| East West Family Health Llc | |
|
8200 E. Belleview Avenue Suite 203-c Greenwood Village CO 80111-2835 | |
| (303) 221-6797 | |
| (303) 221-4563 |
| Full Name | East West Family Health Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 8200 E. Belleview Avenue, Greenwood Village, Colorado |
| Authorized Official Name and Position | Floyd B Russak (OWNER/PHYSICIAN) |
| Authorized Official Contact | 3035918161 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| East West Family Health Llc 8200 E. Belleview Avenue Suite 203-c Greenwood Village CO 80111-2835 Ph: (303) 221-6797 | East West Family Health Llc 8200 E. Belleview Avenue Suite 203-c Greenwood Village CO 80111-2835 Ph: (303) 221-6797 |
| NPI Number | 1417402918 |
|---|---|
| Provider Enumeration Date | 08/25/2016 |
| Last Update Date | 05/29/2019 |
| Medicare PECOS PAC ID | 6002165933 |
|---|---|
| Medicare Enrollment ID | O20180824002591 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417402918 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35559 (Colorado) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| Provider Name | Floyd B Russak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902898984 PECOS PAC ID: 3173587706 Enrollment ID: I20060105000377 |
| Provider Name | Beatriz P Linn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366433096 PECOS PAC ID: 8820163223 Enrollment ID: I20090302000280 |
| Provider Name | Gilberto R Miranda |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528598059 PECOS PAC ID: 5395146799 Enrollment ID: I20210623000792 |
| Provider Name | Jordan C Walker |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1770119729 PECOS PAC ID: 4981064029 Enrollment ID: I20230720001649 |
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