| Optumcare Colorado Medical Group Llc | |
|
2 S Cascade Ave Ste 140 Colorado Springs CO 80903 | |
| (719) 538-2900 | |
| (719) 538-2987 |
| Full Name | Optumcare Colorado Medical Group Llc |
|---|---|
| Speciality | General Practice |
| Location | 2 S Cascade Ave, Colorado Springs, Colorado |
| Authorized Official Name and Position | Emily Castillo (REGIONAL MANAGER) |
| Authorized Official Contact | 7024802550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Optumcare Colorado Medical Group Llc 2 S Cascade Ave Suite 140 Colorado Springs CO 80903-1653 Ph: (719) 538-2900 | Optumcare Colorado Medical Group Llc 2 S Cascade Ave Ste 140 Colorado Springs CO 80903 Ph: (719) 538-2900 |
| NPI Number | 1407252828 |
|---|---|
| Provider Enumeration Date | 11/12/2014 |
| Last Update Date | 02/13/2024 |
| Medicare PECOS PAC ID | 2769706431 |
|---|---|
| Medicare Enrollment ID | O20150129000413 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407252828 | NPI | - | NPPES |
| 06085288 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (Colorado) | Primary |
| Provider Name | Kipp E Henning |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1679540199 PECOS PAC ID: 1658275623 Enrollment ID: I20031121000196 |
| Provider Name | Royce K Solano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184691982 PECOS PAC ID: 2961301692 Enrollment ID: I20040102000062 |
| Provider Name | Tana R Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932161114 PECOS PAC ID: 4183527906 Enrollment ID: I20040129000663 |
| Provider Name | Elizabeth A Baker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508863218 PECOS PAC ID: 8426948415 Enrollment ID: I20040315001537 |
| Provider Name | William J Bufkin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285616045 PECOS PAC ID: 8325952609 Enrollment ID: I20040318000873 |
| Provider Name | Michael J Metros |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1134186646 PECOS PAC ID: 1658264080 Enrollment ID: I20040405000971 |
| Provider Name | Abbass Shafii |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548218662 PECOS PAC ID: 7214827203 Enrollment ID: I20040413000524 |
| Provider Name | Leanne L Richardson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699772848 PECOS PAC ID: 9335034438 Enrollment ID: I20040428000002 |
| Provider Name | Charles F Wennogle |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396835054 PECOS PAC ID: 1557359338 Enrollment ID: I20040501000362 |
| Provider Name | Matthew R Lewis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790751360 PECOS PAC ID: 3476542473 Enrollment ID: I20040506000794 |
| Provider Name | Bridget A Tewes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699744359 PECOS PAC ID: 6507856879 Enrollment ID: I20040518000047 |
| Provider Name | Jonathan D Zonca |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396850277 PECOS PAC ID: 3274420542 Enrollment ID: I20040521000441 |
| Provider Name | Tracy Ann Paeschke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114003399 PECOS PAC ID: 7719875699 Enrollment ID: I20040524000956 |
| Provider Name | Jonathan Daniel Monticelli |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447383237 PECOS PAC ID: 3870575731 Enrollment ID: I20040603001139 |
| Provider Name | Raechel N Okelley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811988314 PECOS PAC ID: 8820070568 Enrollment ID: I20040604000892 |
| Provider Name | William H Cooper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689611733 PECOS PAC ID: 4284619255 Enrollment ID: I20040623000389 |
| Provider Name | Joel L Strohecker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013936954 PECOS PAC ID: 8224018742 Enrollment ID: I20040723000748 |
| Provider Name | Mark A Perea |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225092414 PECOS PAC ID: 9234100371 Enrollment ID: I20040804001223 |
| Provider Name | Leighton B Tewes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306881982 PECOS PAC ID: 8729059324 Enrollment ID: I20040805000965 |
| Provider Name | Ellice K Goldberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972618510 PECOS PAC ID: 1052385895 Enrollment ID: I20040825001576 |
| Provider Name | Brenda L Creitz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447282843 PECOS PAC ID: 1850367681 Enrollment ID: I20041006000550 |
| Provider Name | Nicholas I Sol |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1114921731 PECOS PAC ID: 7416916960 Enrollment ID: I20041008000977 |
| Provider Name | Nita G Harris |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1386680726 PECOS PAC ID: 2860454865 Enrollment ID: I20041102000360 |
| Provider Name | Amy J Owen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134179856 PECOS PAC ID: 8123082401 Enrollment ID: I20041116000991 |
| Provider Name | Clinton R White |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710962022 PECOS PAC ID: 7911964341 Enrollment ID: I20041216000727 |
| Provider Name | Michael J Mcmillan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801868401 PECOS PAC ID: 5294785507 Enrollment ID: I20050125000449 |
| Provider Name | Andrew H Chernaik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306818620 PECOS PAC ID: 0446204614 Enrollment ID: I20050310000279 |
| Provider Name | Tanya L. Hrabal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619912227 PECOS PAC ID: 4183516560 Enrollment ID: I20050426000692 |
