| Firstdoc PC | |
|
1690 Meade St Denver CO 80204-1552 | |
| (970) 391-4303 | |
| Not Available |
| Full Name | Firstdoc PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 1690 Meade St, Denver, Colorado |
| Authorized Official Name and Position | Charles Kopel (OWNER) |
| Authorized Official Contact | 9703914303 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Firstdoc PC Po Box 479 Erie CO 80516-0479 Ph: (970) 391-4303 | Firstdoc PC 1690 Meade St Denver CO 80204-1552 Ph: (970) 391-4303 |
| NPI Number | 1497076681 |
|---|---|
| Provider Enumeration Date | 06/22/2010 |
| Last Update Date | 01/15/2021 |
| Certification Date | 01/15/2021 |
| Medicare PECOS PAC ID | 2860688975 |
|---|---|
| Medicare Enrollment ID | O20101130001369 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497076681 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| 261Q00000X | Clinic/center | () | Secondary |
| Provider Name | Tammera Park |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598853129 PECOS PAC ID: 9931134665 Enrollment ID: I20051001000036 |
| Provider Name | Andrzej Dankowski |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326014507 PECOS PAC ID: 2668492398 Enrollment ID: I20051128000116 |
| Provider Name | Charles Kopel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518966415 PECOS PAC ID: 2365346582 Enrollment ID: I20061201000101 |
| Provider Name | Maggie S Champion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073657573 PECOS PAC ID: 3678583093 Enrollment ID: I20070323000570 |
| Provider Name | Derek Gavin Berg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194896969 PECOS PAC ID: 2062441520 Enrollment ID: I20080530000298 |
| Provider Name | Roland K Kafuuma |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962615732 PECOS PAC ID: 3072681709 Enrollment ID: I20100811000418 |
| Provider Name | Michael Dumpert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285945964 PECOS PAC ID: 4385768118 Enrollment ID: I20100901000179 |
| Provider Name | Kenneth W Farrell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235240557 PECOS PAC ID: 0840206397 Enrollment ID: I20110912000263 |
| Provider Name | Obianuju Nkechi Mba |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952543852 PECOS PAC ID: 8325295421 Enrollment ID: I20120824000296 |
| Provider Name | Carmen Cojanu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689868689 PECOS PAC ID: 7810032869 Enrollment ID: I20120920000561 |
| Provider Name | Nelu D Cojanu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629260161 PECOS PAC ID: 7810086105 Enrollment ID: I20121108000464 |
| Provider Name | Marina Vladimirovna Bachurina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033370556 PECOS PAC ID: 2365601721 Enrollment ID: I20130913000405 |
| Provider Name | Aaron T Ast |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730360546 PECOS PAC ID: 7315029519 Enrollment ID: I20130918000124 |
| Provider Name | Jose Edmundo Manrique Mercado |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962709246 PECOS PAC ID: 6002058237 Enrollment ID: I20131017000438 |
| Provider Name | Andrew Koch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104125954 PECOS PAC ID: 6305070640 Enrollment ID: I20141028000516 |
| Provider Name | Andrea S Vigil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902214711 PECOS PAC ID: 0840412078 Enrollment ID: I20141104000097 |
| Provider Name | Emily a Dranginis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568786879 PECOS PAC ID: 3971734583 Enrollment ID: I20141104001626 |
| Provider Name | Joseph Ramharack |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174878219 PECOS PAC ID: 8729389994 Enrollment ID: I20151211001056 |
| Provider Name | Matthew W Reisinger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629311345 PECOS PAC ID: 1557595295 Enrollment ID: I20160606001135 |
| Provider Name | Tuongvy V Zamurs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124467808 PECOS PAC ID: 4880836774 Enrollment ID: I20160721001853 |
| Provider Name | Rachel Carpenter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316386469 PECOS PAC ID: 6204159007 Enrollment ID: I20160801001220 |
| Provider Name | Lee Marie Rosacci |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336587567 PECOS PAC ID: 0042537995 Enrollment ID: I20160917000200 |
| Provider Name | Katherine Ann Arnim |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033455266 PECOS PAC ID: 4486890480 Enrollment ID: I20161102002782 |
