| Montrose Memorial Hospital, Inc | |
|
800 S 3rd St Montrose CO 81401-4212 | |
| (970) 240-2211 | |
| (970) 240-7723 |
| Full Name | Montrose Memorial Hospital, Inc |
|---|---|
| Speciality | Emergency Medicine |
| Location | 800 S 3rd St, Montrose, Colorado |
| Authorized Official Name and Position | Megan Beaver (ANALYST) |
| Authorized Official Contact | 9702522691 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Montrose Memorial Hospital, Inc 800 S 3rd St Montrose CO 81401-4212 Ph: (970) 240-2211 | Montrose Memorial Hospital, Inc 800 S 3rd St Montrose CO 81401-4212 Ph: (970) 240-2211 |
| NPI Number | 1528083771 |
|---|---|
| Provider Enumeration Date | 07/12/2006 |
| Last Update Date | 06/14/2024 |
| Medicare PECOS PAC ID | 1658272992 |
|---|---|
| Medicare Enrollment ID | O20040119000579 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528083771 | NPI | - | NPPES |
| MOD2004 | Other | ANTHEM BLUE CROSS BLUE SH | |
| 04808044 | Medicaid | CO |
| Provider Name | Steven Mitchell Bernstein |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164453585 PECOS PAC ID: 3577456540 Enrollment ID: I20040204000250 |
| Provider Name | Gregory D Ross |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720074677 PECOS PAC ID: 2365337482 Enrollment ID: I20040219000057 |
| Provider Name | Philip Levon Simonian |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1992773063 PECOS PAC ID: 4284620360 Enrollment ID: I20040423000236 |
| Provider Name | Sue E Hanson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1558473082 PECOS PAC ID: 0143218578 Enrollment ID: I20040504001460 |
| Provider Name | Andrew Yeowell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841210630 PECOS PAC ID: 1456325570 Enrollment ID: I20040824001183 |
| Provider Name | Patrick A Brighton |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1124050885 PECOS PAC ID: 7315922531 Enrollment ID: I20041204000137 |
| Provider Name | Richard G Hanley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962446401 PECOS PAC ID: 9830088129 Enrollment ID: I20060117000675 |
| Provider Name | Margaret M Benasutti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154399897 PECOS PAC ID: 9638189319 Enrollment ID: I20060425000629 |
| Provider Name | Omar A Mubarak |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1740222322 PECOS PAC ID: 9638173487 Enrollment ID: I20060908000307 |
| Provider Name | Jimmy Gilbert |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1629040936 PECOS PAC ID: 7719944883 Enrollment ID: I20080609000742 |
| Provider Name | Bryce H Lokey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811034184 PECOS PAC ID: 9931268174 Enrollment ID: I20081103000753 |
| Provider Name | Matthew Kingston Cotham |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790715456 PECOS PAC ID: 6608873252 Enrollment ID: I20090320000510 |
| Provider Name | Rhonda L Parker |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1104081439 PECOS PAC ID: 0345396529 Enrollment ID: I20090914000648 |
| Provider Name | Michael V Brezinsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245233378 PECOS PAC ID: 6800837097 Enrollment ID: I20091214000096 |
| Provider Name | John C Lambert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407859549 PECOS PAC ID: 8729029913 Enrollment ID: I20100111000802 |
| Provider Name | Julie A Scott |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376576710 PECOS PAC ID: 7618971334 Enrollment ID: I20100629000018 |
| Provider Name | Paolo Romero |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1962409235 PECOS PAC ID: 6800928847 Enrollment ID: I20100709000654 |
| Provider Name | Justin J Tanner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245436658 PECOS PAC ID: 8921130097 Enrollment ID: I20100726000323 |
| Provider Name | Sterling Walker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366450017 PECOS PAC ID: 3375675440 Enrollment ID: I20100726000337 |
| Provider Name | Douglas A Borgo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063420727 PECOS PAC ID: 4183757073 Enrollment ID: I20100728001225 |
| Provider Name | Stephen K Muckleroy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376670349 PECOS PAC ID: 2668506544 Enrollment ID: I20100813000554 |
| Provider Name | James N Gilham |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740258185 PECOS PAC ID: 6103819875 Enrollment ID: I20101213000733 |
| Provider Name | Debra Chapman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558392928 PECOS PAC ID: 7911956792 Enrollment ID: I20110106000049 |
| Provider Name | Teresa C Harper |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164488045 PECOS PAC ID: 2466458872 Enrollment ID: I20110909002816 |
| Provider Name | Jillian M Ciocchetti |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184899023 PECOS PAC ID: 6204009137 Enrollment ID: I20111109000377 |
| Provider Name | Joyce Fu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598889099 PECOS PAC ID: 8123129798 Enrollment ID: I20120914000090 |
| Provider Name | Kerstin May |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790911709 PECOS PAC ID: 7113103797 Enrollment ID: I20121003000428 |
