Gregory C Thacker (NPI# 1548606536, PAC ID# 1951691401) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1548606536 |
| PAC ID by PECOS | 1951691401 |
| Professional Enrollment ID | I20160613000757 |
| Full Name | Gregory C Thacker |
| Organization Legal Name | FRONT RANGE EMERGENCY SPECIALISTS, PC |
| Address |
2222 N Nevada Ave Penrose Hospital Emergency Dept Colorado Springs CO 80217-0234 |
| Phone Number | 7197765000 |
| Gender | M |
| Graduation Year | 2013 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 8628066941 |
| Number of Group Practice Members | 21 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 060031 | CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES |
| 060016 | CENTURA HEALTH-ST THOMAS MORE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2222 N Nevada Ave, Penrose Hospital Emergency Dept, Colorado Springs, CO 80217-0234 | 7197765000 | FRONT RANGE EMERGENCY SPECIALISTS, PC |
| 2222 N Nevada Ave, Colorado Springs, CO 80217-0234 | 7197765000 | FRONT RANGE EMERGENCY SPECIALISTS, PC |
| 6001 E Woodman Rd, Colorado Springs, CO 80923 | 7197765000 | FRONT RANGE EMERGENCY SPECIALISTS, PC |
| Organization Legal Name | FRONT RANGE EMERGENCY SPECIALISTS, PC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carey Nichols | Emergency Medicine | Front Range Emergency Specialists, PC | 2222 N Nevada Ave, Colorado Springs, CO 80217-0234 |
| Tracy Maceachern | Emergency Medicine | Front Range Emergency Specialists, PC | 6001 E Woodman Rd, Colorado Springs, CO 80923 |
| Daniel Matthew Renner | Emergency Medicine | Front Range Emergency Specialists, PC | 6001 E Woodman Rd, Colorado Springs, CO 80923 |
| Brandon Vaughn Wurns | Physician Assistant | Front Range Emergency Specialists, PC | 6001 E Woodman Rd, Colorado Springs, CO 80923 |
| Ryan Christensen | Emergency Medicine | Front Range Emergency Specialists, PC | 6001 E Woodman Rd, Colorado Springs, CO 80923 |
| Samuel T Montgomery | Emergency Medicine | Front Range Emergency Specialists, PC | 2222 N Nevada Ave, Colorado Springs, CO 80217-0234 |
| Jeremy Dewall | Emergency Medicine | Front Range Emergency Specialists, PC | 2222 N Nevada Ave, Colorado Springs, CO 80217-0234 |
| Street Address |
2222 N NEVADA AVE PENROSE HOSPITAL EMERGENCY DEPT |
| City | COLORADO SPRINGS |
| State | CO |
| Zip | 80217-0234 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chad Clark Schooley | Interventional Cardiology | Colorado Cardiac Alliance, LLC | 2222 N Nevada Ave, Suite 4007, Colorado Springs, CO 80907-6863 |
| Sara Elizabeth Roper | Physician Assistant | Colorado Springs Surgical Associates | 2222 N Nevada Ave, Suite 5017, Colorado Springs, CO 80907-6831 |
| Preetham Reddy | Cardiovascular Disease (cardiology) | Colorado Cardiac Alliance, LLC | 2222 N Nevada Ave, Suite 4007, Colorado Springs, CO 80907-6863 |
| Sarah Kate Roark | Nurse Practitioner | Colorado Springs Pulmonary Consultants PC | 2222 N Nevada Ave, Suite 4004, Colorado Springs, CO 80907-6832 |
| William Clark Chambers Jr. | General Surgery | Catholic Health Initiatives Colorado | 2222 N Nevada Ave, 5010 Chpg Spr Ss (southern Co Vascular Surgery), Colorado Springs, CO 80907-6865 |
| Benjamin Arthur Delano | General Surgery | Colorado Springs Surgical Associates | 2222 N Nevada Ave, Suite 5017, Colorado Springs, CO 80907-6831 |
| Matthew Burkholder | Physician Assistant | Colorado Springs Surgical Associates | 2222 N Nevada Ave, Suite 5017, Colorado Springs, CO 80907-6831 |
| Claudia Hildegard Martin | Neurosurgery | Catholic Health Initiatives Colorado | 2222 N Nevada Ave, Suite 5001, Colorado Springs, CO 80907-6865 |
| Ryan S Okal | Pathology | Mountain States Pathology PC | 2222 N Nevada Ave, Colorado Springs, CO 80907-6819 |
| Matthew J Schippers | Hospitalist | Catholic Health Initiatives Colorado | 2222 N Nevada Ave, Chpg Hospitalists Penrose St Francis, Colorado Springs, CO 80907-6819 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carey Nichols | Emergency Medicine | Front Range Emergency Specialists, PC | 2222 N Nevada Ave, Colorado Springs, CO 80217-0234 |
| Samuel T Montgomery | Emergency Medicine | Front Range Emergency Specialists, PC | 2222 N Nevada Ave, Colorado Springs, CO 80217-0234 |
| Jeremy Dewall | Emergency Medicine | Front Range Emergency Specialists, PC | 2222 N Nevada Ave, Colorado Springs, CO 80217-0234 |
| City | COLORADO SPRINGS |
| Zip Code | 80217 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | COLORADO SPRINGS + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Gregory C Thacker.
| 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.