Mark R Baller (NPI# 1083671986, PAC ID# 3072506864) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1083671986 |
| PAC ID by PECOS | 3072506864 |
| Professional Enrollment ID | I20070109000232 |
| Full Name | Mark R Baller |
| Organization Legal Name | SOUTHERN COLORADO CRNA ASSOCIATES INC |
| Address |
719 N Cascade Ave Colorado Springs CO 80903-3290 |
| Phone Number | 7196361201 |
| Gender | M |
| Credential | CNA |
| Graduation Year | 1992 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 3072785559 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 060114 | PARKER ADVENTIST HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 719 N Cascade Ave, Colorado Springs, CO 80903-3290 | 7196361201 | SOUTHERN COLORADO CRNA ASSOCIATES INC |
| 7353 Sisters Grv, Colorado Springs, CO 80923-2615 | 7194448484 | SOUTHERN COLORADO CRNA ASSOCIATES INC |
| 9395 Crown Crest Blvd, Parker, CO 80138-8573 | 3032694000 | GUARDIAN ANESTHESIA SERVICES, INC |
| Organization Legal Name | SOUTHERN COLORADO CRNA ASSOCIATES INC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carla A Jaramillo Ford | Certified Registered Nurse Anesthetist (crna) | Southern Colorado Crna Associates Inc | 719 N Cascade Ave, Colorado Springs, CO 80903-3290 |
| Benjamin W Bruestle | Certified Registered Nurse Anesthetist (crna) | Southern Colorado Crna Associates Inc | 4100 Jerry Murphy Rd, Pueblo, CO 81001-1046 |
| David A Hudson | Certified Registered Nurse Anesthetist (crna) | Southern Colorado Crna Associates Inc | 719 N Cascade Ave, Colorado Springs, CO 80903-3290 |
| Street Address |
719 N CASCADE AVE |
| City | COLORADO SPRINGS |
| State | CO |
| Zip | 80903-3290 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carla A Jaramillo Ford | Certified Registered Nurse Anesthetist (crna) | Southern Colorado Crna Associates Inc | 719 N Cascade Ave, Colorado Springs, CO 80903-3290 |
| David A Hudson | Certified Registered Nurse Anesthetist (crna) | Southern Colorado Crna Associates Inc | 719 N Cascade Ave, Colorado Springs, CO 80903-3290 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah R Collins | Physical Therapy | Rocky Mountain Rehabilitation P.C. | 711 N Tejon St, Suite 100, Colorado Springs, CO 80903-1011 |
| Edward B Belding | Physical Therapy | Rocky Mountain Rehabilitation P.C. | 711 N Tejon St, Suite 100, Colorado Springs, CO 80903-1011 |
| Lindsey A Swaim | Physical Therapy | Rocky Mountain Rehabilitation P.C. | 711 N Tejon St, Suite 100, Colorado Springs, CO 80903-1011 |
| Jeremy J Snyder | Physical Therapy | Rocky Mountain Rehabilitation P.C. | 711 N Tejon St, Suite 100, Colorado Springs, CO 80903-1011 |
| Roy L Hill | Psychologist, Clinical | 716 N Tejon St, Suite 7, Colorado Springs, CO 80903-1012 | |
| Honie B Crandall | Psychiatry | 10 E Monument St, Colorado Springs, CO 80903-1018 | |
| Dina Marie Buckey | Clinical Social Worker | 731 N Weber St, Suite 235, Colorado Springs, CO 80903-1019 | |
| Paul J Houge | Pediatric Medicine | Matthews-vu Medical Group, P.C. | 629 N Nevada Ave, Suite 110, Colorado Springs, CO 80903-1040 |
| Amy D Kammerzell | Nurse Practitioner | Matthews-vu Medical Group, P.C. | 629 N Nevada Ave, Suite 110, Colorado Springs, CO 80903-1040 |
| Emily L Maney | Clinical Social Worker | Matthews-vu Medical Group, P.C. | 629 N Nevada Ave, Suite 110, Colorado Springs, CO 80903-1040 |
| Find all physicians in zip 80903 | |||
| City | COLORADO SPRINGS |
| Zip Code | 80903 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | COLORADO SPRINGS + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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| 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.