| Provider Name | Jennifer L Nafziger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093111882 PECOS PAC ID: 7416279997 Enrollment ID: I20170113001936 |
| Provider Name | Valorie Anne Baxter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891041810 PECOS PAC ID: 5092962670 Enrollment ID: I20170220000432 |
| Provider Name | Molly Janda |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790238483 PECOS PAC ID: 3476812652 Enrollment ID: I20180116000465 |
| Provider Name | Erin Pirkl |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760662571 PECOS PAC ID: 8123118189 Enrollment ID: I20180611000633 |
| Provider Name | Abigail Kristin Arinder |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013401967 PECOS PAC ID: 9739438375 Enrollment ID: I20180815002399 |
| Provider Name | Kelly King |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922527001 PECOS PAC ID: 1759656077 Enrollment ID: I20181214001120 |
| Provider Name | Kindra L Leduc |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609350784 PECOS PAC ID: 5395082440 Enrollment ID: I20190128001094 |
| Provider Name | Emily Marie Saluke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336414788 PECOS PAC ID: 8527293091 Enrollment ID: I20190312000385 |
| Provider Name | Quoc Thanh Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760832000 PECOS PAC ID: 8426336496 Enrollment ID: I20190618003594 |
| Provider Name | Danielle Estelle Lacy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629616438 PECOS PAC ID: 6608289277 Enrollment ID: I20201229001434 |
| Provider Name | Amber Lester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891296232 PECOS PAC ID: 0547519746 Enrollment ID: I20210322000577 |
| Provider Name | Kelsey J Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538764303 PECOS PAC ID: 0648689448 Enrollment ID: I20210507000299 |
| Provider Name | Jeffrey Schulte |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205391364 PECOS PAC ID: 2466792916 Enrollment ID: I20210716000237 |
| Provider Name | Michelle Bower |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407497605 PECOS PAC ID: 6406244003 Enrollment ID: I20211101003182 |
| Provider Name | Amber Lamb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992375513 PECOS PAC ID: 6406248004 Enrollment ID: I20220111001400 |
| Provider Name | Leigh Kraft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831702091 PECOS PAC ID: 1759791981 Enrollment ID: I20220124001798 |
| Provider Name | Anthony Montuno |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841639622 PECOS PAC ID: 4789933607 Enrollment ID: I20220302001380 |
| Provider Name | Taylor Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417436890 PECOS PAC ID: 0840543377 Enrollment ID: I20220507000037 |
| Provider Name | Alicia Michele Hennessee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174176457 PECOS PAC ID: 2961881933 Enrollment ID: I20220622000529 |
| Provider Name | Lamija Quinonez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316651540 PECOS PAC ID: 9638428980 Enrollment ID: I20230209001997 |
| Provider Name | Wyatt Refik Visca |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457915977 PECOS PAC ID: 5294060372 Enrollment ID: I20230629003099 |
| Provider Name | Patricia Caporale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508545427 PECOS PAC ID: 2466816459 Enrollment ID: I20230908002280 |
| Provider Name | Hanmei Zhu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437910015 PECOS PAC ID: 0547606253 Enrollment ID: I20240315001119 |
| Provider Name | Natalie Ramos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861246282 PECOS PAC ID: 5991242281 Enrollment ID: I20240805001545 |
| Provider Name | Ravin Defonseka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205413085 PECOS PAC ID: 0244779080 Enrollment ID: I20240826001169 |
| Provider Name | Aaron Bubb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760003040 PECOS PAC ID: 5294124053 Enrollment ID: I20240909001593 |
| Provider Name | Shelby Rogers Dearman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285458497 PECOS PAC ID: 3971032624 Enrollment ID: I20250124000358 |
| Provider Name | Michael William Barnes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043248263 PECOS PAC ID: 4880632041 Enrollment ID: I20251211000134 |
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