| Provider Name | Renee Anderson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457339848 PECOS PAC ID: 0143271411 Enrollment ID: I20050525000685 |
| Provider Name | Charles Joseph Moss |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962486829 PECOS PAC ID: 9335181783 Enrollment ID: I20050525000748 |
| Provider Name | Stephen S Farkas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346213816 PECOS PAC ID: 4385688225 Enrollment ID: I20050613000500 |
| Provider Name | Pio Hocate |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487621900 PECOS PAC ID: 9436195385 Enrollment ID: I20050630001086 |
| Provider Name | William A Strickling |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1225005770 PECOS PAC ID: 9739167008 Enrollment ID: I20050719001202 |
| Provider Name | Debbie D Urioste |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326071051 PECOS PAC ID: 0042241085 Enrollment ID: I20050830000023 |
| Provider Name | Andrea K Salzberg |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1043325624 PECOS PAC ID: 2860425659 Enrollment ID: I20050913000483 |
| Provider Name | Gregory J Dilorenzo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861404048 PECOS PAC ID: 3375576986 Enrollment ID: I20050914000884 |
| Provider Name | Thomas P Dlugos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821023094 PECOS PAC ID: 8729011267 Enrollment ID: I20050914001258 |
| Provider Name | Steven B Swanson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467406751 PECOS PAC ID: 0749214369 Enrollment ID: I20050922001273 |
| Provider Name | Kent K Horiuchi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477548097 PECOS PAC ID: 3779508593 Enrollment ID: I20051011000764 |
| Provider Name | David A Hudson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992836910 PECOS PAC ID: 0840215299 Enrollment ID: I20051013001061 |
| Provider Name | Victoria Mallon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477580397 PECOS PAC ID: 6800812785 Enrollment ID: I20051020000128 |
| Provider Name | Caryn D Baldauf |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811963226 PECOS PAC ID: 9032136866 Enrollment ID: I20051031000639 |
| Provider Name | Teng H Chang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255312328 PECOS PAC ID: 2769402395 Enrollment ID: I20051130000276 |
| Provider Name | Michael A Yoesel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164462297 PECOS PAC ID: 6103847066 Enrollment ID: I20051207000964 |
| Provider Name | Warren Jaeger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669422382 PECOS PAC ID: 9638190598 Enrollment ID: I20051207000980 |
| Provider Name | Lauren J Halby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801848759 PECOS PAC ID: 1951322718 Enrollment ID: I20051208000699 |
| Provider Name | Theodore S Lawson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457307241 PECOS PAC ID: 5294756052 Enrollment ID: I20051208000720 |
| Provider Name | Jeffrey G Snyder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891732004 PECOS PAC ID: 5496776981 Enrollment ID: I20051213000080 |
| Provider Name | Carol A Gannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538330113 PECOS PAC ID: 2365450053 Enrollment ID: I20060322000180 |
| Provider Name | Anthony Volz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801822838 PECOS PAC ID: 5395753453 Enrollment ID: I20060330000692 |
| Provider Name | Alice Cole |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1760410633 PECOS PAC ID: 7416966015 Enrollment ID: I20060410000482 |
| Provider Name | Bret A Kort |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801846514 PECOS PAC ID: 0749293215 Enrollment ID: I20060731000019 |
| Provider Name | Margaret E Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427158617 PECOS PAC ID: 8022014943 Enrollment ID: I20061016000446 |
| Provider Name | Mark R Baller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083671986 PECOS PAC ID: 3072506864 Enrollment ID: I20070109000232 |
| Provider Name | Kimberly E Winter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265533814 PECOS PAC ID: 4082615885 Enrollment ID: I20070122000474 |
| Provider Name | Mary E Coleman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609961358 PECOS PAC ID: 6305949736 Enrollment ID: I20070305000787 |
| Provider Name | Nipa S Yochim |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649341140 PECOS PAC ID: 3173626694 Enrollment ID: I20070321000116 |
| Provider Name | Georgiana Caruso Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194762302 PECOS PAC ID: 2769578517 Enrollment ID: I20071010000178 |
| Provider Name | Kevin W Scott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598731168 PECOS PAC ID: 2163503889 Enrollment ID: I20080118000260 |
| Provider Name | Christopher R Mcnulty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083604045 PECOS PAC ID: 5092898866 Enrollment ID: I20080218000105 |
| Provider Name | Jacqueline A Skaggs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285689760 PECOS PAC ID: 3072566348 Enrollment ID: I20080304000722 |
| Provider Name | Derrick G Hurst |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285776930 PECOS PAC ID: 0749350114 Enrollment ID: I20080528000726 |
| Provider Name | Caroline Rowlands |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003961459 PECOS PAC ID: 2163596305 Enrollment ID: I20080805000863 |