| Provider Name | Sarah Elizabeth Judkins |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699821363 PECOS PAC ID: 6305096785 Enrollment ID: I20121024000093 |
| Provider Name | Stefan Chimoskey |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1023102498 PECOS PAC ID: 1658412648 Enrollment ID: I20140106000240 |
| Provider Name | Charles Wilkins |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225091937 PECOS PAC ID: 0547172835 Enrollment ID: I20140228001535 |
| Provider Name | David S Lee |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1457397028 PECOS PAC ID: 4688608607 Enrollment ID: I20140512000176 |
| Provider Name | Daniel Carl Windels |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396061925 PECOS PAC ID: 3577712330 Enrollment ID: I20140815001115 |
| Provider Name | Alexis Nicole Garza |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053699637 PECOS PAC ID: 8921230996 Enrollment ID: I20141009002496 |
| Provider Name | Robert Christopher Harmon |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1669684643 PECOS PAC ID: 8527236009 Enrollment ID: I20150302000266 |
| Provider Name | Michelle A Mullins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497159834 PECOS PAC ID: 2365768116 Enrollment ID: I20150313000960 |
| Provider Name | Steven Patrick Emmons |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1255397782 PECOS PAC ID: 3274426598 Enrollment ID: I20150814013065 |
| Provider Name | Avery Mackenzie |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942563432 PECOS PAC ID: 0840507034 Enrollment ID: I20150921002445 |
| Provider Name | Brandon Tyler Roy-garland |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1235454497 PECOS PAC ID: 1759361702 Enrollment ID: I20151029001232 |
| Provider Name | Jon Sherman |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1366443053 PECOS PAC ID: 2365423290 Enrollment ID: I20151112001285 |
| Provider Name | Judith A Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790747376 PECOS PAC ID: 4183927403 Enrollment ID: I20160120002421 |
| Provider Name | Lisa Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730529520 PECOS PAC ID: 5597032284 Enrollment ID: I20170531001243 |
| Provider Name | Rachael Marie Randall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881039857 PECOS PAC ID: 1850670282 Enrollment ID: I20170626000188 |
| Provider Name | Adam Sheperdigian |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578977237 PECOS PAC ID: 0345562062 Enrollment ID: I20171116002541 |
| Provider Name | Kathryn Majors Foley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831518158 PECOS PAC ID: 1658627187 Enrollment ID: I20180712003236 |
| Provider Name | Stephanie Rhiannon Killeen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417211004 PECOS PAC ID: 7315229960 Enrollment ID: I20180918003784 |
| Provider Name | Michael L Mccann |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528167996 PECOS PAC ID: 4385641083 Enrollment ID: I20190211002987 |
| Provider Name | Ryan C Wisler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922495001 PECOS PAC ID: 4880991744 Enrollment ID: I20190530000853 |
| Provider Name | Sheena Marie Wisler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437545803 PECOS PAC ID: 0345534624 Enrollment ID: I20190531000667 |
| Provider Name | Ann E Treisman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093243982 PECOS PAC ID: 5597034157 Enrollment ID: I20190709003061 |
| Provider Name | Lee Ettinger |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1235112129 PECOS PAC ID: 5193866333 Enrollment ID: I20190817000393 |
| Provider Name | Amanda Jean Johnson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013233105 PECOS PAC ID: 4789806928 Enrollment ID: I20190912003416 |
| Provider Name | Jennifer A Braverman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043577158 PECOS PAC ID: 4284930124 Enrollment ID: I20191007000282 |
| Provider Name | Samer Shuaib |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1720294440 PECOS PAC ID: 3971785965 Enrollment ID: I20191205002510 |
| Provider Name | Patricia D Copley |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1619912979 PECOS PAC ID: 5294768206 Enrollment ID: I20200414000395 |
| Provider Name | Erin R Lindsay |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831552975 PECOS PAC ID: 8123459864 Enrollment ID: I20200512002889 |
| Provider Name | Thomas A Clagett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053846113 PECOS PAC ID: 3375974827 Enrollment ID: I20200515002439 |
| Provider Name | John Joseph Frank |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003019563 PECOS PAC ID: 4688707060 Enrollment ID: I20200603003336 |
| Provider Name | Wojciech Nowak |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1205019650 PECOS PAC ID: 7113107202 Enrollment ID: I20200618002886 |
| Provider Name | Ross Orpet |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699208710 PECOS PAC ID: 7517382567 Enrollment ID: I20200807000610 |
| Provider Name | Andrew M Hersh |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1285924480 PECOS PAC ID: 6901120286 Enrollment ID: I20210104002333 |
| Provider Name | Che S Pimentel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285235952 PECOS PAC ID: 1951715606 Enrollment ID: I20210121000047 |
