Damian Gradisar (NPI# 1588107098, PAC ID# 1052692035) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1588107098 |
| PAC ID by PECOS | 1052692035 |
| Professional Enrollment ID | I20170105001990 |
| Full Name | Damian Gradisar |
| Organization Legal Name | PUEBLO BONE AND JOINT CLINIC LLC |
| Address |
1919w Us Hwy 50 Pueblo CO 81008-1618 |
| Phone Number | 7192537102 |
| Gender | M |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0244132066 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 060012 | ST MARY CORWIN MED CTR, CENTURA HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 1919w Us Hwy 50, Pueblo, CO 81008-1618 | 7192537102 | PUEBLO BONE AND JOINT CLINIC LLC |
| Organization Legal Name | PUEBLO BONE AND JOINT CLINIC LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lance Farnworth | Orthopedic Surgery | Pueblo Bone and Joint Clinic LLC | 1919w Us Hwy 50, Pueblo, CO 81008-1618 |
| Matthew P Simonich | Orthopedic Surgery | Pueblo Bone and Joint Clinic LLC | 1919w Us Hwy 50, Pueblo, CO 81008-1618 |
| Street Address |
1919W US HWY 50 |
| City | PUEBLO |
| State | CO |
| Zip | 81008-1618 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lance Farnworth | Orthopedic Surgery | Pueblo Bone and Joint Clinic LLC | 1919w Us Hwy 50, Pueblo, CO 81008-1618 |
| Matthew P Simonich | Orthopedic Surgery | Pueblo Bone and Joint Clinic LLC | 1919w Us Hwy 50, Pueblo, CO 81008-1618 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashok Patel | Allergy/immunology | 3116 Elizabeth St, Suite A, Pueblo, CO 81008-1145 | |
| Gregory J Sanchez | Chiropractic | 3606 Morris Ave, Suite B, Pueblo, CO 81008-1369 | |
| Theodore Wilding Davis | Chiropractic | 2505 Kachina Dr, Pueblo, CO 81008-1573 | |
| James F Georgis | Optometry | 22 Club Manor Dr, Pueblo, CO 81008-1601 | |
| Victoria R Peters | Optometry | 1700 W Hwy 50, Pueblo, CO 81008-1614 | |
| Robyn B Silver | Physical Therapy | Centura Ventures LLC | 4112 Outlook Blvd, Suite 96, Pueblo, CO 81008-1667 |
| Stephanie Jean Zimbelman | Family Medicine | Catholic Health Initiatives Colorado | 4112 Outlook Blvd, Suite 303, Pueblo, CO 81008-1667 |
| Eric Nathaniel Knight | Physical Therapy | Centura Ventures LLC | 4112 Outlook Blvd, Suite 96, Pueblo, CO 81008-1667 |
| Lee M Fonseca | Nurse Practitioner | Catholic Health Initiatives Colorado | 4112 Outlook Blvd, Pueblo, CO 81008-1667 |
| Wendy C Jones | Physical Therapy | Centura Ventures LLC | 4112 Outlook Blvd, Suite 96, Pueblo, CO 81008-1667 |
| Find all physicians in zip 81008 | |||
| City | PUEBLO |
| Zip Code | 81008 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PUEBLO + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Damian Gradisar.
| 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.