| El Paso County Employee Health Center East | |
|
1675 Garden Of The Gods Rd Ste 1053 Colorado Springs CO 80907-9444 | |
| (719) 520-7601 | |
| (719) 520-7610 |
| Full Name | El Paso County Employee Health Center East |
|---|---|
| Speciality | Clinic/Center |
| Location | 1675 Garden Of The Gods Rd, Colorado Springs, Colorado |
| Authorized Official Name and Position | Jon Leizman (PRESIDENT) |
| Authorized Official Contact | 2164799063 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| El Paso County Employee Health Center East 5500 Maryland Way Brentwood TN 37027-4948 Ph: (719) 520-7601 | El Paso County Employee Health Center East 1675 Garden Of The Gods Rd Ste 1053 Colorado Springs CO 80907-9444 Ph: (719) 520-7601 |
| NPI Number | 1497990287 |
|---|---|
| Provider Enumeration Date | 12/08/2008 |
| Last Update Date | 08/23/2022 |
| Medicare PECOS PAC ID | 9133425879 |
|---|---|
| Medicare Enrollment ID | O20160307002076 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497990287 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Ann Thurston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295707032 PECOS PAC ID: 5597678177 Enrollment ID: I20031110000549 |
| Provider Name | Elizabeth A Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558406595 PECOS PAC ID: 0244294908 Enrollment ID: I20041112001109 |
| Provider Name | Phillip A Shriver |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164564928 PECOS PAC ID: 4789658618 Enrollment ID: I20050427001288 |
| Provider Name | Kyra L Turner-schlieman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346203940 PECOS PAC ID: 0244360329 Enrollment ID: I20100616000651 |
| Provider Name | John F Drozd |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306916267 PECOS PAC ID: 8628245487 Enrollment ID: I20120118000721 |
| Provider Name | Carrie J Claar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538594742 PECOS PAC ID: 0345565081 Enrollment ID: I20150415001638 |
| Provider Name | Liesl Wyka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184026809 PECOS PAC ID: 8628378056 Enrollment ID: I20151207002909 |
| Provider Name | Pamela J Deberghes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952360380 PECOS PAC ID: 7719078682 Enrollment ID: I20160307002414 |
| Provider Name | Alicia Ann Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568977288 PECOS PAC ID: 0749549012 Enrollment ID: I20180111002151 |
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