| Provider Name | Kern Low |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396740221 PECOS PAC ID: 2567419815 Enrollment ID: I20081201000662 |
| Provider Name | Dawn Roberts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972645646 PECOS PAC ID: 5799841755 Enrollment ID: I20090227000247 |
| Provider Name | Randall G Hoffman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619932134 PECOS PAC ID: 5597822247 Enrollment ID: I20090324000422 |
| Provider Name | Alan L Schultz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053458349 PECOS PAC ID: 9335298488 Enrollment ID: I20090519000557 |
| Provider Name | Patricia Brumbaugh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770587156 PECOS PAC ID: 0749175834 Enrollment ID: I20090826000774 |
| Provider Name | Kendra D Robison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255589297 PECOS PAC ID: 8325194400 Enrollment ID: I20090914000781 |
| Provider Name | Joseph Randall Lutt |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1023233707 PECOS PAC ID: 4981750585 Enrollment ID: I20090923000643 |
| Provider Name | John J Bell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467441733 PECOS PAC ID: 8628111309 Enrollment ID: I20100203000282 |
| Provider Name | William A Malabre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184693764 PECOS PAC ID: 3678617586 Enrollment ID: I20100216000491 |
| Provider Name | Michael J Noble |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881656148 PECOS PAC ID: 9931243896 Enrollment ID: I20100216001010 |
| Provider Name | Steven K Brodie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245229509 PECOS PAC ID: 5395889133 Enrollment ID: I20100217000878 |
| Provider Name | Timothy M Lewan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225094246 PECOS PAC ID: 7810886835 Enrollment ID: I20100301000331 |
| Provider Name | George M Conner |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1184695645 PECOS PAC ID: 1850436502 Enrollment ID: I20100304001091 |
| Provider Name | John W Voth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770572950 PECOS PAC ID: 3870638547 Enrollment ID: I20100305000163 |
| Provider Name | Deanne Veselka |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144219312 PECOS PAC ID: 3779618871 Enrollment ID: I20100315000611 |
| Provider Name | Kristen Lachance |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811099617 PECOS PAC ID: 0547366924 Enrollment ID: I20100319000136 |
| Provider Name | Robert T Underhill |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609816693 PECOS PAC ID: 2860527579 Enrollment ID: I20100319000754 |
| Provider Name | Marsha A Alger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902840028 PECOS PAC ID: 8820124258 Enrollment ID: I20100324001157 |
| Provider Name | John C Kim |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548310584 PECOS PAC ID: 8729041538 Enrollment ID: I20100513001035 |
| Provider Name | Priscilla Patterson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316958416 PECOS PAC ID: 7911045703 Enrollment ID: I20100518000647 |
| Provider Name | Barry Sundland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164599585 PECOS PAC ID: 6800925074 Enrollment ID: I20100526000534 |
| Provider Name | Alan G Garscadden |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629044367 PECOS PAC ID: 2769516590 Enrollment ID: I20100816001080 |
| Provider Name | Anna E Engkjer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235441486 PECOS PAC ID: 7315061298 Enrollment ID: I20100830000326 |
| Provider Name | Kirsten M Nielsen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891831053 PECOS PAC ID: 7113041690 Enrollment ID: I20100907000245 |
| Provider Name | Charles Burke |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669461695 PECOS PAC ID: 1254456452 Enrollment ID: I20100910001021 |
| Provider Name | Douglas Forward |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194722538 PECOS PAC ID: 6901791094 Enrollment ID: I20100921001393 |
| Provider Name | Jill Elizabeth Gibson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629120761 PECOS PAC ID: 9638295173 Enrollment ID: I20100922000261 |
| Provider Name | Gregory A Kaczmarczyk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790885820 PECOS PAC ID: 7719013663 Enrollment ID: I20100923000849 |
| Provider Name | Zachary Shpall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104823095 PECOS PAC ID: 0648165605 Enrollment ID: I20100923001257 |
| Provider Name | John M Panozzo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619974920 PECOS PAC ID: 3173418274 Enrollment ID: I20100924000596 |
| Provider Name | Jeffrey Dean Perkins |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1710929641 PECOS PAC ID: 0446205389 Enrollment ID: I20100928001187 |
| Provider Name | Shiraz Moinuddin |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1063600336 PECOS PAC ID: 4183705205 Enrollment ID: I20100928001276 |
| Provider Name | Bryan Kavanaugh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346452273 PECOS PAC ID: 1456408202 Enrollment ID: I20101109000205 |
| Provider Name | Tracy V Cerniglia |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942270806 PECOS PAC ID: 3173718681 Enrollment ID: I20101110000573 |
| Provider Name | Jamie E Seeley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023097888 PECOS PAC ID: 8325032089 Enrollment ID: I20101129000189 |
