Philip C Marin (NPI# 1205868544, PAC ID# 0941249635) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.
| Nation Provider ID (NPI) | 1205868544 |
| PAC ID by PECOS | 0941249635 |
| Professional Enrollment ID | I20050509000188 |
| Full Name | Philip C Marin |
| Address |
650 Dittmer Ave Pueblo CO 81005-1212 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE |
| Graduation Year | 1994 |
| Primary Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Secondary Specialties | HAND SURGERY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 060020 | PARKVIEW MEDICAL CENTER INC |
| 060012 | ST MARY CORWIN MED CTR, CENTURA HEALTH |
| 061316 | SPANISH PEAKS REGIONAL HEALTH CENTER |
| Address | Phone | Organization |
|---|---|---|
| 650 Dittmer Ave, Pueblo, CO 81005-1212 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
| Street Address |
650 DITTMER AVE |
| City | PUEBLO |
| State | CO |
| Zip | 81005-1212 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John P Gard | Occupational Therapy | 4301 Thatcher Ave, Pueblo, CO 81005-1036 | |
| Louis C Cabiling | Physical Medicine and Rehabilitation | 635 Dittmer Ave, Pueblo, CO 81005-1211 | |
| Charles W Kessler | Plastic and Reconstructive Surgery | 650 Dittmer, Pueblo, CO 81005-1212 | |
| Ganapathy Bala | Allergy/immunology | 1315 S Pueblo Blvd, Pueblo, CO 81005-1508 | |
| Esperanza F Salazar | Otolaryngology | Pueblo Ear Nose and Throat Specialist | 1218 S Pueblo Blvd, Pueblo, CO 81005-1593 |
| Charlene J Hickson | Otolaryngology | Pueblo Ear Nose and Throat Specialist | 1218 S Pueblo Blvd, Pueblo, CO 81005-1593 |
| Rebecca E Holder-nuzzo | Internal Medicine | Sangre De Cristo Hospice and Palliative Care | 1207 Pueblo Boulevard Way, Pueblo, CO 81005-2175 |
| Ricky A Monett | Nurse Practitioner | Sangre De Cristo Hospice and Palliative Care | 1207 Pueblo Boulevard Way, Pueblo, CO 81005-2175 |
| Jean R Haver | Clinical Social Worker | Sangre De Cristo Hospice and Palliative Care | 1207 Pueblo Boulevard Way, Pueblo, CO 81005-2175 |
| Chad A Clark | Physical Therapy | Physical Therapy Connections, PC | 58 Glen Royal Dr, Pueblo, CO 81005-2263 |
| Find all physicians in zip 81005 | |||
| City | PUEBLO |
| Zip Code | 81005 |
| Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| City + Specialty | PUEBLO + PLASTIC AND RECONSTRUCTIVE SURGERY |
Please comment or provide details below to improve the information on Philip C Marin.
| 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.