Michael C Vidas (NPI# 1083685515, PAC ID# 0941240592) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1083685515 |
| PAC ID by PECOS | 0941240592 |
| Professional Enrollment ID | I20140710000281 |
| Full Name | Michael C Vidas |
| Organization Legal Name | J MICHAEL KING MD PC |
| Address |
403 Summit Blvd Unit 204 Broomfield CO 80021-8253 |
| Phone Number | 7204012139 |
| Gender | M |
| Medical School | UNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE |
| Graduation Year | 1978 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 4183898877 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 403 Summit Blvd, Unit 204, Broomfield, CO 80021-8253 | 7204012139 | J MICHAEL KING MD PC |
| Organization Legal Name | J MICHAEL KING MD PC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Catherine C Weng | Otolaryngology | J Michael King Md PC | 403 Summit Blvd, Unit 204, Broomfield, CO 80021-8253 |
| Jonathan C Mills | Otolaryngology | J Michael King Md PC | 403 Summit Blvd, Unit 204, Broomfield, CO 80021-8253 |
| Justin M King | Otolaryngology | J Michael King Md PC | 403 Summit Blvd, Unit 204, Broomfield, CO 80021-8253 |
| Nicole Marie Deweese | Qualified Audiologist | J Michael King Md PC | 403 Summit Blvd, Unit 204, Broomfield, CO 80021-8253 |
| Samantha Ewing | Qualified Audiologist | J Michael King Md PC | 403 Summit Blvd, Unit 204, Broomfield, CO 80021-8253 |
| Jerilyn Dutton | Audiologist | J Michael King Md PC | 403 Summit Blvd, Unit 204, Broomfield, CO 80021-8253 |
| Street Address |
403 SUMMIT BLVD UNIT 204 |
| City | BROOMFIELD |
| State | CO |
| Zip | 80021-8253 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Catherine C Weng | Otolaryngology | J Michael King Md PC | 403 Summit Blvd, Unit 204, Broomfield, CO 80021-8253 |
| Jonathan C Mills | Otolaryngology | J Michael King Md PC | 403 Summit Blvd, Unit 204, Broomfield, CO 80021-8253 |
| Justin M King | Otolaryngology | J Michael King Md PC | 403 Summit Blvd, Unit 204, Broomfield, CO 80021-8253 |
| Nicole Marie Deweese | Qualified Audiologist | J Michael King Md PC | 403 Summit Blvd, Unit 204, Broomfield, CO 80021-8253 |
| Samantha Ewing | Qualified Audiologist | J Michael King Md PC | 403 Summit Blvd, Unit 204, Broomfield, CO 80021-8253 |
| Jerilyn Dutton | Audiologist | J Michael King Md PC | 403 Summit Blvd, Unit 204, Broomfield, CO 80021-8253 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Megan Leigh Kelly | Clinical Social Worker | Poudre Valley Medical Group LLC | 11820 Destination Dr, Broomfield, CO 80021-2518 |
| Maxine Leota Banecks | Clinical Social Worker | Poudre Valley Medical Group LLC | 11820 Destination Dr, Broomfield, CO 80021-2518 |
| Christine R Riguzzi | Emergency Medicine | Poudre Valley Medical Group LLC | 11820 Destination Dr, Broomfield, CO 80021-2518 |
| Etienne N Janco | Clinical Social Worker | Poudre Valley Medical Group LLC | 11820 Destination Dr, Broomfield, CO 80021-2518 |
| Jody L Gottesman | Clinical Social Worker | Poudre Valley Medical Group LLC | 11820 Destination Dr, Broomfield, CO 80021-2518 |
| Maria Lynn Martin | Clinical Social Worker | Poudre Valley Medical Group LLC | 11820 Destination Dr, Broomfield, CO 80021-2518 |
| Lisa Evensky-stark | Clinical Social Worker | Poudre Valley Medical Group LLC | 11820 Destination Dr, Broomfield, CO 80021-2518 |
| Kevin Berg | General Surgery | Poudre Valley Medical Group LLC | 11820 Destination Dr, Broomfield, CO 80021-2518 |
| Kelly E Gahan | Emergency Medicine | Poudre Valley Medical Group LLC | 11820 Destination Dr, Broomfield, CO 80021-2518 |
| Stephanie M Burke | Clinical Social Worker | Poudre Valley Medical Group LLC | 11820 Destination Dr, Broomfield, CO 80021-2518 |
| Find all physicians in zip 80021 | |||
| City | BROOMFIELD |
| Zip Code | 80021 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | BROOMFIELD + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Michael C Vidas.
| 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.