Jovan Mack (NPI# 1275990491, PAC ID# 4981901758) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1275990491 |
| PAC ID by PECOS | 4981901758 |
| Professional Enrollment ID | I20160322000474 |
| Full Name | Jovan Mack |
| Organization Legal Name | POTOMAC SQUARE FAMILY MEDICINE LLC |
| Address |
605 Parfet St Suite 103 Lakewood CO 80215-5518 |
| Phone Number | 3039869583 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1557333465 |
| Number of Group Practice Members | 26 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 605 Parfet St, Suite 103, Lakewood, CO 80215-5518 | 3039869583 | POTOMAC SQUARE FAMILY MEDICINE LLC |
| 605 Parfet St, Suite 103, Lakewood, CO 80215-5518 | 3039869610 | ROCKY MOUNTAIN URGENT CARE,LLC |
| Organization Legal Name | POTOMAC SQUARE FAMILY MEDICINE LLC |
| Physicians | 36 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah Lashley | Physical Therapy | Potomac Square Family Medicine LLC | 730 W Hampden Ave, Englewood, CO 80110-2120 |
| Lisa E Hawkins | Nurse Practitioner | Potomac Square Family Medicine LLC | 20270 E Smoky Hill Rd, Centennial, CO 80015-3138 |
| Carlos F Vera | Family Medicine | Potomac Square Family Medicine LLC | 6080 W 92nd Ave, Suite 1000, Westminster, CO 80031-2935 |
| Rachel A Bos | Family Medicine | Potomac Square Family Medicine LLC | 805 S Broadway St, Suite 103, Boulder, CO 80305-5972 |
| Leslie W Reitman | Internal Medicine | Potomac Square Family Medicine LLC | 13650 E Mississippi Ave, Aurora, CO 80012-3561 |
| John E Marquez | Physician Assistant | Potomac Square Family Medicine LLC | 13650 E Mississippi Ave, Aurora, CO 80012-3561 |
| Jeromy G Wilson | Physician Assistant | Potomac Square Family Medicine LLC | 13650 E Mississippi Ave, Aurora, CO 80012-3561 |
| Mackenzie A Courtney | Nurse Practitioner | Potomac Square Family Medicine LLC | 13650 E Mississippi Ave, Aurora, CO 80012-3561 |
| Jeffrey R Mills | Physical Therapy | Potomac Square Family Medicine LLC | 13650 E Mississippi Ave, Aurora, CO 80012-3561 |
| Eric H Leder | Internal Medicine | Potomac Square Family Medicine LLC | 13650 E Mississippi Ave, Aurora, CO 80012-3561 |
| Street Address |
605 PARFET ST SUITE 103 |
| City | LAKEWOOD |
| State | CO |
| Zip | 80215-5518 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Otto J Bebber Jr. | Optometry | 10090 W 26th Ave, Unit 300, Lakewood, CO 80215-1400 | |
| Darnell L Martin-wimmer | Dermatology | 1785 Kipling St, Lakewood, CO 80215-2843 | |
| Sarah T Doig | Occupational Therapy | Hand To Hand Therapy Clinic LLC | 10005 W 17th Place, Suite B, Lakewood, CO 80215-2865 |
| Cynthia K Petrinovic | Occupational Therapy | Hand To Hand Therapy Clinic LLC | 10005 W 17th Place, Suite B, Lakewood, CO 80215-2865 |
| Shannon Obrien | Occupational Therapy | Hand To Hand Therapy Clinic LLC | 10005 W 17th Place, Suite B, Lakewood, CO 80215-2865 |
| Merichele G Fojut | Physical Therapy | 1805 Kipling St, Suite 109, Lakewood, CO 80215-2871 | |
| Vernon M Smith Jr. | Internal Medicine | 1805 Kipling St, Lakewood, CO 80215-2873 | |
| David M Leon | Internal Medicine | 1805 Kipling St, Lakewood, CO 80215-2873 | |
| Aubrey Ray Dobbs | Internal Medicine | Internal Medicine Assoc. of Wheat Ridge, P.C. | 1805 Kipling St, Lakewood, CO 80215-2873 |
| Susan Lesnoy Schiff | Internal Medicine | Internal Medicine Assoc. of Wheat Ridge, P.C. | 1805 Kipling St, Lakewood, CO 80215-2873 |
| Find all physicians in zip 80215 | |||
| City | LAKEWOOD |
| Zip Code | 80215 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LAKEWOOD + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jovan Mack.
| 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.