Marvin Wayne Couch Ii (NPI# 1023031861, PAC ID# 1153352166) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1023031861 |
| PAC ID by PECOS | 1153352166 |
| Professional Enrollment ID | I20130930000108 |
| Full Name | Marvin Wayne Couch Ii |
| Organization Legal Name | BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC |
| Address |
4700 Lady Moon Dr Fort Collins CO 80528-4426 |
| Phone Number | 9108214288 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON |
| Graduation Year | 1994 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 6800031386 |
| Number of Group Practice Members | 71 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 060126 | BANNER FORT COLLINS MEDICAL CENTER |
| 530014 | CHEYENNE REGIONAL MEDICAL CENTER |
| 531316 | MEMORIAL HOSPITAL OF CARBON COUNTY |
| 531306 | WASHAKIE MEDICAL CENTER |
| 060001 | NORTH COLORADO MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4700 Lady Moon Dr, Fort Collins, CO 80528-4426 | 9108214288 | BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC |
| 1801 16th St, Greeley, CO 80631-5154 | 9708104593 | BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC |
| 2000 Boise Ave, Loveland, CO 80538-5006 | 9708204640 | BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC |
| Organization Legal Name | BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC |
| Physicians | 75 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey M Albert | Radiation Oncology | Banner Hospital Based Physicians Colorado LLC | 2000 Boise Ave, Loveland, CO 80538-5006 |
| Robert E Swaney Iii | Hematology/oncology | Banner Hospital Based Physicians Colorado LLC | 1801 16th St, Greeley, CO 80631-5154 |
| Gary W Bauerle | Diagnostic Radiology | Banner Hospital Based Physicians Colorado LLC | 1801 16th St, Greeley, CO 80631-5154 |
| Rachel M Koch | Internal Medicine | Banner Hospital Based Physicians Colorado LLC | 1801 16th St, Greeley, CO 80631-5154 |
| Nicole M Matthews | Family Medicine | Banner Hospital Based Physicians Colorado LLC | 2000 Boise Ave, Loveland, CO 80538-5006 |
| Angela Burns | Nurse Practitioner | Banner Hospital Based Physicians Colorado LLC | 4700 Lady Moon Dr, Fort Collins, CO 80528-4426 |
| Laurie E Gaspar | Radiation Oncology | Banner Hospital Based Physicians Colorado LLC | 2000 Boise Ave, Loveland, CO 80538-5006 |
| Esther L Mondo | Medical Oncology | Banner Hospital Based Physicians Colorado LLC | 2000 Boise Ave, Loveland, CO 80538-5006 |
| Jaclyn H Summers | Physician Assistant | Banner Hospital Based Physicians Colorado LLC | 1801 16th St, Greeley, CO 80631-5154 |
| Michael C Vantuyl | Radiation Oncology | Banner Hospital Based Physicians Colorado LLC | 1801 16th St, Greeley, CO 80631-5154 |
| Street Address |
4700 LADY MOON DR |
| City | FORT COLLINS |
| State | CO |
| Zip | 80528-4426 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shawn Christopher Smith | Physician Assistant | Banner Health Physicians Colorado LLC | 4700 Lady Moon Dr, Fort Collins, CO 80528-4426 |
| Ryan J Ritchhart | Physician Assistant | Banner Health Physicians Colorado LLC | 4700 Lady Moon Dr, Fort Collins, CO 80528-4426 |
| David R Blatt | Neurosurgery | Banner Health Physicians Colorado LLC | 4700 Lady Moon Dr, Fort Collins, CO 80528-4426 |
| Lauren Walls | Anesthesiology | Rocky Mountain State Anesthesia Providers | 4700 Lady Moon Dr, Fort Collins, CO 80528-4426 |
| Angela Burns | Nurse Practitioner | Banner Hospital Based Physicians Colorado LLC | 4700 Lady Moon Dr, Fort Collins, CO 80528-4426 |
| Jordan R Gozdzialski | Anesthesiology | Rocky Mountain State Anesthesia Providers | 4700 Lady Moon Dr, Fort Collins, CO 80528-4426 |
| Kai F Stobbe | Physician Assistant | Banner Health Physicians Colorado LLC | 4700 Lady Moon Dr, Fort Collins, CO 80528-4426 |
| Jodi K Dearmont-olson | Nurse Practitioner | Banner Health Physicians Colorado LLC | 4700 Lady Moon Dr, Fort Collins, CO 80528-4426 |
| Katherine B Schuetze | Cardiovascular Disease (cardiology) | Banner Health Physicians Colorado LLC | 4700 Lady Moon Dr, Fort Collins, CO 80528-4426 |
| Gary A. Rath | Cardiovascular Disease (cardiology) | Banner Health Physicians Colorado LLC | 4700 Lady Moon Dr, Fort Collins, CO 80528-4426 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christine M Higginson | Chiropractic | 5026 Brookfield Dr, Unit C, Fort Collins, CO 80528-3181 | |
| Bruce Michael Smith | Otolaryngology | Ear Nose and Throat Associates of Northern Colorado PC | 2121 E Harmony Rd, Suite 350, Fort Collins, CO 80528-3400 |
| Daniel Eugene Ostergren | Qualified Audiologist | Ear Nose and Throat Associates of Northern Colorado PC | 2121 E Harmony Rd, Suite 350, Fort Collins, CO 80528-3400 |
| Meghan M.w. Abraham | Audiologist | Ear Nose and Throat Associates of Northern Colorado PC | 2121 E Harmony Rd, Suite 350, Fort Collins, CO 80528-3400 |
| Meriam P Izon | Endocrinology | Poudre Valley Medical Group LLC | 2121 E Harmony Rd Unit, 230 Uchmg Endocrinology/rheumatology, Fort Collins, CO 80528-3401 |
| Jennifer M Hendrick | Internal Medicine | Poudre Valley Medical Group LLC | 2121 E Harmony Rd Unit, Fort Collins, CO 80528-3401 |
| Philip B Dattilo | Interventional Cardiology | Poudre Valley Medical Group LLC | 2121 E Harmony Rd Unit, 100 Uchmg Cardiology Fort Collins, Fort Collins, CO 80528-3401 |
| Jill M Olson | Neurology | Advanced Neurology of Colorado LLC | 2121 E Harmony Rd, Unit 180, Fort Collins, CO 80528-3401 |
| Meghan Reusser | Nurse Practitioner | Poudre Valley Medical Group LLC | 2121 E Harmony Rd Unit, 230 Uchmg Endocrinology/rheumatology, Fort Collins, CO 80528-3401 |
| Robert Kiser | Cardiac Electrophysiology | Poudre Valley Medical Group LLC | 2121 E Harmony Rd Unit, 100 Uchmg Cardiology Fort Collins, Fort Collins, CO 80528-3401 |
| Find all physicians in zip 80528 | |||
| City | FORT COLLINS |
| Zip Code | 80528 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | FORT COLLINS + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Marvin Wayne Couch Ii.
| 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.