Jeffrey M Wallace (NPI# 1619392974, PAC ID# 5193073211) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1619392974 |
| PAC ID by PECOS | 5193073211 |
| Professional Enrollment ID | I20180807001401 |
| Full Name | Jeffrey M Wallace |
| Organization Legal Name | COLORADO URGENT CARE PLLC |
| Address |
7380 W 52nd Ave Unit I Nextcare 52nd Arvada CO 80002-3747 |
| Phone Number | 3034635941 |
| Gender | M |
| Graduation Year | 2014 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 6002834645 |
| Number of Group Practice Members | 22 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 7380 W 52nd Ave Unit I, Nextcare 52nd, Arvada, CO 80002-3747 | 3034635941 | COLORADO URGENT CARE PLLC |
| 18890 E Hampden Ave Unit H, Nextcare Urgent Care Hampden, Aurora, CO 80013-3504 | 3036171604 | COLORADO URGENT CARE PLLC |
| 4590 W 121st Ave, Nextcare Urgent Care 121st, Broomfield, CO 80020-5666 | 3034394544 | COLORADO URGENT CARE PLLC |
| 1011 39th Ave A, Greeley, CO 80634-2504 | 9703518181 | COLORADO URGENT CARE PLLC |
| 2144 Main St, Suite 8, Longmont, CO 80501-8402 | 3037720041 | COLORADO URGENT CARE PLLC |
| Organization Legal Name | COLORADO URGENT CARE PLLC |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachel June Wekesa | Nurse Practitioner | Colorado Urgent Care Pllc | 16728 E Smoky Hill Rd, 10d Nextcare Urgent Care Piney Creek, Centennial, CO 80015-2400 |
| Evelyn B Hu | Nurse Practitioner | Colorado Urgent Care Pllc | 1011 39th Ave A, Greeley, CO 80634-2504 |
| Lindsay D Morton | Physician Assistant | Colorado Urgent Care Pllc | 18890 E Hampden Ave Unit H, Nextcare Urgent Care Hampden, Aurora, CO 80013-3504 |
| Steven L Ray | Family Medicine | Colorado Urgent Care Pllc | 7380 W 52nd Ave Unit I, Nextcare 52nd, Arvada, CO 80002-3747 |
| Michael R Iannotti | Family Medicine | Colorado Urgent Care Pllc | 4590 W 121st Ave, Nextcare Urgent Care 121st, Broomfield, CO 80020-5666 |
| Holly J Vali | Nurse Practitioner | Colorado Urgent Care Pllc | 7380 W 52nd Ave Unit I, Nextcare 52nd, Arvada, CO 80002-3747 |
| Rahel G Gebremeskel | Physician Assistant | Colorado Urgent Care Pllc | 18890 E Hampden Ave Unit H, Nextcare Urgent Care Hampden, Aurora, CO 80013-3504 |
| Rebecca Postma Nielsen | Physician Assistant | Colorado Urgent Care Pllc | 7380 W 52nd Ave Unit I, Nextcare 52nd, Arvada, CO 80002-3747 |
| Kelli R Mckee | Physician Assistant | Colorado Urgent Care Pllc | 7380 W 52nd Ave Unit I, Nextcare 52nd, Arvada, CO 80002-3747 |
| Stephanie Boisvert | Physician Assistant | Colorado Urgent Care Pllc | 7380 W 52nd Ave Unit I, Nextcare 52nd, Arvada, CO 80002-3747 |
| Street Address |
7380 W 52ND AVE UNIT I NEXTCARE 52ND |
| City | ARVADA |
| State | CO |
| Zip | 80002-3747 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven L Ray | Family Medicine | Colorado Urgent Care Pllc | 7380 W 52nd Ave Unit I, Nextcare 52nd, Arvada, CO 80002-3747 |
| Holly J Vali | Nurse Practitioner | Colorado Urgent Care Pllc | 7380 W 52nd Ave Unit I, Nextcare 52nd, Arvada, CO 80002-3747 |
| Rebecca Postma Nielsen | Physician Assistant | Colorado Urgent Care Pllc | 7380 W 52nd Ave Unit I, Nextcare 52nd, Arvada, CO 80002-3747 |
| Kelli R Mckee | Physician Assistant | Colorado Urgent Care Pllc | 7380 W 52nd Ave Unit I, Nextcare 52nd, Arvada, CO 80002-3747 |
| Stephanie Boisvert | Physician Assistant | Colorado Urgent Care Pllc | 7380 W 52nd Ave Unit I, Nextcare 52nd, Arvada, CO 80002-3747 |
| Laura B Torrez | Nurse Practitioner | Colorado Urgent Care Pllc | 7380 W 52nd Ave Unit I, Nextcare 52nd, Arvada, CO 80002-3747 |
| Heather D. West | Family Medicine | Colorado Urgent Care Pllc | 7380 W 52nd Ave Unit I, Nextcare 52nd, Arvada, CO 80002-3747 |
| Kerrie Kim | Physician Assistant | Colorado Urgent Care Pllc | 7380 W 52nd Ave Unit I, Nextcare 52nd, Arvada, CO 80002-3747 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin J Gottsche | Chiropractic | 12330 W 58th Ave, Suite 4, Arvada, CO 80002-1200 | |
| Carlos G Vela Brol | Family Medicine | Scl Physicians - Rmpc LLC | 5730 Ward Rd, 102 Rmpc Arvada, Arvada, CO 80002-1300 |
| Martha Muka Ives | Internal Medicine | Scl Physicians - Rmpc LLC | 5730 Ward Rd, 102 Rmpc Arvada, Arvada, CO 80002-1300 |
| Deborah E Way | Family Practice | Rocky Mountain Primary Care Management Service Organization, Inc. | 5730 Ward Rd, Arvada, CO 80002-1300 |
| Elizabeth O'hare | Psychologist, Clinical | 5460 Ward Rd, Suite 155, Arvada, CO 80002-1800 | |
| Susan Forde-bunch | Clinical Social Worker | 5460 Ward Rd, Suite 210, Arvada, CO 80002-1806 | |
| Peter J Dahlberg | Nurse Practitioner | 5400 Ward Rd, Bldg V Suite 110, Arvada, CO 80002-1820 | |
| Marianne E Webb | Certified Clinical Nurse Specialist (cns) | 5310 Ward Rd, Suite 102e, Arvada, CO 80002-1829 | |
| Amar Patel | Physical Medicine and Rehabilitation | Comprehensive Rehabilitation and Pain Specialists Pllc | 8850 Ralston Rd, Suite 200, Arvada, CO 80002-2248 |
| Wieslaw Pawel Gessner | Pain Management | Pain Relief Center of Colorado | 8850 W 58th Ave, Suite 200, Arvada, CO 80002-2248 |
| Find all physicians in zip 80002 | |||
| City | ARVADA |
| Zip Code | 80002 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | ARVADA + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Jeffrey M Wallace.
| 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.