Mario J Imola (NPI# 1932101490, PAC ID# 4789743501) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.
| Nation Provider ID (NPI) | 1932101490 |
| PAC ID by PECOS | 4789743501 |
| Professional Enrollment ID | I20100514000055 |
| Full Name | Mario J Imola |
| Address |
3600 S Logan St Suite 100 Englewood CO 80113-3766 |
| Gender | M |
| Graduation Year | 1987 |
| Primary Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Secondary Specialties | MAXILLOFACIAL SURGERY, OTOLARYNGOLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 060034 | HCA-HEALTHONE DBA SWEDISH MEDICAL CENTER |
| 060064 | CENTURA HEALTH-PORTER ADVENTIST HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3600 S Logan St, Suite 100, Englewood, CO 80113-3766 |
| Street Address |
3600 S LOGAN ST SUITE 100 |
| City | ENGLEWOOD |
| State | CO |
| Zip | 80113-3766 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nolan Ripple | Physical Therapy | Denver Physical Therapy, P.C. | 2700 S Broadway B, Proactive Pt Sobo, Englewood, CO 80113-1502 |
| Ruth L Overlease | Family Medicine | Colorado Permanente Medical Group PC | 2955 S Broadway, Englewood, CO 80113-1526 |
| Lawrence W Roth | Internal Medicine | Colorado Permanente Medical Group PC | 2955 S Broadway, Englewood, CO 80113-1526 |
| Ellen F Minick | Qualified Speech Language Pathologist | Colorado Permanente Medical Group PC | 2955 S Broadway, Englewood, CO 80113-1526 |
| Felipe Hernandez Jr. | Family Medicine | Colorado Permanente Medical Group PC | 2955 S Broadway, Englewood, CO 80113-1526 |
| Jessica Kate Seikel | Family Medicine | Colorado Permanente Medical Group PC | 2955 S Broadway, Englewood, CO 80113-1526 |
| Shaunna Lynn Mcintosh | Qualified Speech Language Pathologist | Colorado Permanente Medical Group PC | 2955 S Broadway, Englewood, CO 80113-1526 |
| Ada Gillis | Family Medicine | Colorado Permanente Medical Group PC | 2955 S Broadway, Englewood, CO 80113-1526 |
| Amanda J Bartholomew | Family Practice | Colorado Permanente Medical Group, P.C. | 2955 S Broadway, Englewood, CO 80113-1526 |
| Rebecca Abraham | Registered Dietitian Or Nutrition Professional | Colorado Permanente Medical Group, P.C. | 2955 S Broadway, Englewood, CO 80113-1526 |
| Find all physicians in zip 80113 | |||
| City | ENGLEWOOD |
| Zip Code | 80113 |
| Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| City + Specialty | ENGLEWOOD + PLASTIC AND RECONSTRUCTIVE SURGERY |
Please comment or provide details below to improve the information on Mario J Imola.
| 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.