Usacs of Colorado Inc
Organization Active NPI Emergency Medicine Physician · Garden City, KS
NPI 1760018253 · NPPES record last updated Mar 17, 2020
Key facts
- NPI
- 1760018253
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- USACS OF COLORADO INC
- Practice address
- 401 E Spruce St
Garden City, KS 67846-5679 - Phone
- (330) 493-4443
- NPI assigned
- Mar 17, 2020
- Organization subpart
- No
Authorized official
- Name
- Dominic Bagnoli
- Title
- Board Director
- Phone
- (330) 493-4443
Other NPIs on the same Medicare enrollment 2
Other NPIs with the same Medicare PAC ID 3
Practitioners 99
-
Stephen C Altmin, MD
-
Keith Benson, P.A.
-
Marc A Doucette, MD
-
Nathaniel Hibbs, DO
-
Patricia Adrea Kanhai, FNP-C
-
Angela Kirk, APRN
-
Tak Yee Leung, DNP, FNP-BC
-
Haley Dyan Mayfield, PA-C
-
Tanya Jan Pittman, M.D.
-
Muhammad Rizwan, MD
-
Kelli J Swayden, NURSE PRACTITIONER
-
Walter Joseph Turkowski, M.D.
-
Jason M Bellows, MD
-
Fernando Carlo, MD
-
Linda I Carr, PA
-
Casey Dixon Dart, M.D.
-
Mindy Evangelisti, PA-C
-
Braden Jon Fichter, M.D.
-
Ryan J Gibbons, DO
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20171113003104 | KS | Part B Supplier - Clinic/Group Practice | 4981507571 |
Receives reassigned benefits from 52 practitioners 2 other NPIs on this enrollment Practice locations: Dodge City, KS; Garden City, KS |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes |
Addresses
Primary practice location
401 E Spruce St
Garden City, KS 67846-5679
Mailing address
4535 Dressler Rd NW
Canton, OH 44718-2545
Phone (330) 493-4443
Other providers in Garden City, KS
- United Methodist Western Kansas Mexican-American Ministries, Inc.
- United Methodist Western Kansas Mexican-American Ministries, Inc.
- United Methodist Youthville Inc
- Rebecca Upshaw
- Jose Rafael Uriarte
- Eva Vachal
- Trinity Vallejo
- Ross James Valone
- Phi Van
- Keith Earnest Venjohn
All providers in Garden City, KS · Emergency Medicine Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.