| Wisdom Health Pc | |
|
350 Ponca Pl Suite 250 Boulder CO 80303-3828 | |
| (303) 938-1110 | |
| Not Available |
| Full Name | Wisdom Health Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 350 Ponca Pl, Boulder, Colorado |
| Authorized Official Name and Position | Anne Giesen (PHYSICIAN) |
| Authorized Official Contact | 3039381110 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wisdom Health Pc 2950 19th St Boulder CO 80304-2720 Ph: (303) 938-1110 | Wisdom Health Pc 350 Ponca Pl Suite 250 Boulder CO 80303-3828 Ph: (303) 938-1110 |
| NPI Number | 1407187636 |
|---|---|
| Provider Enumeration Date | 01/28/2010 |
| Last Update Date | 01/28/2010 |
| Medicare PECOS PAC ID | 4284762501 |
|---|---|
| Medicare Enrollment ID | O20100506001042 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407187636 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | 40821 (Colorado) | Primary |
| Provider Name | Anne M Giesen |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1851408926 PECOS PAC ID: 1557267564 Enrollment ID: I20040227000008 |
| Provider Name | Jeremiah I Kaplan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396872347 PECOS PAC ID: 0244226520 Enrollment ID: I20040422000398 |
| Provider Name | Stephanie B Hess |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447233887 PECOS PAC ID: 2365433372 Enrollment ID: I20040519000950 |
| Provider Name | Jeana Drayson-steinbach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841356755 PECOS PAC ID: 5991883316 Enrollment ID: I20080424000452 |
| Provider Name | Wendy C Carle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548397508 PECOS PAC ID: 8426110404 Enrollment ID: I20081230000083 |
| Provider Name | Michele Y Lee |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1922015973 PECOS PAC ID: 5395796478 Enrollment ID: I20090406000478 |
| Provider Name | Jessica E Knape |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518013101 PECOS PAC ID: 5991834780 Enrollment ID: I20100604000280 |
| Provider Name | Viktoria T Lindberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689856619 PECOS PAC ID: 8325178486 Enrollment ID: I20100616000421 |
| Provider Name | Kathleen Rye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003054859 PECOS PAC ID: 9638357320 Enrollment ID: I20110628000700 |
| Provider Name | Erika Qualls Laing |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235413931 PECOS PAC ID: 7012181431 Enrollment ID: I20111122000196 |
| Provider Name | Mitchel Rossman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801999131 PECOS PAC ID: 4587555875 Enrollment ID: I20120406000161 |
| Provider Name | Elliot Good |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134540149 PECOS PAC ID: 1254513435 Enrollment ID: I20140221000404 |
| Provider Name | Shannon M Tapia |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1851610406 PECOS PAC ID: 2961644570 Enrollment ID: I20141105002036 |
| Provider Name | Autumn Dawn Rowland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093261984 PECOS PAC ID: 3577851120 Enrollment ID: I20161013001853 |
| Provider Name | Jeff S Ritchie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649658329 PECOS PAC ID: 5496067308 Enrollment ID: I20170103000810 |
| Provider Name | Natalia Spencer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235648890 PECOS PAC ID: 4183999410 Enrollment ID: I20171012000154 |
| Provider Name | Karen Ann Erickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851819981 PECOS PAC ID: 9638435365 Enrollment ID: I20171113001097 |
| Provider Name | Kenneth Joseph Mcdonald |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366910028 PECOS PAC ID: 3072854371 Enrollment ID: I20190715000274 |
| Provider Name | Raeann S Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720719578 PECOS PAC ID: 4385026228 Enrollment ID: I20220809001453 |
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