Premod J John (NPI# 1184982621, PAC ID# 4486890274) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1184982621 |
| PAC ID by PECOS | 4486890274 |
| Professional Enrollment ID | I20151030000300 |
| Full Name | Premod J John |
| Organization Legal Name | PORTERCARE ADVENTIST HEALTH SYSTEM |
| Address |
9135 Ridgeline Blvd Suite 190 Highlands Ranch CO 80129-2395 |
| Phone Number | 3036493140 |
| Gender | M |
| Graduation Year | 2011 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0941110886 |
| Number of Group Practice Members | 422 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 060113 | LITTLETON ADVENTIST HOSPITAL, CENTURA HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 1606 Prairie Ctr Pkwy, Suite 240, Brighton, CO 80601-4004 | 3036591152 | PLATTE VALLEY MEDICAL GROUP LLC |
| 9135 Ridgeline Blvd, Suite 190, Highlands Ranch, CO 80129-2395 | 3036493140 | PORTERCARE ADVENTIST HEALTH SYSTEM |
| Organization Legal Name | PORTERCARE ADVENTIST HEALTH SYSTEM |
| Physicians | 454 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason Stuart Campbell | Family Medicine | Portercare Adventist Health System | 611 Mitchell Way, 103 Avista Internal Medicine, Erie, CO 80516-5443 |
| Ashley Lynn Harmening | Family Medicine | Portercare Adventist Health System | 9135 Ridgeline Blvd, Suite 190, Highlands Ranch, CO 80129-2395 |
| Sumy Anthony | Nurse Practitioner | Portercare Adventist Health System | 2535 S Downing St, Suite 380, Denver, CO 80210-5850 |
| Mary Ann Looby | Clinical Social Worker | Portercare Adventist Health System | 2490 W 26th Ave Sta A, 120 Chpg Ob Metro, Denver, CO 80211-5314 |
| Julianne Michelle Imseis-losh | Internal Medicine | Portercare Adventist Health System | 9399 Crown Crest Blvd, Suite 200, Parker, CO 80138-8508 |
| Landon Fine | Orthopedic Surgery | Portercare Adventist Health System | 9949 S Oswego St, Suite 200, Parker, CO 80134-3753 |
| Carlene Lihalakha Chun | Gastroenterology | Portercare Adventist Health System | 100 Health Park Dr, Louisville, CO 80027-9583 |
| Cassandra Ragsdale | Obstetrics/gynecology | Portercare Adventist Health System | 15901 E Briarwood Cir, Unit 200, Aurora, CO 80016-1785 |
| Heidi K Christensen | Emergency Medicine | Portercare Adventist Health System | 250 Max Dr, Suite 102, Castle Pines, CO 80108-9518 |
| Chuen-fu Lin | Internal Medicine | Portercare Adventist Health System | 9395 Crown Crest Blvd, Parker, CO 80138-8573 |
| Street Address |
9135 RIDGELINE BLVD SUITE 190 |
| City | HIGHLANDS RANCH |
| State | CO |
| Zip | 80129-2395 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashley Lynn Harmening | Family Medicine | Portercare Adventist Health System | 9135 Ridgeline Blvd, Suite 190, Highlands Ranch, CO 80129-2395 |
| Matthew Alan Close | Sports Medicine | Portercare Adventist Health System | 9135 Ridgeline Blvd, Suite 190, Highlands Ranch, CO 80129-2395 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew Mclean | Physical Therapy | 9150 Commerce Ctr Cir, Suite 200, Highlands Ranch, CO 80129-1562 | |
| Craig L Lewis | Chiropractic | 201 W County Line Rd, Littleton, CO 80129-1901 | |
| Sang T Pham | Chiropractic | 201 W County Line Rd, Revolve Spine LLC, Littleton, CO 80129-1901 | |
| David A Burrows | Internal Medicine | Onpoint Medical Group LLC | 1805 Shea Ctr Dr, Suite 301, Highlands Ranch, CO 80129-2251 |
| Robert D Good | Optometry | Colorado Permanente Medical Group PC | 9285 Hepburn St, Highlands Ranch, CO 80129-2262 |
| Deja S Vandeloo | Family Medicine | Colorado Permanente Medical Group PC | 9285 Hepburn St, Highlands Ranch, CO 80129-2262 |
| Michael J Citrin | Family Medicine | Colorado Permanente Medical Group PC | 9285 Hepburn St, Highlands Ranch, CO 80129-2262 |
| Dawn H Newell | Internal Medicine | Colorado Permanente Medical Group PC | 9285 Hepburn St, Highlands Ranch, CO 80129-2262 |
| Mary E Guese | Internal Medicine | Colorado Permanente Medical Group PC | 9285 Hepburn St, Highlands Ranch, CO 80129-2262 |
| Melanie Bonin | Family Practice | Colorado Permanente Medical Group, P.C. | 9285 Hepburn St, Highlands Ranch, CO 80129-2262 |
| Find all physicians in zip 80129 | |||
| City | HIGHLANDS RANCH |
| Zip Code | 80129 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | HIGHLANDS RANCH + FAMILY MEDICINE |
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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.