| Healthone Heart Care Llc | |
|
1444 S Potomac St Ste 300 Aurora CO 80012-4510 | |
| (303) 750-0822 | |
| Not Available |
| Full Name | Healthone Heart Care Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1444 S Potomac St Ste 300, 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 Heart Care Llc 2000 Health Park Dr Brentwood TN 37027-4692 Ph: (615) 372-5426 | Healthone Heart Care Llc 1444 S Potomac St Ste 300 Aurora CO 80012-4510 Ph: (303) 750-0822 |
| NPI Number | 1982948089 |
|---|---|
| Provider Enumeration Date | 11/15/2012 |
| Last Update Date | 01/02/2023 |
| Medicare PECOS PAC ID | 9436394467 |
|---|---|
| Medicare Enrollment ID | O20130322000397 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982948089 | NPI | - | NPPES |
| 10026280600 | Medicaid | WY | |
| 10026281200 | Medicaid | WY | |
| 57806772 | Medicaid | CO | |
| 100236283100 | Medicaid | WY | |
| 1982948089 | Medicaid | WY | |
| 26687551 | Medicaid | CO | |
| 10026281000 | Medicaid | WY | |
| 10026282500 | Medicaid | NE | |
| 201069590A | Medicaid | KS | |
| 40537871 | Medicaid | CO | |
| 67650589 | Medicaid | CO | |
| 13100289 | Medicaid | CO | |
| 70787077 | Medicaid | CO | |
| 00159271 | Medicaid | CO | |
| 10026280700 | Medicaid | WY | |
| 10026280800 | Medicaid | WY | |
| 19778759 | Medicaid | CO | |
| 1982948089 | Medicaid | NE | |
| 30980763 | Medicaid | CO | |
| 62406272 | Medicaid | CO | |
| 10026282300 | Medicaid | WY | |
| 10026282600 | Medicaid | WY | |
| 49878379 | Medicaid | CO | |
| 06709877 | Medicaid | CO | |
| 10026283000 | Medicaid | WY | |
| 28788877 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Colorado) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | (* (Not Available)) | Primary |
| Provider Name | Chad A Kraske |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225024078 PECOS PAC ID: 2860305315 Enrollment ID: I20040212000012 |
| Provider Name | John A Prevedel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1831185776 PECOS PAC ID: 8123913225 Enrollment ID: I20040219000071 |
| Provider Name | Stephen T Crowley |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194711994 PECOS PAC ID: 8628981628 Enrollment ID: I20040413000453 |
| Provider Name | Charles E Fuenzalida |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1730175688 PECOS PAC ID: 8921911900 Enrollment ID: I20040413000763 |
| Provider Name | Barry L Molk |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639167463 PECOS PAC ID: 7012820004 Enrollment ID: I20040413001573 |
| Provider Name | Nelson A Prager |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1952397895 PECOS PAC ID: 7113830100 Enrollment ID: I20040413001716 |
| Provider Name | Linda M Scheurer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871522607 PECOS PAC ID: 8527054204 Enrollment ID: I20040421000005 |
| Provider Name | Andrew I Cohen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750377545 PECOS PAC ID: 0446163430 Enrollment ID: I20040524000671 |
| Provider Name | Dilsher M Nawaz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154310779 PECOS PAC ID: 7517944762 Enrollment ID: I20040712000290 |
| Provider Name | Jose P Pacheco |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417945759 PECOS PAC ID: 7810924271 Enrollment ID: I20050718001047 |
| Provider Name | Richard J Flanigan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1912973009 PECOS PAC ID: 7012015845 Enrollment ID: I20070601000439 |
| Provider Name | Jonathan Adam Sherman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871695122 PECOS PAC ID: 7517067549 Enrollment ID: I20070705000320 |
| Provider Name | Orhan Ali Sancaktar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891971388 PECOS PAC ID: 7517141591 Enrollment ID: I20110712000695 |
| Provider Name | Adria K Trentzsch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467705616 PECOS PAC ID: 2860639572 Enrollment ID: I20130516000083 |
| Provider Name | Sam T Rougas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649416843 PECOS PAC ID: 2466599485 Enrollment ID: I20130824000231 |
| Provider Name | Benjamin K Yang |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548429228 PECOS PAC ID: 1355575200 Enrollment ID: I20131008000301 |
| Provider Name | Miriam Halazon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568878023 PECOS PAC ID: 1254552110 Enrollment ID: I20141020000436 |
| Provider Name | Edward S Morrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922353200 PECOS PAC ID: 0345487724 Enrollment ID: I20150204001529 |