| Provider Name | Albert B Duncan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922074517 PECOS PAC ID: 3870780323 Enrollment ID: I20101209000302 |
| Provider Name | Philip A Emrie |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1720081086 PECOS PAC ID: 7911956974 Enrollment ID: I20110209000644 |
| Provider Name | Virginia M Quiroz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639168214 PECOS PAC ID: 6507046349 Enrollment ID: I20110210000601 |
| Provider Name | Michael J Hemsworth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124095641 PECOS PAC ID: 1456533603 Enrollment ID: I20110309000083 |
| Provider Name | Borghild D Kalford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669642971 PECOS PAC ID: 4486836111 Enrollment ID: I20110316000741 |
| Provider Name | Angela K Blue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457671570 PECOS PAC ID: 5991973950 Enrollment ID: I20110718000294 |
| Provider Name | Mary C Parris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225332968 PECOS PAC ID: 2264602614 Enrollment ID: I20110823000569 |
| Provider Name | Cynthia Rau-sobotka |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699746107 PECOS PAC ID: 6204009160 Enrollment ID: I20111109000625 |
| Provider Name | Shireen Rudderow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124113121 PECOS PAC ID: 7012966062 Enrollment ID: I20111215000310 |
| Provider Name | Kathleen Weiss |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104077585 PECOS PAC ID: 4880869957 Enrollment ID: I20111219000926 |
| Provider Name | Hollis M Julson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104811470 PECOS PAC ID: 3274700182 Enrollment ID: I20120118000077 |
| Provider Name | John Kunstle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104881978 PECOS PAC ID: 2264608108 Enrollment ID: I20120220000962 |
| Provider Name | Heidi W Tessler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306822291 PECOS PAC ID: 2466349378 Enrollment ID: I20120316000572 |
| Provider Name | Laura Carson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558522516 PECOS PAC ID: 6204082977 Enrollment ID: I20120813000118 |
| Provider Name | Nicole A Mckinney |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114073889 PECOS PAC ID: 9537316997 Enrollment ID: I20120821000258 |
| Provider Name | Lia Rose Matarrese Mcgibbon |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1144464454 PECOS PAC ID: 7810145570 Enrollment ID: I20120921000293 |
| Provider Name | David A Hoover |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689628521 PECOS PAC ID: 1658268982 Enrollment ID: I20130318000027 |
| Provider Name | Sharon M Mckelvey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851356562 PECOS PAC ID: 8729114236 Enrollment ID: I20130408000259 |
| Provider Name | Rachael Degurse |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114239290 PECOS PAC ID: 5395989263 Enrollment ID: I20130913000728 |
| Provider Name | Jacqueline M Hooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225323405 PECOS PAC ID: 9931343456 Enrollment ID: I20130923000476 |
| Provider Name | Diana M Tapay |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831488535 PECOS PAC ID: 8123262664 Enrollment ID: I20130923000686 |
| Provider Name | Prateek Chaudhary |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1760708507 PECOS PAC ID: 3779617915 Enrollment ID: I20131022001150 |
| Provider Name | Kyle C Morgan |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1952556417 PECOS PAC ID: 9830346592 Enrollment ID: I20131024001660 |
| Provider Name | Lauren E Puretz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184852485 PECOS PAC ID: 9032346937 Enrollment ID: I20131223000675 |
| Provider Name | Arti Karna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326158627 PECOS PAC ID: 9931107406 Enrollment ID: I20131227000558 |
| Provider Name | Jeffrey Scott Sorensen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861548547 PECOS PAC ID: 7517105976 Enrollment ID: I20140219001994 |
| Provider Name | Cindy A Lockett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710942131 PECOS PAC ID: 2062536501 Enrollment ID: I20140501001545 |
| Provider Name | Carla A Jaramillo Ford |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174591168 PECOS PAC ID: 5294717823 Enrollment ID: I20140627001501 |
| Provider Name | Erica L Liesmaki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013206622 PECOS PAC ID: 4486802543 Enrollment ID: I20140723000049 |
| Provider Name | Laura J Fitts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568887248 PECOS PAC ID: 8426276619 Enrollment ID: I20140829002163 |
| Provider Name | Michelle Marie Klismith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437231990 PECOS PAC ID: 7911194774 Enrollment ID: I20140916001775 |
| Provider Name | Nader Mohamed Omar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437457801 PECOS PAC ID: 2961622790 Enrollment ID: I20140930001115 |
| Provider Name | Tony Lewis Willson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982798310 PECOS PAC ID: 6002956232 Enrollment ID: I20141020000915 |
| Provider Name | Preetham Reddy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053576058 PECOS PAC ID: 0547482119 Enrollment ID: I20141114001293 |
| Provider Name | Sanjay Ratnakant |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1578569935 PECOS PAC ID: 4183688898 Enrollment ID: I20150309001156 |
