GARY GENE WOFFORD (NPI# 1063500544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063500544 |
| Entity Type | Individual |
| Full Name | GARY GENE WOFFORD |
| Credential | M.D. |
| Practice Address |
1600 N Grand Ave #230 Pueblo CO 81003-2700 |
| Practice Telephone | 7195621000 |
| Practice Fax Number | 7195621827 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302F00000X | Exclusive Provider Organization | 30398 | CO | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | DEA | BW0192017 | 01 |
| CO | 0130398 | 05 |
| Street Address |
1600 N GRAND AVE #230 |
| City | PUEBLO |
| State | CO |
| Zip Code | 81003-2700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457354763 | Hisman H Percival | Surgery | 1600 N Grand Ave, Suite 430, Pueblo, CO 81003-2700 | 2005-05-31 |
| 1710365416 | Paladina Health, LLC | Family Medicine | 1600 N Grand Ave, Suite 540, Pueblo, CO 81003-2700 | 2015-05-13 |
| 1407249188 | Christopher Traut | Neurological Surgery | 1600 N Grand Ave, Suite 508, Pueblo, CO 81003-2700 | 2015-03-05 |
| 1124423116 | Kati Jo Foechterle | Nurse Practitioner | 1600 N Grand Ave, Suite 140, Pueblo, CO 81003-2700 | 2014-11-03 |
| 1326469248 | Micah Johnson | Physician Assistant | 1600 N Grand Ave, Suite 508, Pueblo, CO 81003-2700 | 2013-12-19 |
| 1720364177 | Anesthesia Management Services, LLC | Nurse Anesthetist, Certified Registered | 1600 N Grand Ave, Suite 420, Pueblo, CO 81003-2700 | 2011-10-31 |
| 1326366105 | Rachel Christine Niemet | Obstetrics & Gynecology | 1600 N Grand Ave, Ste 400, Pueblo, CO 81003-2700 | 2010-05-04 |
| 1306081237 | Neil A Banga | Surgery | 1600 N Grand Ave, Suite 430, Pueblo, CO 81003-2700 | 2008-12-05 |
| 1174770614 | Henrique Jose Fernandez | Internal Medicine | 1600 N Grand Ave, Suite 150, Pueblo, CO 81003-2749 | 2008-08-27 |
| 1831353705 | Marcel Jabour Junqueira | Internal Medicine | 1600 N Grand Ave, Suite 140, Pueblo, CO 81003-2700 | 2008-07-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164042016 | Sunil Kumar | Student in an Organized Health Care Education/Training Program | Parkview Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2020-04-21 |
| 1497382303 | Pueblo Family Dentistry Pllc | Dentist | 701 N Grand Avenue, Suite B, Pueblo, CO 81003 | 2020-03-23 |
| 1023654241 | Elmer A. Villalon, Dmd, LLC | Clinic/Center | 1225 North Main Street, #207, Pueblo, CO 81003 | 2019-11-22 |
| 1518434349 | Mariam Rahim | Internal Medicine | Parkview Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2018-10-30 |
| 1003308222 | Julia Mcneice | Internal Medicine | Parkview Medial Center, Parkveiw Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2018-06-04 |
| 1689164857 | Jessica Sels | Internal Medicine | Parkview Medical Center Adult Medicine Clinic, 311 W 14th St, Pueblo, CO 81003 | 2018-05-14 |
| 1700313459 | Allison Vigil | Occupational Therapist | 1600 W. 24th St, Pueblo, CO 81003 | 2017-05-12 |
| 1245682020 | Paul S Bongat | Internal Medicine | 411 W. 14th St., Parkview Adult Medicine Clinic, Pueblo, CO 81003 | 2016-07-06 |
| 1013368596 | Daniel R Long | Internal Medicine | 411 West 14th Street, Pueblo, CO 81003 | 2016-06-27 |
| 1396195665 | Parkview Medical Center | General Acute Care Hospital | 411 W. 14th St, Pueblo, CO 81003 | 2016-06-17 |
| Find all providers in zip 81003 | ||||
| Taxonomy Code | 302F00000X |
| Grouping | Managed Care Organizations |
| Classification | Exclusive Provider Organization |
| (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033430442 | Colorado Department of Corrections | Exclusive Provider Organization | 1410 W 13th St, Pueblo, CO 81003-1961 | 2010-06-21 |
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| 1821698812 | Rocky Mountain Behavioral Health | Exclusive Provider Organization | 685 Citadel Dr E Ste 125, Colorado Springs, CO 80909-5316 | 2020-10-28 |
| 1760847008 | Alpine Medical and Specialty Practice | Exclusive Provider Organization | 117 Navajo Trail Drive, Unit Z, Pagosa Springs, CO 81147-8903 | 2015-12-30 |
| 1477924728 | The Brain Center of Colorado | Exclusive Provider Organization | 404 Jerry St, Castle Rock, CO 80104-2468 | 2015-10-13 |
| 1376928945 | Del Mar Kid's Dental Care | Exclusive Provider Organization | 797 Peoria St Ste A, Aurora, CO 80011-8215 | 2015-07-24 |
| 1437401700 | After Baby Care Doula | Exclusive Provider Organization | 1225 Fall River Cir, Longmont, CO 80504-8771 | 2012-10-10 |
| 1669727038 | Kare Partners | Exclusive Provider Organization | 2274 Reed Grass Way, Colorado Springs, CO 80915-2074 | 2012-07-20 |
| 1689974008 | Maro Medical Services Inc | Exclusive Provider Organization | 26706 E Peakview Dr, Aurora, CO 80016-6109 | 2010-11-01 |
| 1437464369 | Columbine Chiropractic Plan, LLC | Exclusive Provider Organization | 410 17th St Ste 1550, Denver, CO 80202-4407 | 2010-08-16 |
| 1053638049 | Jay Wilson D.c. P.C. | Exclusive Provider Organization | 1455 Yarmouth Ave Ste 112, Boulder, CO 80304-4345 | 2010-04-29 |
| 1235292145 | Pharmaca Integrative Pharmacy | Exclusive Provider Organization | 645 South Boulder, Boulder, CO 80305 | 2006-12-19 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.