| Centers for Gastroenterology | |
|
3702 S Timberline Rd Fort Collins CO 80525-3624 | |
| (970) 207-9773 | |
| (970) 207-1893 |
| Full Name | Centers for Gastroenterology |
|---|---|
| Speciality | Internal Medicine |
| Location | 3702 S Timberline Rd, Fort Collins, Colorado |
| Authorized Official Name and Position | Billie Beddoe (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 9702120879 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centers for Gastroenterology 3702 S Timberline Rd Fort Collins CO 80525-3624 Ph: (970) 207-9773 | Centers for Gastroenterology 3702 S Timberline Rd Fort Collins CO 80525-3624 Ph: (970) 207-9773 |
| NPI Number | 1801994157 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 09/11/2024 |
| Certification Date | 09/11/2024 |
| Medicare PECOS PAC ID | 9537059555 |
|---|---|
| Medicare Enrollment ID | O20040316000132 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801994157 | NPI | - | NPPES |
| 04006219 | Medicaid | CO | |
| CS9815 | Other | CO | MEDICARE RAILROAD PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | () | Primary |
| Provider Name | Sarah E Fredriksson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093720898 PECOS PAC ID: 3779474705 Enrollment ID: I20040419001652 |
| Provider Name | Kimberly Ryzner Ober |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760414155 PECOS PAC ID: 6800781188 Enrollment ID: I20040508000300 |
| Provider Name | Amy M Wehrman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518977214 PECOS PAC ID: 1355246539 Enrollment ID: I20041217000833 |
| Provider Name | Lewis R Strong |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265415459 PECOS PAC ID: 2365493376 Enrollment ID: I20050505001124 |
| Provider Name | Mary Angela Bolgeo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578551057 PECOS PAC ID: 3971417809 Enrollment ID: I20050614000382 |
| Provider Name | Mark N Durkan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992801781 PECOS PAC ID: 7315837333 Enrollment ID: I20060126000810 |
| Provider Name | Rebecca C Dunphy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1508962325 PECOS PAC ID: 2860382884 Enrollment ID: I20060126000897 |
| Provider Name | Cynthia L Keyfauver |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326023854 PECOS PAC ID: 3173542651 Enrollment ID: I20060421000550 |
| Provider Name | Terra Josephine Ceselski Clapp |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326039793 PECOS PAC ID: 4981646825 Enrollment ID: I20061207000270 |
| Provider Name | Brian D Cronk |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760583785 PECOS PAC ID: 8628160900 Enrollment ID: I20070816000026 |
| Provider Name | Candace S Glazier |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902825227 PECOS PAC ID: 3870495922 Enrollment ID: I20080612000203 |
| Provider Name | Daniel a Langer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740268481 PECOS PAC ID: 8921071069 Enrollment ID: I20080819000531 |
| Provider Name | Crystal M North |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225299803 PECOS PAC ID: 1052488319 Enrollment ID: I20080929000372 |
| Provider Name | Jennifer L Weitenberner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295957223 PECOS PAC ID: 2860534005 Enrollment ID: I20100126000767 |
| Provider Name | Brenda S Hollander |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225180078 PECOS PAC ID: 6305848839 Enrollment ID: I20110908001963 |
| Provider Name | Kaycee a Simon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982713996 PECOS PAC ID: 8022056696 Enrollment ID: I20111004000445 |
| Provider Name | Cassandra Bradley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942566492 PECOS PAC ID: 2668637166 Enrollment ID: I20120709000269 |
| Provider Name | Ellen M Bohan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073821229 PECOS PAC ID: 9133300254 Enrollment ID: I20130913000313 |
| Provider Name | Sharon L Margraf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952739336 PECOS PAC ID: 5597993287 Enrollment ID: I20131231000800 |
| Provider Name | Nicole Allison Kershner |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1366615056 PECOS PAC ID: 8022249036 Enrollment ID: I20140314001306 |
| Provider Name | Lisa a Nydam |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316096985 PECOS PAC ID: 7618914797 Enrollment ID: I20140327000732 |
| Provider Name | Phillip R Knowles |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366760894 PECOS PAC ID: 8820120041 Enrollment ID: I20140917002782 |
| Provider Name | Danny Mccarty |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215950530 PECOS PAC ID: 1658265665 Enrollment ID: I20141115000193 |
| Provider Name | Cindi D Harding |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114064839 PECOS PAC ID: 4082717277 Enrollment ID: I20141230001025 |
| Provider Name | Daniel Hampton |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1154597979 PECOS PAC ID: 3971779265 Enrollment ID: I20150601000688 |
| Provider Name | Mandy Glasmeyer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245612571 PECOS PAC ID: 8729396262 Enrollment ID: I20151001002387 |
| Provider Name | Tara Jewell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669893699 PECOS PAC ID: 5294952263 Enrollment ID: I20151112002221 |
| Provider Name | Colin Strack |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003274192 PECOS PAC ID: 4284939323 Enrollment ID: I20160226001042 |
| Provider Name | Kurt V Porter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396042933 PECOS PAC ID: 2567647068 Enrollment ID: I20160517002107 |
| Provider Name | Sean P Caufield |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1669536439 PECOS PAC ID: 3476782434 Enrollment ID: I20160810000100 |
| Provider Name | Nicole D Valencia |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548664980 PECOS PAC ID: 3971829706 Enrollment ID: I20161212000253 |
| Provider Name | Doreen Mae Pecar |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235445453 PECOS PAC ID: 9032144647 Enrollment ID: I20170213000868 |