| Provider Name | Kaia Schubert-hoopes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255366720 PECOS PAC ID: 5799001541 Enrollment ID: I20150313001108 |
| Provider Name | Alexandra A Elliott |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538599873 PECOS PAC ID: 1355662263 Enrollment ID: I20150604000054 |
| Provider Name | Donna M Friedline |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063822419 PECOS PAC ID: 0345553525 Enrollment ID: I20150716002114 |
| Provider Name | Brandi Leigh Greenhouse |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1700267630 PECOS PAC ID: 7012220783 Enrollment ID: I20150723009179 |
| Provider Name | Aimee D Johnson-wirt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457551392 PECOS PAC ID: 4385952571 Enrollment ID: I20151008001090 |
| Provider Name | Cynthia Kay Jordan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134329329 PECOS PAC ID: 3870819410 Enrollment ID: I20151020002885 |
| Provider Name | Stephanie A Danos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467821538 PECOS PAC ID: 6608186259 Enrollment ID: I20151110002722 |
| Provider Name | Cory L Dietz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508825753 PECOS PAC ID: 1153491568 Enrollment ID: I20160107000750 |
| Provider Name | Luanne Sperando |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245379262 PECOS PAC ID: 5496982373 Enrollment ID: I20160128000162 |
| Provider Name | Clarisa Hernandez Koogle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316305147 PECOS PAC ID: 5799080016 Enrollment ID: I20160224002841 |
| Provider Name | Khrystyl A Pepi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982925988 PECOS PAC ID: 2466759360 Enrollment ID: I20160321000511 |
| Provider Name | Jennifer Mae Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396110045 PECOS PAC ID: 3971801051 Enrollment ID: I20160406001983 |
| Provider Name | Todd T Kobayashi |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1871582023 PECOS PAC ID: 6800072588 Enrollment ID: I20160428001213 |
| Provider Name | Drew C Burlon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548604838 PECOS PAC ID: 4880909514 Enrollment ID: I20160614000265 |
| Provider Name | Scott E Caulkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205899804 PECOS PAC ID: 0244410223 Enrollment ID: I20160616000344 |
| Provider Name | Rafid Al Daly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215370101 PECOS PAC ID: 3072822105 Enrollment ID: I20160727001836 |
| Provider Name | Susan L Zumergrad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881055630 PECOS PAC ID: 4880987866 Enrollment ID: I20160728001166 |
| Provider Name | Wendy L Pearce |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437285962 PECOS PAC ID: 8426186180 Enrollment ID: I20160829002633 |
| Provider Name | Allison M Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134458862 PECOS PAC ID: 9638353196 Enrollment ID: I20160906002153 |
| Provider Name | Christina D Nelms |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376995357 PECOS PAC ID: 7618264318 Enrollment ID: I20160923000934 |
| Provider Name | Beverly Baker-newsholme |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649330218 PECOS PAC ID: 1153322359 Enrollment ID: I20161121002000 |
| Provider Name | Michael G Plachta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154761070 PECOS PAC ID: 3274836127 Enrollment ID: I20161121002016 |
| Provider Name | Megan L Bartusek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649623125 PECOS PAC ID: 3173818739 Enrollment ID: I20161201000101 |
| Provider Name | Karen Michelle Steese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740732197 PECOS PAC ID: 1759661606 Enrollment ID: I20161210000048 |
| Provider Name | Jessica E Janarelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033660204 PECOS PAC ID: 1456631316 Enrollment ID: I20161212000032 |
| Provider Name | Albert Yuen Kwong Hor |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912341793 PECOS PAC ID: 7012297807 Enrollment ID: I20161214000287 |
| Provider Name | Jennifer Greenwood |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649298456 PECOS PAC ID: 2163486689 Enrollment ID: I20170220000369 |
| Provider Name | Rachel Hills |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538270939 PECOS PAC ID: 6800940362 Enrollment ID: I20170228001037 |
| Provider Name | Lori Wertheimer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972543965 PECOS PAC ID: 6305073289 Enrollment ID: I20170302002077 |
| Provider Name | Michelle Uribe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629517172 PECOS PAC ID: 4688951551 Enrollment ID: I20170502000383 |
| Provider Name | Joshua Eberhard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073923793 PECOS PAC ID: 5193093326 Enrollment ID: I20170613000242 |
| Provider Name | Jennifer Ann Zells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023555067 PECOS PAC ID: 6901174721 Enrollment ID: I20170621000036 |
| Provider Name | Rachel Underwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578825220 PECOS PAC ID: 0042589988 Enrollment ID: I20170707002158 |
| Provider Name | Jane Abigail Trujillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396283586 PECOS PAC ID: 3971888991 Enrollment ID: I20170717003494 |
| Provider Name | Daniel W Burke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609308311 PECOS PAC ID: 1759651433 Enrollment ID: I20170728001116 |
