Peter Fathallah (NPI# 1073890471, PAC ID# 5092038950) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1073890471 |
| PAC ID by PECOS | 5092038950 |
| Professional Enrollment ID | I20141229000997 |
| Full Name | Peter Fathallah |
| Organization Legal Name | COLORADO PERMANENTE MEDICAL GROUP PC |
| Address |
1375 E 20th Ave Kaiser Permanente Skyline Medical C Denver CO 80205-5422 |
| Phone Number | 3033384545 |
| Gender | M |
| Graduation Year | 2011 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 1254238454 |
| Number of Group Practice Members | 1055 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1375 E 20th Ave, Kaiser Permanente Skyline Medical C, Denver, CO 80205-5422 | 3033384545 | COLORADO PERMANENTE MEDICAL GROUP PC |
| Organization Legal Name | COLORADO PERMANENTE MEDICAL GROUP PC |
| Physicians | 1037 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bruce E Conaway | Family Medicine | Colorado Permanente Medical Group PC | 2429 35th Ave, Greeley, CO 80634-4171 |
| Andrea Kohn Maikovich-fong | Psychologist, Clinical | Colorado Permanente Medical Group PC | 10400 E Alameda Ave, Kaiser Permanente East Medical Off, Denver, CO 80247-5104 |
| Alex W Landy | Hospitalist | Colorado Permanente Medical Group PC | 200 Emempla Circle, Emempla Good Samaritan Hospital Er, Lafayette, CO 80026-3370 |
| Kiran C Patel | Psychiatry | Colorado Permanente Medical Group PC | 9139 S Ridgeline Blvd, Kaiser Permanente Ridgeline Behav, Highlands Ranch, CO 80129-2333 |
| Rachel E Stacey | Obstetrics/gynecology | Colorado Permanente Medical Group PC | 8383 W Alameda Ave, Kaiser Permanente Lakewood Medical, Lakewood, CO 80226-3007 |
| Stephen S Sommerschield | Family Medicine | Colorado Permanente Medical Group PC | 7701 Sheridan Blvd, Westminster, CO 80003-2605 |
| Jordan H Mendoza | Obstetrics/gynecology | Colorado Permanente Medical Group PC | 11245 Huron St, Westminster, CO 80234-2806 |
| Jennifer K Dean | Nurse Practitioner | Colorado Permanente Medical Group PC | 4803 Ward Rd, Kaiser Permanente Wheat Ridge Med, Wheat Ridge, CO 80033-1902 |
| Ruth L Overlease | Family Medicine | Colorado Permanente Medical Group PC | 2955 S Broadway, Englewood, CO 80113-1526 |
| Heath Henbest | Family Medicine | Colorado Permanente Medical Group PC | 5257 S Wadsworth Boulevard, Kaiser Permanente Southwest Medical, Littleton, CO 80123-2228 |
| Street Address |
1375 E 20TH AVE KAISER PERMANENTE SKYLINE MEDICAL C |
| City | DENVER |
| State | CO |
| Zip | 80205-5422 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy R Collins | Pulmonary Disease | Colorado Permanente Medical Group PC | 1375 E 20th Ave, Kaiser Permanente Skyline Medical C, Denver, CO 80205-5422 |
| John Wilkins | Pulmonary Disease | Colorado Permanente Medical Group PC | 1375 E 20th Ave, Kaiser Permanente Skyline Medical C, Denver, CO 80205-5422 |
| Janet R Suarez | Pulmonary Disease | Colorado Permanente Medical Group PC | 1375 E 20th Ave, Kaiser Permanente Skyline Medical C, Denver, CO 80205-5422 |
| Christopher S Griffith | Internal Medicine | Colorado Permanente Medical Group PC | 1375 E 20th Ave, Kaiser Permanente Skyline Medical C, Denver, CO 80205-5422 |
| Boris I Bayerman | Family Medicine | Colorado Permanente Medical Group PC | 1375 E 20th Ave, Kaiser Permanente Skyline Medical C, Denver, CO 80205-5422 |
| Mikula Karmen Stambuk | Neurology | Colorado Permanente Medical Group PC | 1375 E 20th Ave, Kaiser Permanente Skyline Medical C, Denver, CO 80205-5422 |
| Isaac D Pierre | Family Medicine | Colorado Permanente Medical Group PC | 1375 E 20th Ave, Kaiser Permanente Skyline Medical C, Denver, CO 80205-5422 |
| Rebecca R Petersen | Internal Medicine | Colorado Permanente Medical Group PC | 1375 E 20th Ave, Kaiser Permanente Skyline Medical C, Denver, CO 80205-5422 |
| Kristy Ann Bauman | Pulmonary Disease | Colorado Permanente Medical Group PC | 1375 E 20th Ave, Kaiser Permanente Skyline Medical C, Denver, CO 80205-5422 |
| Chandra C Hartman | Family Medicine | Colorado Permanente Medical Group PC | 1375 E 20th Ave, Kaiser Permanente Skyline Medical C, Denver, CO 80205-5422 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allan Edward Crandell | Psychiatry | Colorado Coalition for The Homeless | 2100 Broadway, Denver, CO 80205-2526 |
| Elizabeth Cookson | Psychiatry | Colorado Coalition for The Homeless | 2100 Broadway, Denver, CO 80205-2526 |
| Stacy Hountras | Nurse Practitioner | Inner City Health Center | 3800 N York St, Denver, CO 80205-3540 |
| Stephanie J Dyck | Physician Assistant | Inner City Health Center | 3800 N York St, Denver, CO 80205-3540 |
| Douglas A. Fairbairn | Family Practice | Inner City Health Center | 3800 N York St, Denver, CO 80205-3540 |
| Ronnie Leann Pollard | Podiatry | 3445 E 28th Ave, Denver, CO 80205-5025 | |
| Vadim Fayngersh | Critical Care (intensivists) | Colorado Permanente Medical Group PC | 1375 E 20th Ave, Kaiser Permanente Skyline Medical C, Denver, CO 80205-5422 |
| Timothy J Eldridge | Internal Medicine | Colorado Permanente Medical Group PC | 1375 E 20th Ave, Kaiser Permanente Skyline Medical C, Denver, CO 80205-5422 |
| Jamison W Bohl | Family Medicine | Colorado Permanente Medical Group PC | 1375 E 20th Ave, Kaiser Permanente Skyline Medical C, Denver, CO 80205-5422 |
| Sarah Marie Richey | Sleep Medicine | Colorado Permanente Medical Group PC | 1375 E 20th Ave, Kaiser Permanente Skyline Medical C, Denver, CO 80205-5422 |
| Find all physicians in zip 80205 | |||
| City | DENVER |
| Zip Code | 80205 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | DENVER + PHYSICAL THERAPY |
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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.