| Healthone Clinic Services - Cardiovascular Llc | |
|
1444 S Potomac St Ste 200 Aurora CO 80012-4509 | |
| (303) 226-4650 | |
| (303) 584-8141 |
| Full Name | Healthone Clinic Services - Cardiovascular Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1444 S Potomac St Ste 200, Aurora, Colorado |
| Authorized Official Name and Position | John Rebok (VP) |
| Authorized Official Contact | 6153725004 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthone Clinic Services - Cardiovascular Llc 2000 Health Park Dr Brentwood TN 37027-4692 Ph: (615) 373-7600 | Healthone Clinic Services - Cardiovascular Llc 1444 S Potomac St Ste 200 Aurora CO 80012-4509 Ph: (303) 226-4650 |
| NPI Number | 1447584933 |
|---|---|
| Provider Enumeration Date | 09/30/2009 |
| Last Update Date | 01/02/2023 |
| Medicare PECOS PAC ID | 0244459998 |
|---|---|
| Medicare Enrollment ID | O20140911002174 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447584933 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | (* (Not Available)) | Primary |
| Provider Name | Vijay D Subbarao |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982600870 PECOS PAC ID: 4284547852 Enrollment ID: I20031110000460 |
| Provider Name | Barbara A Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063408912 PECOS PAC ID: 3173418050 Enrollment ID: I20040219000126 |
| Provider Name | Deanne Dee Browning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518015999 PECOS PAC ID: 0345345740 Enrollment ID: I20070413000035 |
| Provider Name | Sameer K Mehta |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1023100062 PECOS PAC ID: 8325047491 Enrollment ID: I20080819000971 |
| Provider Name | Jason A Shofnos |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1497821292 PECOS PAC ID: 3971679986 Enrollment ID: I20080827000332 |
| Provider Name | Lana J Simon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962442947 PECOS PAC ID: 1254350242 Enrollment ID: I20090609000648 |
| Provider Name | Danielle P Elliott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982919536 PECOS PAC ID: 5991820144 Enrollment ID: I20100913000399 |
| Provider Name | Bridget Beck |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922281534 PECOS PAC ID: 8022284660 Enrollment ID: I20120103000012 |
| Provider Name | Margaret M Bast |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124407457 PECOS PAC ID: 3173836640 Enrollment ID: I20150714000597 |
| Provider Name | Mackenzie A Courtney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083190599 PECOS PAC ID: 2466704879 Enrollment ID: I20181012002601 |
| Provider Name | Alexander Francis Pak |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1376594614 PECOS PAC ID: 5890781702 Enrollment ID: I20190610001918 |
| Provider Name | Jody L Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558639294 PECOS PAC ID: 5597923136 Enrollment ID: I20210430001064 |
| Provider Name | Alexa Danielle Ritz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447867940 PECOS PAC ID: 7719384536 Enrollment ID: I20210921003929 |
| Provider Name | Marjerie Monique Briones Malabanan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326553173 PECOS PAC ID: 8729485495 Enrollment ID: I20210922002175 |
| Provider Name | Jennifer Bishop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992175723 PECOS PAC ID: 8123338092 Enrollment ID: I20210928001572 |
| Provider Name | Camella R Gullick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346862893 PECOS PAC ID: 9335547512 Enrollment ID: I20211004000678 |
| Provider Name | Regina C Lee |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1164710083 PECOS PAC ID: 1951652759 Enrollment ID: I20211111001107 |
| Provider Name | Natalie Rene Bartlett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578213633 PECOS PAC ID: 9335527688 Enrollment ID: I20220527002079 |
| Provider Name | Boris Sepesi |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1639182785 PECOS PAC ID: 6800039819 Enrollment ID: I20231115000896 |
| Provider Name | Leigh Belcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881460186 PECOS PAC ID: 3072954239 Enrollment ID: I20240519000009 |
| Provider Name | Nicole Restko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225525793 PECOS PAC ID: 9537424460 Enrollment ID: I20240805002602 |
| Provider Name | Jessica Renee Bogart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891549341 PECOS PAC ID: 5597203240 Enrollment ID: I20240813003623 |
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