| Provider Name | Kimberly Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104248913 PECOS PAC ID: 4789809328 Enrollment ID: I20210507000376 |
| Provider Name | Michael J. Paolucci |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639179500 PECOS PAC ID: 6406946003 Enrollment ID: I20210526001772 |
| Provider Name | Alexander D Leung |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1861855017 PECOS PAC ID: 6305138322 Enrollment ID: I20210707001749 |
| Provider Name | Claudia Marie Quenelle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518463439 PECOS PAC ID: 2264834241 Enrollment ID: I20210713003588 |
| Provider Name | Michelle Marie Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922678812 PECOS PAC ID: 2062814759 Enrollment ID: I20210719000995 |
| Provider Name | Shannon L Son |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154668598 PECOS PAC ID: 3678838943 Enrollment ID: I20210809000010 |
| Provider Name | David Chmielecki |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083097976 PECOS PAC ID: 3375876626 Enrollment ID: I20210814000372 |
| Provider Name | Kevin Mcallister |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497289516 PECOS PAC ID: 6507120870 Enrollment ID: I20210831000016 |
| Provider Name | Carl E. Jackson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831208768 PECOS PAC ID: 4082713631 Enrollment ID: I20220426000457 |
| Provider Name | Lori D Hull Grommesh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497964167 PECOS PAC ID: 7416206776 Enrollment ID: I20220512002145 |
| Provider Name | Arunpreet Kahlon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437582202 PECOS PAC ID: 8022351519 Enrollment ID: I20220627000011 |
| Provider Name | Heather E Howe |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1396990123 PECOS PAC ID: 7315179280 Enrollment ID: I20220827000319 |
| Provider Name | Bahram Salmanian |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356737027 PECOS PAC ID: 7911238423 Enrollment ID: I20220912001737 |
| Provider Name | Vijay C Kairam |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851546451 PECOS PAC ID: 2062604366 Enrollment ID: I20220929003930 |
| Provider Name | Leilah D Zahedi-spung |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912325697 PECOS PAC ID: 4587912985 Enrollment ID: I20230103002282 |
| Provider Name | Tessa Jade Thibodeaux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568071108 PECOS PAC ID: 7113347758 Enrollment ID: I20230119001898 |
| Provider Name | Samuel Lawrence Holmes |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1073815163 PECOS PAC ID: 8729407333 Enrollment ID: I20230131001754 |
| Provider Name | Jocelyn Ramirez |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1588857957 PECOS PAC ID: 6608180260 Enrollment ID: I20230206002574 |
| Provider Name | Augustine J Lee |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1942249438 PECOS PAC ID: 9335112176 Enrollment ID: I20230220000771 |
| Provider Name | James D'antonio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205055407 PECOS PAC ID: 2163575036 Enrollment ID: I20230516002241 |
| Provider Name | Kelly Stewart |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700347846 PECOS PAC ID: 9234596602 Enrollment ID: I20230531002066 |
| Provider Name | Addison R Wood |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053843995 PECOS PAC ID: 4688031651 Enrollment ID: I20230606003373 |
| Provider Name | Kaitlyn Biernacki |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588229603 PECOS PAC ID: 6901264910 Enrollment ID: I20230623001787 |
| Provider Name | Christine Zirafi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154361970 PECOS PAC ID: 2062496649 Enrollment ID: I20230725004242 |
| Provider Name | Miriam Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871104703 PECOS PAC ID: 9638560170 Enrollment ID: I20231011004051 |
| Provider Name | Amber Mulally |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417341355 PECOS PAC ID: 8527370758 Enrollment ID: I20231116000107 |
| Provider Name | Monica Rae Filippone |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1467224220 PECOS PAC ID: 6204284938 Enrollment ID: I20231118000446 |
| Provider Name | Tiffany Kelley Morford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902685522 PECOS PAC ID: 7214385525 Enrollment ID: I20231128000565 |
| Provider Name | Donald W Hill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467450841 PECOS PAC ID: 0749174720 Enrollment ID: I20231213002972 |
| Provider Name | Christopher Jordan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679523625 PECOS PAC ID: 4587694443 Enrollment ID: I20240104001200 |
| Provider Name | Marietta Estelle King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790550804 PECOS PAC ID: 9830540756 Enrollment ID: I20240104003199 |
| Provider Name | Mojgan Arashvand |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487669859 PECOS PAC ID: 9436154234 Enrollment ID: I20240105001279 |
| Provider Name | Erin Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841499373 PECOS PAC ID: 2769536846 Enrollment ID: I20240325003789 |
