Usacs Community Emergency Services of Colorado, Inc.
Organization Active NPI Emergency Medicine Physician · Lakewood, CO
NPI 1992330484 · NPPES record last updated Mar 5, 2020
Key facts
- NPI
- 1992330484
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- USACS COMMUNITY EMERGENCY SERVICES OF COLORADO, INC.
- Practice address
- 3280 S Wadsworth Blvd
Lakewood, CO 80227-5002 - Phone
- (330) 493-4443
- NPI assigned
- Mar 5, 2020
- Organization subpart
- No
Authorized official
- Name
- Dominic Bagnoli
- Title
- Board Director
- Phone
- (330) 493-4443
Other NPIs on the same Medicare enrollment 9
Corporate family (same tax ID) 6
Practitioners 44
-
Heather Blair, APN
-
Richard L Byyny, MD
-
Michelle E. Carey, PA-C
-
Sangeeta G. Clarke, M.D.
-
Louise Colo, MD
-
Lisa Conner, PA
-
Casey Dixon Dart, M.D.
-
Marc A Doucette, MD
-
Jack Gervais, MD
-
Timothy M Hirsch, P.A.-C
-
Kyle Kirkpatrick, P.A.
-
Jesse W. Loar, M.D.
-
Kirsten Risley, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180117002329 | CO | Part B Supplier - Clinic/Group Practice | 2466711536 |
Receives reassigned benefits from 419 practitioners 9 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Avon, CO; Arvada, CO; Parker, CO; Lakewood, CO; Keystone, CO; Golden, CO; Frisco, CO; Denver, CO… |
National Provider Directory
- Tax ID family
- Usacs Community Emergency Services of Colorado Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes |
Addresses
Primary practice location
3280 S Wadsworth Blvd
Lakewood, CO 80227-5002
Mailing address
4535 Dressler Rd NW
Canton, OH 44718-2545
Phone (330) 493-4443
Other providers in Lakewood, CO
- Upson Hall LLC
- Upson Hall LLC
- Urgent Care Lakewood Inc
- Elizabeth Urrutia de la Pena
- Elizabeth S Ury
- Usacs Observation Medicine Services of Colorado Inc.
- Usacs of Colorado Inc
- Usp Belmar Inc
- Utmost Care Partners LLC
- Carolyn Anne Vaccarella
All providers in Lakewood, CO · Emergency Medicine Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 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.