| Mountain View Medical Group, Llc | |
|
5575 Tech Center Dr Suite 106 Colorado Springs CO 80919-2353 | |
| (719) 590-1177 | |
| Not Available |
| Full Name | Mountain View Medical Group, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 5575 Tech Center Dr, Colorado Springs, Colorado |
| Authorized Official Name and Position | Bruce Minear (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 7195901177 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain View Medical Group, Llc 5575 Tech Center Dr Suite 106 Colorado Springs CO 80919-2353 Ph: (719) 590-1177 | Mountain View Medical Group, Llc 5575 Tech Center Dr Suite 106 Colorado Springs CO 80919-2353 Ph: (719) 590-1177 |
| NPI Number | 1528510302 |
|---|---|
| Provider Enumeration Date | 10/27/2016 |
| Last Update Date | 10/27/2016 |
| Medicare PECOS PAC ID | 0345521381 |
|---|---|
| Medicare Enrollment ID | O20170105000266 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528510302 | NPI | - | NPPES |
| Provider Name | Bridget A Tewes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699744359 PECOS PAC ID: 6507856879 Enrollment ID: I20040518000047 |
| Provider Name | Terri B Weber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073565677 PECOS PAC ID: 7517942675 Enrollment ID: I20040622001303 |
| Provider Name | Stephanie D Ring |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316046907 PECOS PAC ID: 4385623446 Enrollment ID: I20040714000605 |
| Provider Name | Nicholas I Sol |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1114921731 PECOS PAC ID: 7416916960 Enrollment ID: I20041008000977 |
| Provider Name | Amy J Owen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134179856 PECOS PAC ID: 8123082401 Enrollment ID: I20041116000991 |
| Provider Name | Debbie D Urioste |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326071051 PECOS PAC ID: 0042241085 Enrollment ID: I20050830000023 |
| Provider Name | Thomas P Dlugos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821023094 PECOS PAC ID: 8729011267 Enrollment ID: I20050914001258 |
| Provider Name | Elizabeth A Trexler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831161553 PECOS PAC ID: 2365475449 Enrollment ID: I20050919000406 |
| Provider Name | Victoria Mallon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477580397 PECOS PAC ID: 6800812785 Enrollment ID: I20051020000128 |
| Provider Name | Andrew Mitchell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013962174 PECOS PAC ID: 0648291583 Enrollment ID: I20051207000806 |
| Provider Name | Patrick B Shahan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396785374 PECOS PAC ID: 4082635933 Enrollment ID: I20051207000912 |
| Provider Name | Michael A Yoesel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164462297 PECOS PAC ID: 6103847066 Enrollment ID: I20051207000964 |
| Provider Name | Warren Jaeger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669422382 PECOS PAC ID: 9638190598 Enrollment ID: I20051207000980 |
| Provider Name | Douglas P Clark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396797965 PECOS PAC ID: 8729009527 Enrollment ID: I20051208000192 |
| Provider Name | Lauren J Halby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801848759 PECOS PAC ID: 1951322718 Enrollment ID: I20051208000699 |
| Provider Name | Theodore S Lawson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457307241 PECOS PAC ID: 5294756052 Enrollment ID: I20051208000720 |
| Provider Name | Jeffrey G Snyder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891732004 PECOS PAC ID: 5496776981 Enrollment ID: I20051213000080 |
| Provider Name | Anthony Volz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801822838 PECOS PAC ID: 5395753453 Enrollment ID: I20060330000692 |
| Provider Name | Bret A Kort |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801846514 PECOS PAC ID: 0749293215 Enrollment ID: I20060731000019 |
| Provider Name | Lisa M Keith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194776013 PECOS PAC ID: 5092628636 Enrollment ID: I20061016000094 |
| Provider Name | Margaret E Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427158617 PECOS PAC ID: 8022014943 Enrollment ID: I20061016000446 |
| Provider Name | Nipa S Yochim |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649341140 PECOS PAC ID: 3173626694 Enrollment ID: I20070321000116 |
| Provider Name | Jacqueline A Skaggs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285689760 PECOS PAC ID: 3072566348 Enrollment ID: I20080304000722 |
| Provider Name | Derrick G Hurst |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285776930 PECOS PAC ID: 0749350114 Enrollment ID: I20080528000726 |
| Provider Name | Tamara L Willis-buckley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669413126 PECOS PAC ID: 6406840636 Enrollment ID: I20080721000766 |
| Provider Name | Caroline Rowlands |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003961459 PECOS PAC ID: 2163596305 Enrollment ID: I20080805000863 |
| Provider Name | Dallas Thompson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447259767 PECOS PAC ID: 4082789920 Enrollment ID: I20080812000658 |
| Provider Name | Dawn Roberts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972645646 PECOS PAC ID: 5799841755 Enrollment ID: I20090227000247 |
| Provider Name | Robert T Underhill |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609816693 PECOS PAC ID: 2860527579 Enrollment ID: I20100319000754 |
| Provider Name | John C Kim |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548310584 PECOS PAC ID: 8729041538 Enrollment ID: I20100513001035 |
| Provider Name | Alan G Garscadden |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629044367 PECOS PAC ID: 2769516590 Enrollment ID: I20100816001080 |
| Provider Name | Charles Burke |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669461695 PECOS PAC ID: 1254456452 Enrollment ID: I20100910001021 |
| Provider Name | Tracy V Cerniglia |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942270806 PECOS PAC ID: 3173718681 Enrollment ID: I20101110000573 |
| Provider Name | Kenneth A Richeaux |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033282496 PECOS PAC ID: 6608065941 Enrollment ID: I20110118000855 |