| Provider Name | Paige L Neifert |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1255322319 PECOS PAC ID: 6709157118 Enrollment ID: I20170803001444 |
| Provider Name | Zachary J Stengel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669549127 PECOS PAC ID: 6800991944 Enrollment ID: I20170823000847 |
| Provider Name | Candace D Brown |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346371614 PECOS PAC ID: 2769529643 Enrollment ID: I20170825003024 |
| Provider Name | Scott D Cameron |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740607001 PECOS PAC ID: 9537468061 Enrollment ID: I20171011000635 |
| Provider Name | Tamara P Reeves-sandoval |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497188569 PECOS PAC ID: 3870819386 Enrollment ID: I20171031000821 |
| Provider Name | Kelly A Price |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417012261 PECOS PAC ID: 6204096407 Enrollment ID: I20180316000754 |
| Provider Name | Nicole Taylor |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1528518669 PECOS PAC ID: 1557623980 Enrollment ID: I20180326000179 |
| Provider Name | Jamie A Aminsharifi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871853416 PECOS PAC ID: 9436413960 Enrollment ID: I20180508001976 |
| Provider Name | Jamie D Lamanna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447445119 PECOS PAC ID: 0446436240 Enrollment ID: I20180525000261 |
| Provider Name | Susan M Heffley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417007642 PECOS PAC ID: 2466543483 Enrollment ID: I20180525000656 |
| Provider Name | Fernando H Thadepalli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821075821 PECOS PAC ID: 9537195326 Enrollment ID: I20180605002430 |
| Provider Name | Christine Czarnecki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902858210 PECOS PAC ID: 2264582253 Enrollment ID: I20180713002285 |
| Provider Name | Rebeccah R Gurule |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811484256 PECOS PAC ID: 2769739002 Enrollment ID: I20180718001927 |
| Provider Name | Colleen Margarete Mcmanaman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720300601 PECOS PAC ID: 3577810720 Enrollment ID: I20180719002196 |
| Provider Name | Tibor Kereshi |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1104897685 PECOS PAC ID: 4587678313 Enrollment ID: I20180720001275 |
| Provider Name | Kylie R Beukema |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174918346 PECOS PAC ID: 9436426764 Enrollment ID: I20180723000799 |
| Provider Name | Austin M Vandeberg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053793836 PECOS PAC ID: 1759696735 Enrollment ID: I20180810000058 |
| Provider Name | Yan Shen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922488527 PECOS PAC ID: 1557677556 Enrollment ID: I20180814003764 |
| Provider Name | Sarah Marie Heath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225525769 PECOS PAC ID: 3870842479 Enrollment ID: I20180815000723 |
| Provider Name | Carson Elizabeth Petty Maynard |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1770929754 PECOS PAC ID: 0446555221 Enrollment ID: I20180906003082 |
| Provider Name | Katarina Hradilova Calcagno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225515885 PECOS PAC ID: 3375894769 Enrollment ID: I20180925000220 |
| Provider Name | Erik J Arhelger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821291162 PECOS PAC ID: 8426115817 Enrollment ID: I20181029000638 |
| Provider Name | Kristin T Mills |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851602536 PECOS PAC ID: 7719228808 Enrollment ID: I20190418002168 |
| Provider Name | Benjamin R Park |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770922676 PECOS PAC ID: 9032451562 Enrollment ID: I20190501003164 |
| Provider Name | Deborah B Henderson |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1770765265 PECOS PAC ID: 5092990705 Enrollment ID: I20190503001782 |
| Provider Name | James C Haug |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275875973 PECOS PAC ID: 6800147836 Enrollment ID: I20190509001851 |
| Provider Name | Elizabeth Colvin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881007409 PECOS PAC ID: 5991923021 Enrollment ID: I20190606000292 |
| Provider Name | Andrew N Clark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932164266 PECOS PAC ID: 7618971003 Enrollment ID: I20190606001748 |
| Provider Name | Jennifer Benson-feero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235692492 PECOS PAC ID: 7113251380 Enrollment ID: I20190620003391 |
| Provider Name | Sara M Robison |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427441229 PECOS PAC ID: 5294069092 Enrollment ID: I20190627003272 |
| Provider Name | Grace V Kumar |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417061045 PECOS PAC ID: 1759308794 Enrollment ID: I20190628001468 |
| Provider Name | Muthanna Yacoub |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467834440 PECOS PAC ID: 9234441841 Enrollment ID: I20190709000089 |
| Provider Name | Julia K Riley |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1215011689 PECOS PAC ID: 5294809315 Enrollment ID: I20190727000119 |
| Provider Name | Elaine Scholpp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639528060 PECOS PAC ID: 7810255262 Enrollment ID: I20190727000159 |
| Provider Name | Kevin D Hinshaw |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1215151097 PECOS PAC ID: 1951589845 Enrollment ID: I20190802001154 |
