 Pueblo CO 81003-3320 Ph: (719) 543-8346 |
| NPI Number | 1457685398 |
|---|---|
| Provider Enumeration Date | 09/24/2009 |
| Last Update Date | 01/11/2024 |
| Certification Date | 01/11/2024 |
| Medicare PECOS PAC ID | 8325181431 |
|---|---|
| Medicare Enrollment ID | O20100211000128 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457685398 | NPI | - | NPPES |
| Provider Name | Richard G. Straight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255359329 PECOS PAC ID: 1658366216 Enrollment ID: I20040415000278 |
| Provider Name | Julie C Current |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023083334 PECOS PAC ID: 4587620125 Enrollment ID: I20041206000980 |
| Provider Name | Gordon Gibbs |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417929373 PECOS PAC ID: 9436187192 Enrollment ID: I20061017000100 |
| Provider Name | Scott N Hurlbert |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1427038330 PECOS PAC ID: 5698787992 Enrollment ID: I20061205000719 |
| Provider Name | Timothy Cawlfield |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992900781 PECOS PAC ID: 5193877082 Enrollment ID: I20090724000071 |
| Provider Name | Mary Annette Seagraves |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1770560617 PECOS PAC ID: 6103956420 Enrollment ID: I20100614000398 |
| Provider Name | Paul Rochon |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1598913980 PECOS PAC ID: 5193910875 Enrollment ID: I20101108000607 |
| Provider Name | Deborah M Rice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750602256 PECOS PAC ID: 7012103740 Enrollment ID: I20150128000298 |
| Provider Name | Paula a Jiron-finn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003215344 PECOS PAC ID: 0749597144 Enrollment ID: I20150917001109 |
| Provider Name | Steffanie M Durkin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508126913 PECOS PAC ID: 1759531999 Enrollment ID: I20151023000416 |
| Provider Name | Jennifer L Medina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659745164 PECOS PAC ID: 7113220179 Enrollment ID: I20160125002699 |
| Provider Name | Kristi a Mccleary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992244362 PECOS PAC ID: 7214971506 Enrollment ID: I20170321000755 |
| Provider Name | Kendra Duckstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144770694 PECOS PAC ID: 9335426261 Enrollment ID: I20170503000172 |
| Provider Name | Sarah Kate Roark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053859421 PECOS PAC ID: 0446527758 Enrollment ID: I20170516002766 |
| Provider Name | Christopher Coram |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134726391 PECOS PAC ID: 5496166928 Enrollment ID: I20201204000747 |
| Provider Name | Nicole Alexis Gundersen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306481734 PECOS PAC ID: 6709291487 Enrollment ID: I20210210000183 |
| Provider Name | Samuel G Putnam |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1023066404 PECOS PAC ID: 5991699522 Enrollment ID: I20210730000083 |
| Provider Name | Amber R Kemnitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124625140 PECOS PAC ID: 8123434735 Enrollment ID: I20210901002238 |
| Provider Name | Samantha Syeda Huq |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1750791059 PECOS PAC ID: 0042539637 Enrollment ID: I20220628001165 |
| Provider Name | Audrey Gentile |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639806912 PECOS PAC ID: 3173992187 Enrollment ID: I20221214002451 |
| Provider Name | Jessica Hartzler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023649399 PECOS PAC ID: 7618368861 Enrollment ID: I20230109001814 |
| Provider Name | Timothy S Robertson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720067432 PECOS PAC ID: 8426030859 Enrollment ID: I20230306001485 |
| Provider Name | Sarah Howe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811596745 PECOS PAC ID: 9436562071 Enrollment ID: I20230321000956 |
| Provider Name | Lauren Anne Gardner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760168942 PECOS PAC ID: 9032563754 Enrollment ID: I20230929000848 |
| Provider Name | Morgan Nicole Lening |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265189351 PECOS PAC ID: 0840633509 Enrollment ID: I20240209000574 |
| Provider Name | Dana Gail Guilkey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194937938 PECOS PAC ID: 2567903255 Enrollment ID: I20240920003674 |
Lake Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2001 Lake Ave, Pueblo, CO 81004 Phone: 719-564-0300 Fax: 719-564-0303 |
Risley School Based Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 625 N Monument Ave, Pueblo, CO 81001 Phone: 719-543-8711 Fax: 719-543-5340 |
Prestige Peak Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2445 S Prairie Ave, Pueblo, CO 81005 Phone: 719-877-1391 |
Digestive Diseases Specialists of Colorado,llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1600 N Grand Ave, Suite 440, Pueblo, CO 81003 Phone: 719-543-3500 Fax: 719-543-3504 |
Aleracare of Colorado, LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1303 Fortino Blvd, Pueblo, CO 81008 Phone: 888-209-8874 |
Concentra Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4117 N Elizabeth St, Pueblo, CO 81008 Phone: 719-545-0788 |