Michael Raisch (NPI# 1023376928, PAC ID# 1850687625) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1023376928 |
| PAC ID by PECOS | 1850687625 |
| Professional Enrollment ID | I20180424001288 |
| Full Name | Michael Raisch |
| Organization Legal Name | DERMATOLOGY CENTER OF THE ROCKIES |
| Address |
1551 Professional Ln Unit 135 Longmont CO 80501-6966 |
| Phone Number | 3035322810 |
| Gender | M |
| Medical School | DUKE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 7416120936 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1551 Professional Ln, Unit 135, Longmont, CO 80501-6966 | 3035322810 | DERMATOLOGY CENTER OF THE ROCKIES |
| Organization Legal Name | DERMATOLOGY CENTER OF THE ROCKIES |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristin M Baird | Dermatology | Dermatology Center of The Rockies | 1551 Professional Ln, Unit 135, Longmont, CO 80501-6966 |
| Holly C Paugh | Dermatology | Dermatology Center of The Rockies | 1551 Professional Ln, Unit 135, Longmont, CO 80501-6966 |
| Street Address |
1551 PROFESSIONAL LN UNIT 135 |
| City | LONGMONT |
| State | CO |
| Zip | 80501-6966 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristin M Baird | Dermatology | Dermatology Center of The Rockies | 1551 Professional Ln, Unit 135, Longmont, CO 80501-6966 |
| Holly C Paugh | Dermatology | Dermatology Center of The Rockies | 1551 Professional Ln, Unit 135, Longmont, CO 80501-6966 |
| Robert Pace | Allergy/immunology | 1st Allergy, Asthma and Pediatrics Too, Inc | 1551 Professional Ln, Unit 280, Longmont, CO 80501-6965 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tana Levine | Geriatric Medicine | Life Care Physician Services LLC | 2451 Pratt St, Longmont, CO 80501-1123 |
| Lyle M Pfeifer | Family Medicine | Poudre Valley Medical Group LLC | 2101 Main St, Longmont, CO 80501-1406 |
| Sean J Sands | Physician Assistant | Poudre Valley Medical Group LLC | 2101 Main St, Longmont, CO 80501-1406 |
| Alyssa L Gonzalez | Family Medicine | Poudre Valley Medical Group LLC | 2101 Main St, Longmont, CO 80501-1406 |
| William Oligmueller | Family Medicine | Poudre Valley Medical Group LLC | 2101 Main St, Longmont, CO 80501-1406 |
| Robert V Nouhan | Family Medicine | Poudre Valley Medical Group LLC | 2101 Main St, Longmont, CO 80501-1406 |
| Claudia M Martin-williams | Physician Assistant | Poudre Valley Medical Group LLC | 2101 Main St, Longmont, CO 80501-1406 |
| Catherine E Cavender | Family Medicine | Poudre Valley Medical Group LLC | 2101 Main St, Longmont, CO 80501-1406 |
| Daniel R Zenk | Internal Medicine | Poudre Valley Medical Group LLC | 2101 Main St, Longmont, CO 80501-1406 |
| Brittany A Hunter | Physician Assistant | Poudre Valley Medical Group LLC | 2101 Main St, Longmont, CO 80501-1406 |
| Find all physicians in zip 80501 | |||
| City | LONGMONT |
| Zip Code | 80501 |
| Specialty | DERMATOLOGY |
| City + Specialty | LONGMONT + DERMATOLOGY |
Please comment or provide details below to improve the information on Michael Raisch.
| 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.