| Provider Name | Ryan J Maybrook |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780856120 PECOS PAC ID: 3274844907 Enrollment ID: I20150622001027 |
| Provider Name | Sundeep Viswanathan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790947166 PECOS PAC ID: 8426235847 Enrollment ID: I20150630001324 |
| Provider Name | Jerrell W Herod |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982870481 PECOS PAC ID: 7315123999 Enrollment ID: I20150714002130 |
| Provider Name | Raef H Hajjali |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1184624066 PECOS PAC ID: 8325938145 Enrollment ID: I20160801000779 |
| Provider Name | Amy J Barley |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1669465894 PECOS PAC ID: 7416986880 Enrollment ID: I20160823002028 |
| Provider Name | Reynaria N Pitts |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750523718 PECOS PAC ID: 5193981751 Enrollment ID: I20160929002584 |
| Provider Name | Holly G Kurtz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972930535 PECOS PAC ID: 6800161795 Enrollment ID: I20171003004750 |
| Provider Name | Ann Pereira |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285144758 PECOS PAC ID: 6507122389 Enrollment ID: I20171110001388 |
| Provider Name | Jason C Huang |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023332517 PECOS PAC ID: 4587968706 Enrollment ID: I20181010002770 |
| Provider Name | Chirag A Chauhan |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1437313376 PECOS PAC ID: 5698047835 Enrollment ID: I20181024001176 |
| Provider Name | Carol Wente Snider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104479674 PECOS PAC ID: 9032547898 Enrollment ID: I20200310002498 |
| Provider Name | Jody L Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558639294 PECOS PAC ID: 5597923136 Enrollment ID: I20210430001064 |
| Provider Name | Christopher Paul Porterfield |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1689792327 PECOS PAC ID: 8224173067 Enrollment ID: I20210507000847 |
| Provider Name | Audrey Hengen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699348904 PECOS PAC ID: 4587060744 Enrollment ID: I20210914000564 |
| Provider Name | Alexa Danielle Ritz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447867940 PECOS PAC ID: 7719384536 Enrollment ID: I20210921003929 |
| Provider Name | Jennifer Bishop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992175723 PECOS PAC ID: 8123338092 Enrollment ID: I20210928001572 |
| Provider Name | Lauren Buchholz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902314503 PECOS PAC ID: 9638405152 Enrollment ID: I20211006003322 |
| Provider Name | Lauren Tartal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619254745 PECOS PAC ID: 3274700414 Enrollment ID: I20211214002905 |
| Provider Name | Eric Hemminger |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104027085 PECOS PAC ID: 3678659992 Enrollment ID: I20220426000777 |
| Provider Name | Arunpreet Kahlon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437582202 PECOS PAC ID: 8022351519 Enrollment ID: I20220627000011 |
| Provider Name | Jeffrey Park |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1124445184 PECOS PAC ID: 4486958279 Enrollment ID: I20220801002757 |
| Provider Name | Diane E Weibeler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841769445 PECOS PAC ID: 3678811528 Enrollment ID: I20220913003147 |
| Provider Name | Travis Tagami |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790190189 PECOS PAC ID: 7618192642 Enrollment ID: I20221014000611 |
| Provider Name | Mary R Mauck |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1326465998 PECOS PAC ID: 7719100189 Enrollment ID: I20230518002748 |
| Provider Name | Sridhar Sampath-kumar |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1124065495 PECOS PAC ID: 1951313824 Enrollment ID: I20231215001762 |
| Provider Name | Mijoo Cho Lemaster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326714338 PECOS PAC ID: 6709227051 Enrollment ID: I20240516004273 |
| Provider Name | Nicole Restko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225525793 PECOS PAC ID: 9537424460 Enrollment ID: I20240805002602 |
| Provider Name | Shawn Alan Greenfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245077544 PECOS PAC ID: 9830630870 Enrollment ID: I20240918001935 |
| Provider Name | Akhil Rasim Reddy |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1447644075 PECOS PAC ID: 2264725175 Enrollment ID: I20240924004299 |
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