| Provider Name | David C Koukol |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396714218 PECOS PAC ID: 3870602451 Enrollment ID: I20110124000828 |
| Provider Name | Lorraine D Lalonde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255377677 PECOS PAC ID: 1052308962 Enrollment ID: I20110203000773 |
| Provider Name | James J Steigerwald |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447259452 PECOS PAC ID: 9638250996 Enrollment ID: I20110315000633 |
| Provider Name | Courtney L Meyer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679892699 PECOS PAC ID: 2163608639 Enrollment ID: I20110517000846 |
| Provider Name | Roy G Bergstrom |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174506422 PECOS PAC ID: 2365591328 Enrollment ID: I20120502000264 |
| Provider Name | Tyler Richard Pearce |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255537031 PECOS PAC ID: 7719142546 Enrollment ID: I20120629000234 |
| Provider Name | Laura Carson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558522516 PECOS PAC ID: 6204082977 Enrollment ID: I20120813000118 |
| Provider Name | Nicole A Mckinney |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114073889 PECOS PAC ID: 9537316997 Enrollment ID: I20120821000258 |
| Provider Name | David A Hoover |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689628521 PECOS PAC ID: 1658268982 Enrollment ID: I20130318000027 |
| Provider Name | Rachael Degurse |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114239290 PECOS PAC ID: 5395989263 Enrollment ID: I20130913000728 |
| Provider Name | Lauren E Puretz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184852485 PECOS PAC ID: 9032346937 Enrollment ID: I20131223000675 |
| Provider Name | Kori L Schulte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457452567 PECOS PAC ID: 1658379938 Enrollment ID: I20140117000990 |
| Provider Name | Jennifer A Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538596895 PECOS PAC ID: 0840420550 Enrollment ID: I20140225001196 |
| Provider Name | Samantha M Minneman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386933133 PECOS PAC ID: 0840416228 Enrollment ID: I20140721000744 |
| Provider Name | Caroline A Hedges |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528389368 PECOS PAC ID: 6901020460 Enrollment ID: I20140829000583 |
| Provider Name | Laura J Fitts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568887248 PECOS PAC ID: 8426276619 Enrollment ID: I20140829002163 |
| Provider Name | Michelle Marie Klismith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437231990 PECOS PAC ID: 7911194774 Enrollment ID: I20140916001775 |
| Provider Name | Patrice M Thibodeau |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902992308 PECOS PAC ID: 5799724399 Enrollment ID: I20141209001274 |
| Provider Name | Donna M Friedline |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063822419 PECOS PAC ID: 0345553525 Enrollment ID: I20150716002114 |
| Provider Name | Michael H Carpenter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003975863 PECOS PAC ID: 8921314071 Enrollment ID: I20150903001303 |
| Provider Name | Molly Alexandra Slate |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386843191 PECOS PAC ID: 6204023799 Enrollment ID: I20150925000295 |
| Provider Name | Aimee D Johnson-wirt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457551392 PECOS PAC ID: 4385952571 Enrollment ID: I20151008001090 |
| Provider Name | Luanne Sperando |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245379262 PECOS PAC ID: 5496982373 Enrollment ID: I20160128000162 |
| Provider Name | Clarisa Hernandez Koogle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316305147 PECOS PAC ID: 5799080016 Enrollment ID: I20160224002841 |
| Provider Name | Renee G Lockey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447265509 PECOS PAC ID: 6709959372 Enrollment ID: I20160301001875 |
| Provider Name | Khrystyl A Pepi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982925988 PECOS PAC ID: 2466759360 Enrollment ID: I20160321000511 |
| Provider Name | Brooke D Geyer |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1205034741 PECOS PAC ID: 2769507060 Enrollment ID: I20160607002297 |
| Provider Name | Erin J Meyer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912340738 PECOS PAC ID: 3173811767 Enrollment ID: I20161014000472 |
| Provider Name | Lori Wertheimer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972543965 PECOS PAC ID: 6305073289 Enrollment ID: I20170302002077 |
| Provider Name | Laura Boschert |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245284579 PECOS PAC ID: 1850528738 Enrollment ID: I20170304000074 |
| Provider Name | Karen Childs |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912952631 PECOS PAC ID: 4688762214 Enrollment ID: I20170306002234 |
| Provider Name | Joshua Eberhard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073923793 PECOS PAC ID: 5193093326 Enrollment ID: I20170613000242 |
| Provider Name | Kelly A Price |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417012261 PECOS PAC ID: 6204096407 Enrollment ID: I20180316000754 |
| Provider Name | Austin M Vandeberg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053793836 PECOS PAC ID: 1759696735 Enrollment ID: I20180810000058 |
| Provider Name | Erik J Arhelger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821291162 PECOS PAC ID: 8426115817 Enrollment ID: I20181029000638 |
| Provider Name | Sopheany K Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043280845 PECOS PAC ID: 0345585113 Enrollment ID: I20181226000030 |
| Provider Name | Debra Jean Davis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538246152 PECOS PAC ID: 6901839927 Enrollment ID: I20190218001478 |
| Provider Name | Sara M Robison |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427441229 PECOS PAC ID: 5294069092 Enrollment ID: I20190627003272 |
| Provider Name | Matthew E Moore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215233440 PECOS PAC ID: 9032456108 Enrollment ID: I20190805003148 |
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