Charlotte Stark (NPI# 1174521702, PAC ID# 0042450793) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1174521702 |
| PAC ID by PECOS | 0042450793 |
| Professional Enrollment ID | I20130701000602 |
| Full Name | Charlotte Stark |
| Organization Legal Name | WEST CUSTER COUNTY HOSPITAL DISTRICT |
| Address |
704 Edwards Ave Westcliffe CO 81252-8588 |
| Phone Number | 7197832380 |
| Gender | F |
| Graduation Year | 2001 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1759293723 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 061322 | HEART OF THE ROCKIES REGIONAL MEDICAL CENTER |
| 061344 | |
| 060020 | PARKVIEW MEDICAL CENTER INC |
| 060012 | ST MARY CORWIN MED CTR, CENTURA HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 704 Edwards Ave, Westcliffe, CO 81252-8588 | 7197832380 | WEST CUSTER COUNTY HOSPITAL DISTRICT |
| Organization Legal Name | WEST CUSTER COUNTY HOSPITAL DISTRICT |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gayle Riley | Family Medicine | West Custer County Hospital District | 704 Edwards Ave, Westcliffe, CO 81252-8588 |
| John D Ashton | Physical Therapy | West Custer County Hospital District | 704 Edwards Ave, Westcliffe, CO 81252-8588 |
| Maria L Duran-shy | Nurse Practitioner | West Custer County Hospital District | 704 Edwards Ave, Westcliffe, CO 81252-8588 |
| Roswitha Blaesius | Physical Therapy | West Custer County Hospital District | 704 Edwards Ave, Westcliffe, CO 81252-8588 |
| Erika A Gelgand | Internal Medicine | West Custer County Hospital District | 704 Edwards Ave, Westcliffe, CO 81252-8588 |
| Kathryn Ann Schafer | Physical Therapy | West Custer County Hospital District | 704 Edwards Ave, Westcliffe, CO 81252-8588 |
| John W Smith | Family Practice | West Custer County Hospital District | 704 Edwards Ave, Westcliffe, CO 81252-8588 |
| Susan F Smith | Nurse Practitioner | West Custer County Hospital District | 704 Edwards Ave, Westcliffe, CO 81252-8588 |
| Street Address |
704 EDWARDS AVE |
| City | WESTCLIFFE |
| State | CO |
| Zip | 81252-8588 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gayle Riley | Family Medicine | West Custer County Hospital District | 704 Edwards Ave, Westcliffe, CO 81252-8588 |
| John D Ashton | Physical Therapy | West Custer County Hospital District | 704 Edwards Ave, Westcliffe, CO 81252-8588 |
| Maria L Duran-shy | Nurse Practitioner | West Custer County Hospital District | 704 Edwards Ave, Westcliffe, CO 81252-8588 |
| Roswitha Blaesius | Physical Therapy | West Custer County Hospital District | 704 Edwards Ave, Westcliffe, CO 81252-8588 |
| Erika A Gelgand | Internal Medicine | West Custer County Hospital District | 704 Edwards Ave, Westcliffe, CO 81252-8588 |
| Kathryn Ann Schafer | Physical Therapy | West Custer County Hospital District | 704 Edwards Ave, Westcliffe, CO 81252-8588 |
| John W Smith | Family Practice | West Custer County Hospital District | 704 Edwards Ave, Westcliffe, CO 81252-8588 |
| Susan F Smith | Nurse Practitioner | West Custer County Hospital District | 704 Edwards Ave, Westcliffe, CO 81252-8588 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Desiree A Lipka | Clinical Social Worker | West Central Mental Health Center, Inc | 511 Main St, Westcliffe, CO 81252-8309 |
| Patricia J Hunter | Nurse Practitioner | West Custer County Hospital Dist | 704 Edwards St, Westcliffe, CO 81252-8588 |
| City | WESTCLIFFE |
| Zip Code | 81252 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | WESTCLIFFE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Charlotte Stark.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.