| Provider Name | Matthew E Moore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215233440 PECOS PAC ID: 9032456108 Enrollment ID: I20190805003148 |
| Provider Name | Joseph J Yang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750764411 PECOS PAC ID: 8820307002 Enrollment ID: I20190904001089 |
| Provider Name | Stephanie A Hicks |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548219918 PECOS PAC ID: 5193773943 Enrollment ID: I20190916000844 |
| Provider Name | Jennifer J Berrier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992262414 PECOS PAC ID: 6002146461 Enrollment ID: I20190926003419 |
| Provider Name | Robert Scott Schreiner |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1588074744 PECOS PAC ID: 9133439995 Enrollment ID: I20191024003263 |
| Provider Name | Katelyn P Jones |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154794576 PECOS PAC ID: 7012211477 Enrollment ID: I20191218002232 |
| Provider Name | Lavonne Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316976962 PECOS PAC ID: 7214955590 Enrollment ID: I20200107002582 |
| Provider Name | Michael J Harper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154361467 PECOS PAC ID: 8921044751 Enrollment ID: I20200113002486 |
| Provider Name | Mary Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104078955 PECOS PAC ID: 9335202704 Enrollment ID: I20200130002514 |
| Provider Name | Jennifer N Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336616945 PECOS PAC ID: 6901233535 Enrollment ID: I20200220002392 |
| Provider Name | Nileena L Philip |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821433855 PECOS PAC ID: 3375831738 Enrollment ID: I20200226000184 |
| Provider Name | Olga Rao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790139426 PECOS PAC ID: 6507105681 Enrollment ID: I20200327000115 |
| Provider Name | Glenn Waite |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295742948 PECOS PAC ID: 9133019086 Enrollment ID: I20200330001660 |
| Provider Name | Jayme R Tishon |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1417123829 PECOS PAC ID: 8123275799 Enrollment ID: I20200518002579 |
| Provider Name | Sarah Junker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487929832 PECOS PAC ID: 9133350978 Enrollment ID: I20200528003438 |
| Provider Name | Hazem Ubaissi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1285785907 PECOS PAC ID: 4688777055 Enrollment ID: I20200609001113 |
| Provider Name | Shannon J Woznick |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912187568 PECOS PAC ID: 6305927104 Enrollment ID: I20200610002628 |
| Provider Name | Kristina Nicole Ferreira |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982072542 PECOS PAC ID: 8123320413 Enrollment ID: I20200619002058 |
| Provider Name | Laura Gallaway |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821258005 PECOS PAC ID: 8921420910 Enrollment ID: I20200619002145 |
| Provider Name | Michele L Knierim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043207590 PECOS PAC ID: 3274969621 Enrollment ID: I20200626001367 |
| Provider Name | Kristel H Cronin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518490887 PECOS PAC ID: 5799053559 Enrollment ID: I20200626001784 |
| Provider Name | Whitney L Grant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306316856 PECOS PAC ID: 8527481696 Enrollment ID: I20200708000498 |
| Provider Name | Rachel Elizabeth Colling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336675008 PECOS PAC ID: 3375811268 Enrollment ID: I20200820000307 |
| Provider Name | Maria L Cannarozzi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316956105 PECOS PAC ID: 3779554894 Enrollment ID: I20200831003125 |
| Provider Name | Mary K Nolte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154550036 PECOS PAC ID: 5496891327 Enrollment ID: I20200918001819 |
| Provider Name | Alice Poland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962476234 PECOS PAC ID: 1254742075 Enrollment ID: I20201201000355 |
| Provider Name | Karsten Jennings |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235492554 PECOS PAC ID: 3870905672 Enrollment ID: I20201221001113 |
| Provider Name | Stephanie A Lynch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053762922 PECOS PAC ID: 1759676372 Enrollment ID: I20210127003421 |
| Provider Name | James Atkinson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1487844668 PECOS PAC ID: 2264688316 Enrollment ID: I20210615001934 |
| Provider Name | Jamie M Diprimo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821402389 PECOS PAC ID: 5698997807 Enrollment ID: I20210811000781 |
| Provider Name | Robert F Jensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760853600 PECOS PAC ID: 9335546605 Enrollment ID: I20210929001961 |
| Provider Name | Michelle Bower |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407497605 PECOS PAC ID: 6406244003 Enrollment ID: I20211101003182 |
| Provider Name | Shirley J Roddy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881778553 PECOS PAC ID: 9931254430 Enrollment ID: I20211202000382 |
| Provider Name | Shawn M Deats |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083184725 PECOS PAC ID: 4880933555 Enrollment ID: I20211217000798 |
| Provider Name | Erika Vicente |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174027791 PECOS PAC ID: 7517358542 Enrollment ID: I20211229000870 |
