| CH Mssp Services Co LLC | |
|
1900 W Littleton Blvd Littleton CO 80120-2023 | |
| (337) 408-0797 | |
| Not Available |
| Full Name | CH Mssp Services Co LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 1900 W Littleton Blvd, Littleton, Colorado |
| Authorized Official Name and Position | Nicole Howard (SVP OF ADMINISTRATIVE SERVICES) |
| Authorized Official Contact | 3374080797 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| CH Mssp Services Co LLC 5750 Johnston St Ste 205 Lafayette LA 70503-5334 Ph: (337) 408-0797 | CH Mssp Services Co LLC 1900 W Littleton Blvd Littleton CO 80120-2023 Ph: (337) 408-0797 |
| NPI Number | 1467218875 |
|---|---|
| Provider Enumeration Date | 02/23/2024 |
| Last Update Date | 07/23/2024 |
| Certification Date | 07/23/2024 |
| Medicare PECOS PAC ID | 6002258837 |
|---|---|
| Medicare Enrollment ID | O20240524002491 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467218875 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Aimee E Esten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699063958 PECOS PAC ID: 0244497907 Enrollment ID: I20120208000082 |
| Provider Name | Steffanie M Durkin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508126913 PECOS PAC ID: 1759531999 Enrollment ID: I20151023000416 |
| Provider Name | Leia Erin Ginsberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598990566 PECOS PAC ID: 3072736057 Enrollment ID: I20171017001763 |
| Provider Name | Kenji Kaye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083051155 PECOS PAC ID: 9234372996 Enrollment ID: I20210315000644 |
| Provider Name | Christine a Phillips |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154854115 PECOS PAC ID: 2062757321 Enrollment ID: I20210816002607 |
| Provider Name | Shannon Johnstad |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285391821 PECOS PAC ID: 1355732009 Enrollment ID: I20220106002460 |
| Provider Name | Audrianna D Sparks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245766294 PECOS PAC ID: 1355615626 Enrollment ID: I20230206001573 |
| Provider Name | Jessica Mary Ponder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679255210 PECOS PAC ID: 6305291899 Enrollment ID: I20231019000099 |
| Provider Name | Ava Christensen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922618933 PECOS PAC ID: 4981044153 Enrollment ID: I20240506000178 |
| Provider Name | Jennifer Barney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245626472 PECOS PAC ID: 3072858893 Enrollment ID: I20240524000667 |
| Provider Name | Mauricio Pinto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881860724 PECOS PAC ID: 8224286182 Enrollment ID: I20240524002321 |
| Provider Name | Paula Requeijo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427084763 PECOS PAC ID: 8325003742 Enrollment ID: I20240723002759 |
| Provider Name | Angela Biehunko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295183358 PECOS PAC ID: 8527348820 Enrollment ID: I20241024003604 |
| Provider Name | Cody Guggenmos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396242731 PECOS PAC ID: 9739514100 Enrollment ID: I20241213000934 |
| Provider Name | Mia Stroble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215575956 PECOS PAC ID: 7618398918 Enrollment ID: I20241231000216 |
| Provider Name | Leslie Sheffield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538532528 PECOS PAC ID: 5799089157 Enrollment ID: I20250122001356 |
| Provider Name | Damien Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043518087 PECOS PAC ID: 0840475711 Enrollment ID: I20250131000570 |
| Provider Name | Ramon Trinidad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588211627 PECOS PAC ID: 2860829355 Enrollment ID: I20250131002115 |
| Provider Name | Leah Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063024198 PECOS PAC ID: 0244641132 Enrollment ID: I20250324001866 |
| Provider Name | Emiola Sanni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003264755 PECOS PAC ID: 3779728464 Enrollment ID: I20250416001131 |
| Provider Name | Victoria Randall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396478830 PECOS PAC ID: 2466834023 Enrollment ID: I20250417001303 |
| Provider Name | Coreen Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952957722 PECOS PAC ID: 6608209861 Enrollment ID: I20250523000079 |
| Provider Name | Ademola Aremu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356796916 PECOS PAC ID: 1052603768 Enrollment ID: I20250819002144 |
| Provider Name | Sourabh Goyal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851032502 PECOS PAC ID: 8729565072 Enrollment ID: I20260117000134 |
| Provider Name | Danielle Louise Ruyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922975879 PECOS PAC ID: 3375018559 Enrollment ID: I20260406001611 |
| Provider Name | Emily Gard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861384646 PECOS PAC ID: 9335618156 Enrollment ID: I20260520003871 |
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