| Provider Name | Lawrence Tiglao |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073837662 PECOS PAC ID: 1254559735 Enrollment ID: I20240409000349 |
| Provider Name | Gregory M Doctor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306474754 PECOS PAC ID: 6103242128 Enrollment ID: I20240418002331 |
| Provider Name | Laura Berg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457685307 PECOS PAC ID: 7416103775 Enrollment ID: I20240423002832 |
| Provider Name | William Summers |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1891255899 PECOS PAC ID: 1052641784 Enrollment ID: I20240606004215 |
| Provider Name | Jeffrey Orear |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780876649 PECOS PAC ID: 7810152410 Enrollment ID: I20240919003360 |
| Provider Name | Justin Lohmeier |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720006489 PECOS PAC ID: 2062423916 Enrollment ID: I20240920000440 |
| Provider Name | Jaspreet Batra |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134382237 PECOS PAC ID: 8729335757 Enrollment ID: I20240920000787 |
| Provider Name | Glen Awen Pu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720069834 PECOS PAC ID: 8820992316 Enrollment ID: I20241001004589 |
| Provider Name | Jean Kuriakose |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902030174 PECOS PAC ID: 8123179454 Enrollment ID: I20241002003426 |
| Provider Name | Benjamin Roose |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609286509 PECOS PAC ID: 6800012253 Enrollment ID: I20241014001352 |
| Provider Name | Mark Stampehl |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891916219 PECOS PAC ID: 4385729524 Enrollment ID: I20241023004183 |
| Provider Name | Charles Hennemeyer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548209539 PECOS PAC ID: 7012927700 Enrollment ID: I20241025003103 |
| Provider Name | Amy Kirby |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588616783 PECOS PAC ID: 0648276626 Enrollment ID: I20241029003971 |
| Provider Name | Yariv Cohen |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1154396034 PECOS PAC ID: 9335130178 Enrollment ID: I20241108000658 |
| Provider Name | Justin Woodson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720058951 PECOS PAC ID: 2466897392 Enrollment ID: I20241126000266 |
| Provider Name | Akshat Paliwal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639465032 PECOS PAC ID: 6507157880 Enrollment ID: I20250102002308 |
| Provider Name | Ravi Sharma |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992090450 PECOS PAC ID: 1850606674 Enrollment ID: I20250116003817 |
| Provider Name | Lance Lassiter |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1639120793 PECOS PAC ID: 5193775278 Enrollment ID: I20250130000529 |
| Provider Name | Ryan Hagens |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1073008991 PECOS PAC ID: 3577810431 Enrollment ID: I20250131000826 |
| Provider Name | Rachel Baylor |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1336957588 PECOS PAC ID: 2860921053 Enrollment ID: I20250203001780 |
| Provider Name | Amr Salem |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1841688082 PECOS PAC ID: 0345535266 Enrollment ID: I20250221002801 |
| Provider Name | Marie Abbinante |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295118610 PECOS PAC ID: 6608181375 Enrollment ID: I20250227002052 |
| Provider Name | Victoria Oliva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801406194 PECOS PAC ID: 2264815745 Enrollment ID: I20250311000839 |
| Provider Name | Rasheed Abiola |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1659669075 PECOS PAC ID: 8123251675 Enrollment ID: I20250328002263 |
| Provider Name | Jeana Smith |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1891169751 PECOS PAC ID: 5193242519 Enrollment ID: I20250509000050 |
| Provider Name | Jessica Hellyer |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1235557398 PECOS PAC ID: 0648693317 Enrollment ID: I20250512000523 |
| Provider Name | Vikram Mayuran |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568879773 PECOS PAC ID: 3375878366 Enrollment ID: I20250515000332 |
Cedar Point Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 836 S Townsend Ave Ste A, Montrose, CO 81401 Phone: 970-615-9120 Fax: 970-240-1139 | |
Mindy Miller Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 S Park Ave, Montrose, CO 81401 Phone: 970-240-8199 Fax: 970-249-9186 | |
Compass Medical Center Montrose Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 309 S Cascade Ave, Montrose, CO 81401 Phone: 970-985-4506 Fax: 970-628-9965 | |
Jeffrey J Krebs, Do, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Hillcrest Plaza Way, Montrose, CO 81401 Phone: 970-249-9678 Fax: 970-249-1868 | |
Cedar Point Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 816 S 5th St, Montrose, CO 81401 Phone: 970-249-7751 Fax: 970-541-9806 | |
Mountain West Family Practice Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 222 S Nevada Ave, Montrose, CO 81401 Phone: 970-240-4606 Fax: 970-240-4665 | |
Montrose Wellness Center Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 224 S Nevada Ave, Montrose, CO 81401 Phone: 970-252-9644 Fax: 970-252-9646 |