| Provider Name | Laura Gerwing |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316381882 PECOS PAC ID: 8921242496 Enrollment ID: I20170619002438 |
| Provider Name | Ana L Huerta Alardin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1215198817 PECOS PAC ID: 5496998924 Enrollment ID: I20170810001519 |
| Provider Name | Kattie C Truesdell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932637782 PECOS PAC ID: 3779858287 Enrollment ID: I20171010001612 |
| Provider Name | Michael Craig Browning |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104034693 PECOS PAC ID: 4183723778 Enrollment ID: I20180418001863 |
| Provider Name | Jennifer R Butera |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609829084 PECOS PAC ID: 0143304212 Enrollment ID: I20180517002490 |
| Provider Name | Patrick Dewey Webb |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851447668 PECOS PAC ID: 0749546877 Enrollment ID: I20180619000871 |
| Provider Name | Heather D Vitone |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992046064 PECOS PAC ID: 2769624410 Enrollment ID: I20180703000562 |
| Provider Name | Steven D Pettypool |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962735308 PECOS PAC ID: 3870639644 Enrollment ID: I20180927002426 |
| Provider Name | Nicolas Nelson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336505031 PECOS PAC ID: 3577866268 Enrollment ID: I20181211000387 |
| Provider Name | Noah N Settergren |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285072587 PECOS PAC ID: 4880836709 Enrollment ID: I20181219000622 |
| Provider Name | Abraham L Brass |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1710946082 PECOS PAC ID: 2264599729 Enrollment ID: I20190103002493 |
| Provider Name | Nathan C Mcgee |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528532942 PECOS PAC ID: 3577802024 Enrollment ID: I20190228001761 |
| Provider Name | Holley Caballes Harris |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063551018 PECOS PAC ID: 4486754124 Enrollment ID: I20190520002625 |
| Provider Name | Allison Cassetta |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467917211 PECOS PAC ID: 6709119183 Enrollment ID: I20190618001846 |
| Provider Name | Eileen Quillin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124587928 PECOS PAC ID: 8022342310 Enrollment ID: I20190619003453 |
| Provider Name | Tyler Hoofard |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972065522 PECOS PAC ID: 2961736509 Enrollment ID: I20190702000077 |
| Provider Name | Erin Kathleen Vernetti |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194388520 PECOS PAC ID: 1658602289 Enrollment ID: I20191014001797 |
| Provider Name | Benjamin Stephens |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427616184 PECOS PAC ID: 3274865522 Enrollment ID: I20191106000550 |
| Provider Name | Michael R Giacopelli |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639695083 PECOS PAC ID: 0941575567 Enrollment ID: I20191202001674 |
| Provider Name | Jimmy J Giang |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073933941 PECOS PAC ID: 5799904397 Enrollment ID: I20200806000418 |
| Provider Name | Spencer Harvey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679711758 PECOS PAC ID: 2668538364 Enrollment ID: I20201204001341 |
| Provider Name | Larson Greenfield |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366045577 PECOS PAC ID: 2567879224 Enrollment ID: I20210324001575 |
| Provider Name | Sara Emily Mcpherson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790388171 PECOS PAC ID: 7719386937 Enrollment ID: I20210520001012 |
| Provider Name | Aaron a Schmid |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689178576 PECOS PAC ID: 4880957539 Enrollment ID: I20210610000111 |
| Provider Name | Kyle Travlos |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558971044 PECOS PAC ID: 1052711892 Enrollment ID: I20210615002950 |
| Provider Name | Henry W Wright |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376678995 PECOS PAC ID: 5799962858 Enrollment ID: I20210816000447 |
| Provider Name | Jaclyn Fackler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174984801 PECOS PAC ID: 3375835481 Enrollment ID: I20220629001463 |
| Provider Name | Stephanie Rosenthal |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568795904 PECOS PAC ID: 2668510686 Enrollment ID: I20230427002762 |
| Provider Name | Rebecca Kohegyi |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104173202 PECOS PAC ID: 9537310263 Enrollment ID: I20230523000333 |
| Provider Name | Michael a Roth |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447355920 PECOS PAC ID: 4789636713 Enrollment ID: I20230706002371 |
| Provider Name | Shirish Poudyal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275062507 PECOS PAC ID: 9436428695 Enrollment ID: I20230710001961 |
| Provider Name | Sheri Aletich |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881639748 PECOS PAC ID: 7618069634 Enrollment ID: I20240530002122 |
| Provider Name | Brandy Espy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154937993 PECOS PAC ID: 7719306935 Enrollment ID: I20250325000485 |
| Provider Name | Bryan Golubski |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1609308287 PECOS PAC ID: 6709208911 Enrollment ID: I20250523002028 |
| Provider Name | Christa Ann Rutledge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023807401 PECOS PAC ID: 8628597994 Enrollment ID: I20250529002445 |
| Provider Name | Benjamin Warren |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912402512 PECOS PAC ID: 2769738889 Enrollment ID: I20250605002084 |
| Provider Name | Lisa Castro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245542323 PECOS PAC ID: 2668506148 Enrollment ID: I20251215003275 |
| Provider Name | Jill Barrett |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528145943 PECOS PAC ID: 2466559265 Enrollment ID: I20260515003821 |
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