| Careconnectmd Colorado Inc. | |
|
720 S Colorado Blvd Denver CO 80246-1904 | |
| (888) 789-9585 | |
| Not Available |
| Full Name | Careconnectmd Colorado Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 720 S Colorado Blvd, Denver, Colorado |
| Authorized Official Name and Position | Hyong Kim (OWNER) |
| Authorized Official Contact | 8887899585 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Careconnectmd Colorado Inc. 3090 Bristol St Ste 200 Costa Mesa CA 92626-3061 Ph: (888) 789-9585 | Careconnectmd Colorado Inc. 720 S Colorado Blvd Denver CO 80246-1904 Ph: (888) 789-9585 |
| NPI Number | 1932704905 |
|---|---|
| Provider Enumeration Date | 11/30/2020 |
| Last Update Date | 01/09/2025 |
| Medicare PECOS PAC ID | 2264846914 |
|---|---|
| Medicare Enrollment ID | O20210121000320 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932704905 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Leto Quarles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811917883 PECOS PAC ID: 6507896925 Enrollment ID: I20070717000143 |
| Provider Name | Frank H Ernst |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134340482 PECOS PAC ID: 0446319735 Enrollment ID: I20081030000850 |
| Provider Name | Larry Avis Bourg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205800182 PECOS PAC ID: 0941361406 Enrollment ID: I20081203000336 |
| Provider Name | Abayneh T Woldekidane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679738561 PECOS PAC ID: 2163563909 Enrollment ID: I20091230000668 |
| Provider Name | Rajendra Kadari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598946675 PECOS PAC ID: 7315085792 Enrollment ID: I20100929001365 |
| Provider Name | Maria Larissa Pollock |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912172685 PECOS PAC ID: 1456522655 Enrollment ID: I20110920000408 |
| Provider Name | James S Archuleta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316220742 PECOS PAC ID: 0244498160 Enrollment ID: I20120223000661 |
| Provider Name | Diego M Freitas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487634481 PECOS PAC ID: 3274677307 Enrollment ID: I20140226000791 |
| Provider Name | Todd Harold Shogan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861791063 PECOS PAC ID: 4880827708 Enrollment ID: I20140829001334 |
| Provider Name | April Delaine Goggans |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780922864 PECOS PAC ID: 2466671185 Enrollment ID: I20140911001200 |
| Provider Name | Wendy Rene Archuleta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538564810 PECOS PAC ID: 6406171545 Enrollment ID: I20150211001618 |
| Provider Name | Ryan C Bradley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922209527 PECOS PAC ID: 1254460280 Enrollment ID: I20150722003653 |
| Provider Name | Charles Frederick Bellows |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245334762 PECOS PAC ID: 2567552516 Enrollment ID: I20160216002105 |
| Provider Name | Jette Rosholm Hogenmiller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447560065 PECOS PAC ID: 1850690009 Enrollment ID: I20160422000681 |
| Provider Name | Michael G Plachta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154761070 PECOS PAC ID: 3274836127 Enrollment ID: I20161121002016 |
| Provider Name | Julia Girouard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750827358 PECOS PAC ID: 4183906233 Enrollment ID: I20170125000191 |
| Provider Name | Vikas Reddy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295099596 PECOS PAC ID: 6709197866 Enrollment ID: I20171006002907 |
| Provider Name | Pavitra Rajendrabhai Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013270545 PECOS PAC ID: 4880821966 Enrollment ID: I20180524000593 |
| Provider Name | Snehal Patel Reddy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053731497 PECOS PAC ID: 1951692748 Enrollment ID: I20180524000601 |
| Provider Name | Kyla Jean Araujo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952955866 PECOS PAC ID: 5092147116 Enrollment ID: I20191112000265 |
| Provider Name | Stephanie Lynn Kipp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447893110 PECOS PAC ID: 6608202098 Enrollment ID: I20200203001888 |
| Provider Name | Jessica Mae Light |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932734878 PECOS PAC ID: 5092146266 Enrollment ID: I20200504002615 |
| Provider Name | Victoria Moxa Xiong Ngialah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982004982 PECOS PAC ID: 5294159174 Enrollment ID: I20200724000966 |
| Provider Name | Jenna Grace Rawlings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174124838 PECOS PAC ID: 1254742091 Enrollment ID: I20201130000628 |
| Provider Name | Alexandra Samas |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1831586775 PECOS PAC ID: 1153668611 Enrollment ID: I20210201000476 |
| Provider Name | Jeff Allen Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205450202 PECOS PAC ID: 2567879307 Enrollment ID: I20210324000092 |
| Provider Name | Madeline Gabrielle Marlow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417613803 PECOS PAC ID: 4082003686 Enrollment ID: I20211122000986 |
| Provider Name | Ekua Antwi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336721976 PECOS PAC ID: 9335534106 Enrollment ID: I20220314000294 |
| Provider Name | Elizabeth Victoria Arbuiso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972250017 PECOS PAC ID: 3678969490 Enrollment ID: I20220404002639 |
| Provider Name | Shannon Guyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043889058 PECOS PAC ID: 1658765615 Enrollment ID: I20220430000039 |
| Provider Name | Pradeep Reddy Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255534343 PECOS PAC ID: 5294927398 Enrollment ID: I20220506000122 |
| Provider Name | Suhitha Madhavaram |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609230705 PECOS PAC ID: 4486072923 Enrollment ID: I20220706000348 |
| Provider Name | Brianna Buchanan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891414678 PECOS PAC ID: 7618344953 Enrollment ID: I20221031000697 |
| Provider Name | Katherine Pearce |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588813208 PECOS PAC ID: 9830255595 Enrollment ID: I20230118001925 |
| Provider Name | Rachel Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417651332 PECOS PAC ID: 6608239090 Enrollment ID: I20230901001111 |
| Provider Name | Kailey Leigh Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134804859 PECOS PAC ID: 3476917105 Enrollment ID: I20230914001221 |
| Provider Name | Wendy Renee Batchelor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366790156 PECOS PAC ID: 0648544460 Enrollment ID: I20230915000105 |
| Provider Name | Erin Anne Ellsworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598448037 PECOS PAC ID: 1557717626 Enrollment ID: I20231025002321 |
| Provider Name | Maggie Kestel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619666971 PECOS PAC ID: 9739538646 Enrollment ID: I20231218000427 |
| Provider Name | Elizabeth P Clark |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1134195993 PECOS PAC ID: 7719030907 Enrollment ID: I20240104002405 |
| Provider Name | Ashwini Gade |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619109972 PECOS PAC ID: 6305084344 Enrollment ID: I20240107000080 |
| Provider Name | Karen N Branham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881473973 PECOS PAC ID: 7113379785 Enrollment ID: I20240118004216 |
| Provider Name | Michele Keffeler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477810190 PECOS PAC ID: 5597089144 Enrollment ID: I20240318003575 |
| Provider Name | Austin M Boos |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1821626870 PECOS PAC ID: 8325460215 Enrollment ID: I20240521003993 |
| Provider Name | Ganga Devi Dangi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942062922 PECOS PAC ID: 6800238866 Enrollment ID: I20240523000132 |
| Provider Name | Harriet Nassolo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407398167 PECOS PAC ID: 5698218063 Enrollment ID: I20240613004540 |
| Provider Name | Maximilian Roemer |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1477119428 PECOS PAC ID: 0547633653 Enrollment ID: I20240625000520 |
| Provider Name | Sean Christopher Elliott Hoge |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1093178642 PECOS PAC ID: 3072807288 Enrollment ID: I20240815002392 |
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