Tara A Goetz (NPI# 1427549229, PAC ID# 4183973266) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1427549229 |
| PAC ID by PECOS | 4183973266 |
| Professional Enrollment ID | I20180822003216 |
| Full Name | Tara A Goetz |
| Organization Legal Name | CHRISTINE EBERT SANTOS PC |
| Address |
730 N Summit Blvd Suite 101 Frisco CO 80443-4250 |
| Phone Number | 9706681616 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7315178308 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 060118 | ST. ANTHONY SUMMIT MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 730 N Summit Blvd, Suite 101, Frisco, CO 80443-4250 | 9706681616 | CHRISTINE EBERT SANTOS PC |
| Organization Legal Name | CHRISTINE EBERT SANTOS PC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christine A Ebert Santos | Pediatric Medicine | Christine Ebert Santos PC | 730 N Summit Blvd, Suite 101, Frisco, CO 80443-4250 |
| Laura N Amedro | Nurse Practitioner | Christine Ebert Santos PC | 730 N Summit Blvd, Frisco, CO 80443-4250 |
| Street Address |
730 N SUMMIT BLVD SUITE 101 |
| City | FRISCO |
| State | CO |
| Zip | 80443-4250 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christine A Ebert Santos | Pediatric Medicine | Christine Ebert Santos PC | 730 N Summit Blvd, Suite 101, Frisco, CO 80443-4250 |
| Laura N Amedro | Nurse Practitioner | Christine Ebert Santos PC | 730 N Summit Blvd, Frisco, CO 80443-4250 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly Ballou | Physician Assistant | Destination Dermatology LLC | 60 Main St H, Renew Dermatology, Frisco, CO 80443 |
| Paul H Cook Jr. | Optometry | 620 Main St B, Frisco, CO 80443 | |
| Jonathan Adam Sherman | Cardiovascular Disease (cardiology) | Vvmc Diversified Services | 323 W Main St, Suite 101, Frisco, CO 80443 |
| Sally K Agnoletto | Certified Registered Nurse Anesthetist (crna) | 842 Summit Blvd, Suite 15, Frisco, CO 80443 | |
| Jennifer V Gotantas | Physical Therapy | Axis Sports Medicine LLC | 710 N Summit Blvd, Suite 103, Frisco, CO 80443 |
| Amy L. Robillard | Nurse Practitioner | Summit Community Care Clinic, Inc. | 360 Peak One Dr, Suite 100, Frisco, CO 80443 |
| Chad Alan Ford | Physician Assistant | Vail Summit Orthopaedics | 360 Peak One Dr, Suite 180, Frisco, CO 80443 |
| Annie Bowen | Physician Assistant | Vail Summit Orthopaedics | 360 Peak One Dr, Suite 180, Frisco, CO 80443 |
| Scott E Raub | Physical Medicine and Rehabilitation | Vail Summit Orthopaedics | 360 Peak One Dr, Suite 180, Frisco, CO 80443 |
| Eleanor Lacy Bruin | Clinical Social Worker | Catholic Health Initiatives Colorado | 360 Peak One Dr, 300 Centura Health Physician Group High Country Health, Frisco, CO 80443 |
| Find all physicians in zip 80443 | |||
| City | FRISCO |
| Zip Code | 80443 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | FRISCO + NURSE PRACTITIONER |
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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.