| Colorado Springs Endocrine Clinic Pc | |
|
325 E Fontanero St Colorado Springs Endocrine Clinic Pc Colorado Springs CO 80907-7533 | |
| (719) 636-3829 | |
| (719) 633-8571 |
| Full Name | Colorado Springs Endocrine Clinic Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 325 E Fontanero St, Colorado Springs, Colorado |
| Authorized Official Name and Position | Susan E Henley (CORPORATE PRESIDENT) |
| Authorized Official Contact | 7196363829 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Colorado Springs Endocrine Clinic Pc 325 E Fontanero St Colorado Springs Endocrine Clinic Pc Colorado Springs CO 80907-7533 Ph: (719) 636-3829 | Colorado Springs Endocrine Clinic Pc 325 E Fontanero St Colorado Springs Endocrine Clinic Pc Colorado Springs CO 80907-7533 Ph: (719) 636-3829 |
| NPI Number | 1336101765 |
|---|---|
| Provider Enumeration Date | 04/03/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9032103676 |
|---|---|
| Medicare Enrollment ID | O20040414001255 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336101765 | NPI | - | NPPES |
| 04008066 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Jean Doan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528253895 PECOS PAC ID: 0941396915 Enrollment ID: I20071022000801 |
| Provider Name | Susan E Henley |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1083683049 PECOS PAC ID: 5294908786 Enrollment ID: I20111027000945 |
| Provider Name | Amy Banaszak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215210471 PECOS PAC ID: 7517130552 Enrollment ID: I20111107000840 |
Amazing Medicine Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5777 N Academy Blvd, Colorado Springs, CO 80918 Phone: 719-266-5800 Fax: 719-960-2039 | |
Peakmed Colorado, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 321 S Tejon St Ste 100, Colorado Springs, CO 80903 Phone: 719-623-3068 | |
Kids Are Great Pediatrics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 320 E Fontanero St, Suite 308, Colorado Springs, CO 80907 Phone: 719-577-4200 Fax: 719-442-6595 | |
Dcs Internal Medicine, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5550 Vessey Rd, Colorado Springs, CO 80908 Phone: 623-680-0539 | |
Northwest Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5390 N Academy Blvd, #300, Colorado Springs, CO 80918 Phone: 719-884-1210 | |
Peak Gastroenterology Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2920 N Cascade Ave Ste 301, Colorado Springs, CO 80907 Phone: 719-636-1201 Fax: 719-955-0986 | |
Security Chiropractic, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1825 Main St Ste C, Colorado Springs, CO 80911 Phone: 719-390-5008 Fax: 719-390-9321 |