| Provider Name | Kevin M Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932129665 PECOS PAC ID: 9032134739 Enrollment ID: I20220118000945 |
| Provider Name | Michele L Wolf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598906992 PECOS PAC ID: 6002964905 Enrollment ID: I20220209001557 |
| Provider Name | Alfred Maina |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558797332 PECOS PAC ID: 2163658402 Enrollment ID: I20220221000548 |
| Provider Name | Georgie Philip |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871098830 PECOS PAC ID: 0941607089 Enrollment ID: I20220519002758 |
| Provider Name | Aaron R Block |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437578762 PECOS PAC ID: 9032431333 Enrollment ID: I20220526001140 |
| Provider Name | Megan Jo Townsend |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679035968 PECOS PAC ID: 2163764473 Enrollment ID: I20220705000323 |
| Provider Name | Henry I Siem |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457797995 PECOS PAC ID: 4789934167 Enrollment ID: I20220707001249 |
| Provider Name | Carina Jeaan Kee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043705015 PECOS PAC ID: 0345584660 Enrollment ID: I20220805000938 |
| Provider Name | Belisario Bejarano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538540687 PECOS PAC ID: 7911380639 Enrollment ID: I20220812002440 |
| Provider Name | Anne K Frailing |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235221045 PECOS PAC ID: 9739359175 Enrollment ID: I20220824002552 |
| Provider Name | Jaclyn E Cluskey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871015396 PECOS PAC ID: 7618240870 Enrollment ID: I20220919000341 |
| Provider Name | Leah Kellogg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588124408 PECOS PAC ID: 3870823685 Enrollment ID: I20221003000007 |
| Provider Name | Natasha Mitra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548723562 PECOS PAC ID: 0648505099 Enrollment ID: I20221003000647 |
| Provider Name | Eric D Hemler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750844544 PECOS PAC ID: 9335473636 Enrollment ID: I20221109000629 |
| Provider Name | Sonia J Khatter |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1174056592 PECOS PAC ID: 6507138492 Enrollment ID: I20221130003155 |
| Provider Name | Michael C Hjelkrem |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518949437 PECOS PAC ID: 9638252901 Enrollment ID: I20221203000283 |
| Provider Name | Andre Smyth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134513377 PECOS PAC ID: 4486953239 Enrollment ID: I20221227000077 |
| Provider Name | Bambi C Struck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790220267 PECOS PAC ID: 0042682882 Enrollment ID: I20230203002744 |
| Provider Name | Andrew Kim |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811491251 PECOS PAC ID: 1254745045 Enrollment ID: I20230221001135 |
| Provider Name | Nicole Pant |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346475332 PECOS PAC ID: 8729226139 Enrollment ID: I20230307002793 |
| Provider Name | Emily Mae Samson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619532355 PECOS PAC ID: 0547596140 Enrollment ID: I20230406001899 |
| Provider Name | Dasuni P T Rathnayake |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730649898 PECOS PAC ID: 4587993043 Enrollment ID: I20230410000559 |
| Provider Name | Rebecca Harlow |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679968127 PECOS PAC ID: 7719394659 Enrollment ID: I20230419001546 |
| Provider Name | Jessica Dawn Gabbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356055040 PECOS PAC ID: 1759746019 Enrollment ID: I20230420002697 |
| Provider Name | Mel Grover |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356657183 PECOS PAC ID: 5193154011 Enrollment ID: I20230627001734 |
| Provider Name | Rewaida Hall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902426166 PECOS PAC ID: 8527427269 Enrollment ID: I20230628004564 |
| 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 | Tavia Lee Gabbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720562333 PECOS PAC ID: 6103163035 Enrollment ID: I20230713002500 |
| Provider Name | Ryan Muehling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083274815 PECOS PAC ID: 8729313861 Enrollment ID: I20230728003080 |
| Provider Name | Nigel Savoy Barner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770103657 PECOS PAC ID: 6507227964 Enrollment ID: I20230801003133 |
| Provider Name | Rachel Carroll |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053932053 PECOS PAC ID: 3072936137 Enrollment ID: I20230801003411 |
| Provider Name | Rita Redd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447565064 PECOS PAC ID: 5991930174 Enrollment ID: I20230818001086 |
| Provider Name | Eric E Abbott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255522876 PECOS PAC ID: 4880876416 Enrollment ID: I20230831002049 |
| Provider Name | Peter Mao Huang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538796404 PECOS PAC ID: 0244659837 Enrollment ID: I20230904000202 |
| Provider Name | Lauren Kwan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386163848 PECOS PAC ID: 9931568540 Enrollment ID: I20231011000089 |
| Provider Name | William Schahn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356060487 PECOS PAC ID: 1153771902 Enrollment ID: I20231220002199 |
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 |