| St Anthony Hospital Senior Health Center | |
|
11700 W 2nd Pl Plaza Ii Ste 450 Lakewood CO 80228-1704 | |
| (303) 825-1234 | |
| (303) 321-8121 |
| Full Name | St Anthony Hospital Senior Health Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 11700 W 2nd Pl, Lakewood, Colorado |
| Authorized Official Name and Position | Thomas Cain (PRESIDENT) |
| Authorized Official Contact | 3038251234 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St Anthony Hospital Senior Health Center Po Box 800022 Kansas City MO 64180-0022 Ph: (303) 643-1099 | St Anthony Hospital Senior Health Center 11700 W 2nd Pl Plaza Ii Ste 450 Lakewood CO 80228-1704 Ph: (303) 825-1234 |
| NPI Number | 1952350100 |
|---|---|
| Provider Enumeration Date | 05/07/2006 |
| Last Update Date | 09/10/2021 |
| Medicare PECOS PAC ID | 7214827492 |
|---|---|
| Medicare Enrollment ID | O20040319000609 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952350100 | NPI | - | NPPES |
| CU0562 | Other | CO | MEDICARE RAILROAD |
| 04005070 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (Colorado) | Primary |
| Provider Name | Jane Soon Mee Kim |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1912970682 PECOS PAC ID: 7517853070 Enrollment ID: I20040223001181 |
| Provider Name | Janna D Ver Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841229838 PECOS PAC ID: 4082627526 Enrollment ID: I20060728000194 |
| Provider Name | Donna R Ellsworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790705549 PECOS PAC ID: 3476527581 Enrollment ID: I20061212000614 |
| Provider Name | Elena L Chertkova |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356445605 PECOS PAC ID: 4981760568 Enrollment ID: I20090305000644 |
| Provider Name | Luis F Amador |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083773964 PECOS PAC ID: 8224195136 Enrollment ID: I20090320000242 |
| Provider Name | Erika Mantayna Altneu |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1194871772 PECOS PAC ID: 6901920628 Enrollment ID: I20100902000424 |
| Provider Name | Kerry E Moore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942272224 PECOS PAC ID: 2668668674 Enrollment ID: I20101201001248 |
| Provider Name | Nancy Irene Brooker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982704441 PECOS PAC ID: 5395760102 Enrollment ID: I20120124000844 |
| Provider Name | Tricia L Vath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104102003 PECOS PAC ID: 7719144641 Enrollment ID: I20120206000283 |
| Provider Name | Thomas D Cain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679596605 PECOS PAC ID: 6002707304 Enrollment ID: I20120328000710 |
| Provider Name | Mitchel Rossman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801999131 PECOS PAC ID: 4587555875 Enrollment ID: I20120406000161 |
| Provider Name | James Martau |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053335166 PECOS PAC ID: 5799946604 Enrollment ID: I20120419000311 |
| Provider Name | Melissa J Ginsburg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972919421 PECOS PAC ID: 6709101918 Enrollment ID: I20160713001263 |
| Provider Name | Emily J Burgess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154788248 PECOS PAC ID: 2163702721 Enrollment ID: I20161219000072 |
| Provider Name | Laura Allison Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417498213 PECOS PAC ID: 5092091082 Enrollment ID: I20170405000946 |
| Provider Name | Kelsey Raber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457861312 PECOS PAC ID: 5799042230 Enrollment ID: I20171208000090 |
| Provider Name | Katherine Elizabeth Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316455389 PECOS PAC ID: 2567722895 Enrollment ID: I20180207000609 |
| Provider Name | Megan P Burke |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1265774210 PECOS PAC ID: 7517103617 Enrollment ID: I20180726002801 |
| Provider Name | Sinny Wang |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1700129384 PECOS PAC ID: 1153699681 Enrollment ID: I20181031001503 |
| Provider Name | Chelsea Ann Springer |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1306226550 PECOS PAC ID: 7214264662 Enrollment ID: I20190808001519 |
| Provider Name | Kasey Cambero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942702253 PECOS PAC ID: 5890041149 Enrollment ID: I20190905003166 |
| Provider Name | Jonathan Bernt Peterson |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1659450005 PECOS PAC ID: 4688979586 Enrollment ID: I20191203001267 |
| Provider Name | Mary E James |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1750600664 PECOS PAC ID: 9830310564 Enrollment ID: I20220415001129 |
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