| Geriatric & Family Medicine Associates, Pc | |
|
3885 Upham St 100 Wheat Ridge CO 80033-4880 | |
| (303) 742-0086 | |
| (720) 221-8994 |
| Full Name | Geriatric & Family Medicine Associates, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3885 Upham St, Wheat Ridge, Colorado |
| Authorized Official Name and Position | Paul Jordan Fishman (PRESIDENT) |
| Authorized Official Contact | 3037420086 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Geriatric & Family Medicine Associates, Pc 3885 Upham St. 100 Wheat Ridge CO 80033 Ph: (303) 742-0086 | Geriatric & Family Medicine Associates, Pc 3885 Upham St 100 Wheat Ridge CO 80033-4880 Ph: (303) 742-0086 |
| NPI Number | 1477669323 |
|---|---|
| Provider Enumeration Date | 08/22/2006 |
| Last Update Date | 02/22/2017 |
| Medicare PECOS PAC ID | 7517959463 |
|---|---|
| Medicare Enrollment ID | O20040331001058 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477669323 | NPI | - | NPPES |
| 04230082 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Paul J Fishman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912014002 PECOS PAC ID: 5193622272 Enrollment ID: I20040429000596 |
| Provider Name | Robert A Williams |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1245400951 PECOS PAC ID: 9032252994 Enrollment ID: I20100201000792 |
| Provider Name | Ivan Benjamin Geller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003923194 PECOS PAC ID: 0648303099 Enrollment ID: I20100901000585 |
| Provider Name | Yvonne E Bennett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245265131 PECOS PAC ID: 0941498323 Enrollment ID: I20101229000695 |
| Provider Name | Christina Mulkey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922547967 PECOS PAC ID: 8325323330 Enrollment ID: I20170314000115 |
| Provider Name | Thomas Sec |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285197962 PECOS PAC ID: 3173865169 Enrollment ID: I20190423000526 |
| Provider Name | Alison Suzanne Burton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023673308 PECOS PAC ID: 6406289388 Enrollment ID: I20200121002367 |
| Provider Name | Amanda Nicole Beard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316558406 PECOS PAC ID: 9739507633 Enrollment ID: I20200909001296 |
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