Robert Henry Packer (NPI# 1366453516, PAC ID# 0345374104) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1366453516 |
| PAC ID by PECOS | 0345374104 |
| Professional Enrollment ID | I20100816000252 |
| Full Name | Robert Henry Packer |
| Organization Legal Name | ADVANCED DERMATOLOGY OF COLORADO PC |
| Address |
3455 W Lutheran Pkwy 110 Advanced Dermatology Wheat Ridge CO 80033-6041 |
| Phone Number | 3034264525 |
| Gender | M |
| Medical School | UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE |
| Graduation Year | 1968 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 8325337330 |
| Number of Group Practice Members | 48 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1100 Poudre River Dr, Unit A, Fort Collins, CO 80524-3557 | 9704843050 | ADVANCED DERMATOLOGY OF COLORADO PC |
| 3455 W Lutheran Pkwy, 110 Advanced Dermatology, Wheat Ridge, CO 80033-6041 | 3034264525 | ADVANCED DERMATOLOGY OF COLORADO PC |
| Organization Legal Name | ADVANCED DERMATOLOGY OF COLORADO PC |
| Physicians | 48 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Narina Grove | Pathology | Advanced Dermatology of Colorado PC | 1100 Poudre River Dr, Unit A, Fort Collins, CO 80524-3557 |
| Samuel Blake Ecker | Dermatology | Advanced Dermatology of Colorado PC | 1006 Centre Ave, Fort Collins, CO 80526-1849 |
| Tyler O Vukmer | Dermatology | Advanced Dermatology of Colorado PC | 2970 Quebec St, Suite 200, Denver, CO 80207-2931 |
| Matthew S Laffer | Dermatology | Advanced Dermatology of Colorado PC | 1551 Milky Way, Thornton, CO 80260-4713 |
| Kelly E Pavelich | Physician Assistant | Advanced Dermatology of Colorado PC | 9101 Harlan St, Unit 155, Westminster, CO 80031-2925 |
| Robert Chase Wright | Dermatology | Advanced Dermatology of Colorado PC | 8550 W 38th Ave, Suite 108, Wheat Ridge, CO 80033-4341 |
| Anne Lise A Hultsch | Dermatology | Advanced Dermatology of Colorado PC | 3726 S Timberline Rd, Suite 101, Fort Collins, CO 80525-4332 |
| Stephen P Castle | Dermatology | Advanced Dermatology of Colorado PC | 7251 W 20th St, Unit E, Greeley, CO 80634-4626 |
| Peggy B Liao | Dermatology | Advanced Dermatology of Colorado PC | 2200 E 18th Ave, Denver, CO 80206-1205 |
| James R Devito | Dermatology | Advanced Dermatology of Colorado PC | 9570 S Kingston Ct, Suite 100, Englewood, CO 80112-6004 |
| Street Address |
3455 W LUTHERAN PKWY 110 ADVANCED DERMATOLOGY |
| City | WHEAT RIDGE |
| State | CO |
| Zip | 80033-6041 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph Simodynes | Dermatology | Advanced Dermatology of Colorado PC | 3455 W Lutheran Pkwy, 110 Advanced Dermatology, Wheat Ridge, CO 80033-6041 |
| Erin M Welch | Dermatology | Advanced Dermatology of Colorado PC | 3455 W Lutheran Pkwy, 110 Advanced Dermatology, Wheat Ridge, CO 80033-6041 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Starla D Maier Walford | Occupational Therapy | Scl Health Medical Group Denver LLC | 9830 I-70 Frontage Rd S, Wheat Ridge Occupational Medicine, Wheat Ridge, CO 80033-1724 |
| Amy K Ritchie | Physical Therapy | Scl Health Medical Group Denver LLC | 9830 I-70 Frontage Rd S, Wheat Ridge Occupational Medicine, Wheat Ridge, CO 80033-1724 |
| Lynn Allison Hatfield | Occupational Therapy | Scl Health Medical Group Denver LLC | 9830 I-70 Frontage Rd S, Wheat Ridge Occupational Medicine, Wheat Ridge, CO 80033-1724 |
| Jayme Brindle | Physical Therapy | Scl Health Medical Group Denver LLC | 9830 I-70 Frontage Rd S, Wheat Ridge Occupational Medicine, Wheat Ridge, CO 80033-1724 |
| Deborah N Wendt | Physical Therapy | Scl Health Medical Group Denver LLC | 9830 I-70 Frontage Rd S, Wheat Ridge Occupational Medicine, Wheat Ridge, CO 80033-1724 |
| Alexis P Haws | Physical Therapy | Scl Health Medical Group Denver LLC | 9830 I-70 Frontage Rd S, Wheat Ridge Occupational Medicine, Wheat Ridge, CO 80033-1724 |
| Leah Janssen Luther | Physical Therapy | Scl Health Medical Group Denver LLC | 9830 I-70 Frontage Rd S, Wheat Ridge Occupational Medicine, Wheat Ridge, CO 80033-1724 |
| James P Coughlan | Physical Therapy | Scl Health Medical Group Denver LLC | 9830 I-70 Frontage Rd S, Wheat Ridge Occupational Medicine, Wheat Ridge, CO 80033-1724 |
| Kristi S Mcdonnel | Physical Therapy | Scl Health Medical Group Denver LLC | 9830 I-70 Frontage Rd S, Wheat Ridge Occupational Medicine, Wheat Ridge, CO 80033-1724 |
| Joyce R Bennett | Physical Therapy | Scl Health Medical Group Denver LLC | 9830 I-70 Frontage Rd S, Wheat Ridge Occupational Medicine, Wheat Ridge, CO 80033-1724 |
| Find all physicians in zip 80033 | |||
| City | WHEAT RIDGE |
| Zip Code | 80033 |
| Specialty | DERMATOLOGY |
| City + Specialty | WHEAT RIDGE + DERMATOLOGY |
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| 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.