| Edwards Medical Provider Group | |
|
2205 Cordillera Way Ste Ll Edwards CO 81632-6290 | |
| (970) 693-0015 | |
| Not Available |
| Full Name | Edwards Medical Provider Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 2205 Cordillera Way Ste Ll, Edwards, Colorado |
| Authorized Official Name and Position | Christopher Austin (CFO) |
| Authorized Official Contact | 7149265846 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Edwards Medical Provider Group 2205 Cordillera Way Ste Ll Edwards CO 81632-6290 Ph: (800) 829-4933 | Edwards Medical Provider Group 2205 Cordillera Way Ste Ll Edwards CO 81632-6290 Ph: (970) 693-0015 |
| NPI Number | 1619573904 |
|---|---|
| Provider Enumeration Date | 12/10/2020 |
| Last Update Date | 02/01/2024 |
| Certification Date | 02/01/2024 |
| Medicare PECOS PAC ID | 1759767833 |
|---|---|
| Medicare Enrollment ID | O20220927001058 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619573904 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (NU) | Primary |
| Provider Name | Shelley Abadi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063801876 PECOS PAC ID: 9032504915 Enrollment ID: I20220310001803 |
| Provider Name | Adria Jamie Owens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144908914 PECOS PAC ID: 7719340413 Enrollment ID: I20230829001101 |
| Provider Name | Hannah Adair Scarborough |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750844213 PECOS PAC ID: 6305271263 Enrollment ID: I20240415002752 |
| Provider Name | Jerald Westendorf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265903918 PECOS PAC ID: 3870835804 Enrollment ID: I20240722003713 |
| Provider Name | Andrea Uliano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730938945 PECOS PAC ID: 5496249880 Enrollment ID: I20251212001644 |
| Provider Name | Tanna Anderson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417819178 PECOS PAC ID: 2264915032 Enrollment ID: I20260310002925 |
| Provider Name | Yohannes Wolde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578434338 PECOS PAC ID: 2365925047 Enrollment ID: I20260311001039 |
Edwards Outpatient Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 322 Beard Creek Rd Ste 1300, Edwards, CO 81632 Phone: 970-569-7656 |
Howard Head Sports Medicine at Edwards Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 320 Beard Creek Rd Ste 1100, Edwards, CO 81632 Phone: 970-569-7777 |
The Vail Mind Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 Edwards Village Blvd, #d209, Edwards, CO 81632 Phone: 646-523-5264 |
Colorado Mountain Medical, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 429 Edwards Access Rd Unit A207, Edwards, CO 81632 Phone: 970-926-6340 Fax: 970-926-6348 |
Vail Infectious Disease, P.C. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1140 Edwards Village Blvd, Suite B105, Edwards, CO 81658 Phone: 970-390-6631 Fax: 303-750-8000 |
Howard Head Sports Medicine at Edwards Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 320 Beard Creek Rd Ste 1100, Edwards, CO 81632 Phone: 970-476-1225 |