| Rocky Mountain Primary Care , Pc | |
|
7625 W 92nd Ave Westminster CO 80021-4567 | |
| (303) 252-7790 | |
| (303) 650-2287 |
| Full Name | Rocky Mountain Primary Care , Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 7625 W 92nd Ave, Westminster, Colorado |
| Authorized Official Name and Position | Robin Campbell (ADMINISTRATOR) |
| Authorized Official Contact | 2562829568 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rocky Mountain Primary Care , Pc 7625 W 92nd Ave Westminster CO 80021-4567 Ph: (303) 252-7790 | Rocky Mountain Primary Care , Pc 7625 W 92nd Ave Westminster CO 80021-4567 Ph: (303) 252-7790 |
| NPI Number | 1215981634 |
|---|---|
| Provider Enumeration Date | 05/20/2006 |
| Last Update Date | 12/11/2024 |
| Medicare PECOS PAC ID | 3779471677 |
|---|---|
| Medicare Enrollment ID | O20040310000669 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215981634 | NPI | - | NPPES |
| RO103008 | Other | CO | GROUP ANTHEM BCBS |
| 1215981634 | Other | CO | GROUP NPI # |
| 04020541 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Martha Muka Ives |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942289806 PECOS PAC ID: 5597750299 Enrollment ID: I20040420000577 |
| Provider Name | Mark Donald Engelstad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619914447 PECOS PAC ID: 2062460595 Enrollment ID: I20050113000780 |
| Provider Name | Aimee Sue Nelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023097896 PECOS PAC ID: 4082663042 Enrollment ID: I20050117000261 |
| Provider Name | Brian K Wegner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649259508 PECOS PAC ID: 4082641873 Enrollment ID: I20050723000037 |
| Provider Name | Kimberly K Bezdek Benage |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629184429 PECOS PAC ID: 9537175575 Enrollment ID: I20061120000570 |
| Provider Name | Tiffany L Ancheril |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417006768 PECOS PAC ID: 3971601634 Enrollment ID: I20070605000167 |
| Provider Name | Karen L Burnett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639254386 PECOS PAC ID: 3476588328 Enrollment ID: I20071010000825 |
| Provider Name | Dora H Hilty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194797431 PECOS PAC ID: 5294929154 Enrollment ID: I20101104000605 |
| Provider Name | Carlos G Vela Brol |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861710956 PECOS PAC ID: 6800076647 Enrollment ID: I20110210000558 |
| Provider Name | Scott D Kaiser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093799215 PECOS PAC ID: 1658353685 Enrollment ID: I20110825000735 |
| Provider Name | Dominique Jeanne Walker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427352947 PECOS PAC ID: 0547417545 Enrollment ID: I20120827000602 |
| Provider Name | Adam Slack |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275701484 PECOS PAC ID: 8426279621 Enrollment ID: I20141030002307 |
| Provider Name | Catherine R O Day |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649486218 PECOS PAC ID: 1658593785 Enrollment ID: I20141118001557 |
| Provider Name | Peter Lowell Hansen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447272646 PECOS PAC ID: 7315269487 Enrollment ID: I20141126000662 |
| Provider Name | Morgan L Campbell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497011431 PECOS PAC ID: 1456509603 Enrollment ID: I20150928000977 |
| Provider Name | Christy Tran Kleinke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205017720 PECOS PAC ID: 7012205230 Enrollment ID: I20161004000682 |
| Provider Name | Aaron M Shupp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194164806 PECOS PAC ID: 5496049587 Enrollment ID: I20170502000781 |
| Provider Name | Julie Sefcik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558772624 PECOS PAC ID: 9234455742 Enrollment ID: I20170728000774 |
| Provider Name | Julie M Greenwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104314442 PECOS PAC ID: 9638422611 Enrollment ID: I20181020000388 |
| Provider Name | William Covell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336222017 PECOS PAC ID: 8325934086 Enrollment ID: I20210210000087 |
| Provider Name | Colleen Elizabeth Diferdinando |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558946533 PECOS PAC ID: 0749697563 Enrollment ID: I20210323002020 |
| Provider Name | Madalyn Cecile Kovarik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619325578 PECOS PAC ID: 9032447776 Enrollment ID: I20220505001673 |
| Provider Name | Joann O Rivera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871556266 PECOS PAC ID: 6305913757 Enrollment ID: I20220803003822 |
| Provider Name | Catherine Ann Pheasant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043471865 PECOS PAC ID: 7416323936 Enrollment ID: I20221024002629 |
| Provider Name | Bryan Thomas Gayne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023541992 PECOS PAC ID: 2668890914 Enrollment ID: I20230307003327 |
| Provider Name | Jessica Maria Frederick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538879671 PECOS PAC ID: 3971968777 Enrollment ID: I20230501001860 |
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