Betty J Lasich (NPI# 1568420255, PAC ID# 2163457243) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1568420255 |
| PAC ID by PECOS | 2163457243 |
| Professional Enrollment ID | I20070221000292 |
| Full Name | Betty J Lasich |
| Organization Legal Name | FOUR CORNERS OB/GYN |
| Address |
1 Mercado St Suite 105 Durango CO 81301-7311 |
| Phone Number | 9703828800 |
| Gender | F |
| Credential | MD |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1990 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 7416946629 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 060013 | MERCY REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1 Mercado St, Suite 105, Durango, CO 81301-7311 | 9703828800 | FOUR CORNERS OB/GYN |
| Organization Legal Name | FOUR CORNERS OB/GYN |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nancy Rhien | Physician Assistant | Four Corners Ob/gyn | 1 Mercado St, Suite 105, Durango, CO 81301-7311 |
| Marisa Brianne Todd | Obstetrics/gynecology | Four Corners Ob/gyn | 1 Mercado St, Suite 105, Durango, CO 81301-7311 |
| Jeunesse Katura Grenoble Fredrickson | Obstetrics/gynecology | Four Corners Ob/gyn | 1 Mercado St, Suite 105, Durango, CO 81301-7311 |
| Kimberly Priebe | Obstetrics/gynecology | Four Corners Ob/gyn | 1 Mercado St, Suite 105, Durango, CO 81301-7311 |
| Mareca D Pallister | Obstetrics/gynecology | Four Corners Ob/gyn | 1 Mercado St, Suite 105, Durango, CO 81301-7311 |
| Megan M Palmer | Obstetrics/gynecology | Four Corners Ob/gyn | 1 Mercado St, Suite 105, Durango, CO 81301-7311 |
| Lauren D Melancon | Nurse Practitioner | Four Corners Ob/gyn | 1 Mercado St, Suite 105, Durango, CO 81301-7311 |
| Jennifer Berarducci | Obstetrics/gynecology | Four Corners Ob/gyn | 1 Mercado St, Suite 105, Durango, CO 81301-7311 |
| Aimee S Birgenheier | Nurse Practitioner | Four Corners Ob/gyn | 1 Mercado St, Suite 105, Durango, CO 81301-7311 |
| Sara E Whitehead | Physician Assistant | Four Corners Ob/gyn | 1 Mercado St, Suite 105, Durango, CO 81301-7311 |
| Street Address |
1 MERCADO ST SUITE 105 |
| City | DURANGO |
| State | CO |
| Zip | 81301-7311 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen J Mattichak | Interventional Cardiology | Catholic Health Initiatives Colorado | 1 Mercado St, Suite 130, Durango, CO 81301-7306 |
| Fahad Javed | Interventional Cardiology | Catholic Health Initiatives Colorado | 1 Mercado St, Suite 130, Durango, CO 81301-7306 |
| Douglas Orndorff | Orthopedic Surgery | Spine Colorado PC | 1 Mercado St, Suite 200, Durango, CO 81301-7308 |
| Michele Hannagan | Family Medicine | Total Healthcare | 1 Mercado St, Suite 160, Durango, CO 81301-7309 |
| Amy S Tichy Smith | Physical Therapy | Catholic Health Initiatives Colorado | 1 Mercado St, Suite 201, Durango, CO 81301-7307 |
| Dennis Andrew Buck | Hematology/oncology | Catholic Health Initiatives Colorado | 1 Mercado St, Suite 100, Durango, CO 81301-7306 |
| Julie A Pysklo | Internal Medicine | Total Healthcare | 1 Mercado St, Suite 160, Durango, CO 81301-7309 |
| Joseph M Murphy | Family Medicine | Total Healthcare | 1 Mercado St, Suite 160, Durango, CO 81301-7309 |
| Lindsey C Mitchell | Physical Therapy | Catholic Health Initiatives Colorado | 1 Mercado St, Suite 201, Durango, CO 81301-7307 |
| Jim A Youssef | Orthopedic Surgery | Spine Colorado PC | 1 Mercado St, Suite 200, Durango, CO 81301-7308 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stuart B Saslow | Gastroenterology | Digestive Health Associates A Professional Corporation | 2 Burnett Ct, Suite 100, Durango, CO 81301-3647 |
| Steven R Christensen | Gastroenterology | Digestive Health Associates A Professional Corporation | 2 Burnett Ct, Suite 100, Durango, CO 81301-3647 |
| Karyn Finneseth | Certified Registered Nurse Anesthetist (crna) | Animas Anesthesia Associates LLC | 2 Burnett Ct, Durango, CO 81301-3647 |
| Bethany C Glotfelty | Physician Assistant | Digestive Health Associates A Professional Corporation | 2 Burnett Ct, Suite 100, Durango, CO 81301-3647 |
| Mary L Bodewes | Physician Assistant | Digestive Health Associates A Professional Corporation | 2 Burnett Ct, Suite 100, Durango, CO 81301-3647 |
| Patrick D Gerstenberger | Gastroenterology | Digestive Health Associates A Professional Corporation | 2 Burnett Ct, Suite 100, Durango, CO 81301-3647 |
| Lawrence M Shovelton | Certified Registered Nurse Anesthetist (crna) | Animas Anesthesia Associates LLC | 2 Burnett Ct, Durango, CO 81301-3647 |
| Brian S Smith | Certified Registered Nurse Anesthetist (crna) | Animas Anesthesia Associates LLC | 2 Burnett Ct, Durango, CO 81301-3647 |
| Laura E Parker | Nurse Practitioner | Digestive Health Associates A Professional Corporation | 2 Burnett Ct, Suite 100, Durango, CO 81301-3647 |
| Kory L Williams | Physician Assistant | Digestive Health Associates A Professional Corporation | 2 Burnett Ct, Durango, CO 81301-3647 |
| Find all physicians in zip 81301 | |||
| City | DURANGO |
| Zip Code | 81301 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | DURANGO + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Betty J Lasich.
| 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.