Tara Edick (NPI# 1972523850, PAC ID# 4688955461) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1972523850 |
| PAC ID by PECOS | 4688955461 |
| Professional Enrollment ID | I20170110002443 |
| Full Name | Tara Edick |
| Organization Legal Name | CATHOLIC HEALTH INITIATIVES COLORADO |
| Address |
400 N Park Ave 1a Centura Health Physicians Group High Country Healt Breckenridge CO 80424-8709 |
| Phone Number | 9705479200 |
| Gender | F |
| Graduation Year | 2002 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 8022927342 |
| Number of Group Practice Members | 668 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 060118 | ST. ANTHONY SUMMIT MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 400 N Park Ave, 1a Centura Health Physicians Group High Country Healt, Breckenridge, CO 80424-8709 | 9705479200 | CATHOLIC HEALTH INITIATIVES COLORADO |
| 1925 E Orman, Suite 440, Pueblo, CO 81004-3551 | 7195604744 | CATHOLIC HEALTH INITIATIVES COLORADO |
| 1925 E Orman Ave, Suite 440, Pueblo, CO 81004-3551 | 7195574744 | CATHOLIC HEALTH INITIATIVES COLORADO |
| 41 State Hwy 67, Woodland Park, CO 80863-5008 | CATHOLIC HEALTH INITIATIVES COLORADO |
| Organization Legal Name | CATHOLIC HEALTH INITIATIVES COLORADO |
| Physicians | 623 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Herbert N Sutherland | Emergency Medicine | Catholic Health Initiatives Colorado | 1252 County Rd, 8 St Anthony Keystone Medical Clinic, Keystone, CO 80435 |
| Stephen J Mattichak | Interventional Cardiology | Catholic Health Initiatives Colorado | 1 Mercado St, Suite 130, Durango, CO 81301-7306 |
| Fernando Guarderas | Family Medicine | Catholic Health Initiatives Colorado | 2430 Research Pkwy, Colorado Springs, CO 80920-1093 |
| Jason Pereira | Internal Medicine | Catholic Health Initiatives Colorado | 11750 W 2nd Pl, 365 Chpg PC Metro C, Lakewood, CO 80228-1731 |
| Marilyn Ann Nguyen | Family Medicine | Catholic Health Initiatives Colorado | 11310 Huron St, Suite 100, Northglenn, CO 80234-3090 |
| Alan E Evans | Diagnostic Radiology | Catholic Health Initiatives Colorado | 11700 W 2nd Pl, 100 Colorado Breast Imaging, Lakewood, CO 80228-1707 |
| Dorothy L. Saune | Family Medicine | Catholic Health Initiatives Colorado | 3027 N Circle Dr, Colorado Springs, CO 80909-1179 |
| Hailey Brooke Holland | Family Medicine | Catholic Health Initiatives Colorado | 14300 Orchard Pkwy, Westminster, CO 80023-9206 |
| Bryce Kenneth Galbraith | Family Medicine | Catholic Health Initiatives Colorado | 4075 E 128th Ave, Thornton, CO 80241-2201 |
| Jennifer Lizabeth Manganello | Nurse Practitioner | Catholic Health Initiatives Colorado | 2551 W 84th Ave, Centura Health Pallative Care Chic, Westminster, CO 80031-3807 |
| Street Address |
400 N PARK AVE 1A CENTURA HEALTH PHYSICIANS GROUP HIGH COUNTRY HEALT |
| City | BRECKENRIDGE |
| State | CO |
| Zip | 80424-8709 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven Elliott Ryan | Family Medicine | Catholic Health Initiatives Colorado | 400 N Park Ave, 1a Centura Health Physicians Group High Country Healt, Breckenridge, CO 80424-8709 |
| Tyler John Norton | Physician Assistant | Catholic Health Initiatives Colorado | 400 N Park Ave, 1a Centura Health Physicians Group High Country Healt, Breckenridge, CO 80424-8709 |
| Gretchen A Broecker | Registered Dietitian Or Nutrition Professional | Catholic Health Initiatives Colorado | 400 N Park Ave, 1a Centura Health Physicians Group High Country Healt, Breckenridge, CO 80424-8709 |
| Craig Louis Perrinjaquet | Family Medicine | Catholic Health Initiatives Colorado | 400 N Park Ave, 1a Centura Health Physicians Group High Country Healt, Breckenridge, CO 80424-8709 |
| Susan C Jordan | Nurse Practitioner | Catholic Health Initiatives Colorado | 400 N Park Ave, 1a Centura Health Physicians Group High Country Healt, Breckenridge, CO 80424-8709 |
| Durant B Abernethy | Internal Medicine | Catholic Health Initiatives Colorado | 400 N Park Ave, 1a Centura Health Physicians Group High Country Healt, Breckenridge, CO 80424-8709 |
| Lindsey Nicole Walsh | Nurse Practitioner | Catholic Health Initiatives Colorado | 400 N Park Ave, 1a Centura Health Physicians Group High Country Healt, Breckenridge, CO 80424-8709 |
| Jill Seager | Physician Assistant | Catholic Health Initiatives Colorado | 400 N Park Ave, 1a Centura Health Physicians Group High Country Healt, Breckenridge, CO 80424-8709 |
| Erin M Beckerman | Family Medicine | Catholic Health Initiatives Colorado | 400 N Park Ave, 1a Centura Health Physicians Group High Country Healt, Breckenridge, CO 80424-8709 |
| Elisabeth Martin Brozovich | Physician Assistant | Catholic Health Initiatives Colorado | 400 N Park Ave, 1a Centura Health Physicians Group High Country Healt, Breckenridge, CO 80424-8709 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Olivia Lent | Physical Therapy | Vail Summit Physical Therapy LLC | 880 Airport Rd, Breckenridge, CO 80424 |
| Barbara D Thomas | Physical Therapy | Axis Sports Medicine LLC | 122 S Main St, Suite D, Breckenridge, CO 80424 |
| Clarice B Sage | Emergency Medicine | Catholic Health Initiatives Colorado | 555 S Park Ave Plaza II, St Anthony Breckenridge Medical Center, Breckenridge, CO 80424 |
| Kimberly Eytel | Physical Therapy | Axis Sports Medicine LLC | 122 S Main St, Suite D, Breckenridge, CO 80424 |
| Emily Ann Duncanson | Physical Therapy | Axis Sports Medicine LLC | 122 S Main St, Suite D, Breckenridge, CO 80424 |
| Kristin E Schwarck | Physical Therapy | Axis Sports Medicine LLC | 122 S Main St, Suite D, Breckenridge, CO 80424 |
| Stephanie Sauer | Physical Therapy | Axis Sports Medicine LLC | 122 S Main St, Suite D, Breckenridge, CO 80424 |
| Susan T Greenwood | Speech Language Pathologist | Vail Summit Physical Therapy LLC | 880 Airport Rd, Breckenridge, CO 80424 |
| Kathleen P Gordon | Physical Therapy | Axis Sports Medicine LLC | 122 S Main St, Suite D, Breckenridge, CO 80424 |
| Bryan S Austill | Clinical Psychologist | 435 N Park Ave, Breckenridge, CO 80424-0708 | |
| Find all physicians in zip 80424 | |||
| City | BRECKENRIDGE |
| Zip Code | 80424 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | BRECKENRIDGE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Tara Edick.
| 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.