| Internal Medicine Center | |
|
8210 Southpark Ter Littleton CO 80120-5614 | |
| (303) 345-8291 | |
| (720) 914-1010 |
| Full Name | Internal Medicine Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 8210 Southpark Ter, Littleton, Colorado |
| Authorized Official Name and Position | Joshua Portnoy (OWNER) |
| Authorized Official Contact | 3033458291 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Center 9301 Poundstone Pl Greenwood Village CO 80111-3410 Ph: (303) 345-8291 | Internal Medicine Center 8210 Southpark Ter Littleton CO 80120-5614 Ph: (303) 345-8291 |
| NPI Number | 1407206725 |
|---|---|
| Provider Enumeration Date | 06/17/2016 |
| Last Update Date | 01/31/2025 |
| Medicare PECOS PAC ID | 5890089213 |
|---|---|
| Medicare Enrollment ID | O20160809000079 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407206725 | NPI | - | NPPES |
| 69412529 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Colorado) | Primary |
| Provider Name | Joshua Portnoy |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1952362154 PECOS PAC ID: 9931183936 Enrollment ID: I20040616001351 |
| Provider Name | Kelly E Greene |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1790857340 PECOS PAC ID: 5890743124 Enrollment ID: I20050104000436 |
| Provider Name | Kristen M Whitted |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336170117 PECOS PAC ID: 0244235315 Enrollment ID: I20060922000496 |
| Provider Name | Erin E Riggle |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1003004771 PECOS PAC ID: 7911046602 Enrollment ID: I20091210000085 |
| Provider Name | Barbara K Chesnutt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982877767 PECOS PAC ID: 0840328209 Enrollment ID: I20100506000216 |
| Provider Name | Alecia G Brynda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598004780 PECOS PAC ID: 5698912434 Enrollment ID: I20130514000722 |
| Provider Name | Bree D Naibauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093132243 PECOS PAC ID: 1153546593 Enrollment ID: I20140627001038 |
| Provider Name | Nitin Kumar Gupta |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1457647646 PECOS PAC ID: 3375786874 Enrollment ID: I20170720001711 |
| Provider Name | Amy Jo Pandorf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245742824 PECOS PAC ID: 0345500500 Enrollment ID: I20190813003136 |
| Provider Name | Leah Fleming |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265174353 PECOS PAC ID: 6305223645 Enrollment ID: I20220506001212 |
| Provider Name | Kathryn Britt Logothetis |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1750745915 PECOS PAC ID: 4385937135 Enrollment ID: I20220704000511 |
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