Mark Neagle (NPI# 1699745539, PAC ID# 5496781031) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CRITICAL CARE (INTENSIVISTS).
| Nation Provider ID (NPI) | 1699745539 |
| PAC ID by PECOS | 5496781031 |
| Professional Enrollment ID | I20050714000463 |
| Full Name | Mark Neagle |
| Organization Legal Name | POUDRE VALLEY MEDICAL GROUP LLC |
| Address |
555 Prospect Ave Estes Park CO 80517-6312 |
| Phone Number | 9705774478 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | CRITICAL CARE (INTENSIVISTS) |
| Secondary Specialties | INTERNAL MEDICINE, PULMONARY DISEASE |
| Group Practice PAC ID | 9638208549 |
| Number of Group Practice Members | 1070 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 060010 | POUDRE VALLEY HOSPITAL |
| 060119 | MEDICAL CENTER OF THE ROCKIES |
| 061312 | ESTES PARK MEDICAL CENTER |
| 060131 |
| Address | Phone | Organization |
|---|---|---|
| 5050 Powerhouse Rd, Cheyenne, WY 82009-4892 | 3076341311 | POUDRE VALLEY MEDICAL GROUP LLC |
| 555 Prospect Ave, Estes Park, CO 80517-6312 | 9705774478 | POUDRE VALLEY MEDICAL GROUP LLC |
| 2121 E Harmony Rd Unit, 300 Uchmg Pulmonology Fort Collins, Fort Collins, CO 80528-3403 | 9702249102 | POUDRE VALLEY MEDICAL GROUP LLC |
| Organization Legal Name | POUDRE VALLEY MEDICAL GROUP LLC |
| Physicians | 1041 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Henry Monkowski | Infectious Disease | Poudre Valley Medical Group LLC | 1625 Foxtrail Dr, Suite 200, Loveland, CO 80538-9089 |
| Nataliia A Baker | Family Medicine | Poudre Valley Medical Group LLC | 1455 Main St, Suite 100, Windsor, CO 80550-5559 |
| Stephanie Pivik Mager | Obstetrics/gynecology | Poudre Valley Medical Group LLC | 1715 61st Ave, Greeley, CO 80634-7989 |
| Kerri Alicia Madden | Physician Assistant | Poudre Valley Medical Group LLC | 4404 Barranca Ln, Unit 101, Castle Rock, CO 80104-7432 |
| Alicia Vandersluis | Obstetrics/gynecology | Poudre Valley Medical Group LLC | 6705 Rangewood Dr, Colorado Springs, CO 80918-7300 |
| Megan Leigh Kelly | Clinical Social Worker | Poudre Valley Medical Group LLC | 11820 Destination Dr, Broomfield, CO 80021-2518 |
| Mark Oscar Robinson | Family Medicine | Poudre Valley Medical Group LLC | 15854 Jackson Creek Pkwy, Unit 120, Monument, CO 80132-8663 |
| Kimberly Atiyeh | Otolaryngology | Poudre Valley Medical Group LLC | 16222 W Us Hwy 24 210, Uchmg Woodland Park Outreach, Woodland Park, CO 80863-8763 |
| Adam Lee Kilkenney | Family Medicine | Poudre Valley Medical Group LLC | 5265 N Academy Blvd, Suite 1800, Colorado Springs, CO 80918-4061 |
| Marlesa Renee Moore | Obstetrics/gynecology | Poudre Valley Medical Group LLC | 1015 E Pikes Peak Ave, Suite 100, Colorado Springs, CO 80903-5700 |
| Street Address |
555 PROSPECT AVE |
| City | ESTES PARK |
| State | CO |
| Zip | 80517-6312 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bridget A Dunn | General Practice | Park Hospital District | 555 Prospect Ave, Estes Park, CO 80517-6312 |
| James Carl Atha | Certified Registered Nurse Anesthetist (crna) | Park Hospital District | 555 Prospect Ave, Estes Park, CO 80517-6312 |
| Elise J Booth | Nurse Practitioner | Park Hospital District | 555 Prospect Ave, Estes Park, CO 80517-6312 |
| Jason R Goodwin | Certified Registered Nurse Anesthetist (crna) | Park Hospital District | 555 Prospect Ave, Estes Park, CO 80517-6312 |
| Mark J Hansen | Diagnostic Radiology | 555 Prospect Ave, Estes Park, CO 80517-6312 | |
| Michelle Lynn Furmaga | Neurology | Park Hospital District | 555 Prospect Ave, Estes Park, CO 80517-6312 |
| John Thieszen | Internal Medicine | Rural Physicians Group Pannu Pllc | 555 Prospect Ave, Estes Park, CO 80517-6312 |
| John J Meyer | Emergency Medicine | 555 Prospect Ave, Estes Park, CO 80517-6312 | |
| Chad L Stoltz | Interventional Cardiology | Park Hospital District | 555 Prospect Ave, Estes Park, CO 80517-6312 |
| Desmond Jy Wah | Internal Medicine | Rural Physicians Group Pannu Pllc | 555 Prospect Ave, Estes Park, CO 80517-6312 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan R Anderson | Clinical Social Worker | 363 E Elkhorn Ave, Suite 301, Estes Park, CO 80517 | |
| Lynn Harris | Clinical Psychologist | 363 E Elkhorn Ave, Suite 311, Estes Park, CO 80517-1592 | |
| Cory Workman | Qualified Audiologist | 1186 Graves Ave, Unit B, Estes Park, CO 80517-5439 | |
| Wendy Koenig Schuett | Audiologist | Community Hearing Center,inc | 1186 Graves Ave B, Estes Park, CO 80517-5439 |
| Ross W Mcfarland | Hematology/oncology | Poudre Valley Medical Group LLC | 555 Prospect Ave, Estes Park, CO 80517-6312 |
| Velusamy Kailasam | Allergy/immunology | Allergy Partners of Colorado, PC | 555 Prospect Ave, Estes Park, CO 80517-6312 |
| Martin A Koschnitzke | Obstetrics/gynecology | Park Hospital District | 555 Prospect Ave, Estes Park, CO 80517-6312 |
| Yvonne Bodemann | Hospitalist | Rural Physicians Group Pannu Pllc | 555 Prospect Ave, Estes Park, CO 80517-6312 |
| Anne Lassiter | Physician Assistant | Poudre Valley Medical Group LLC | 555 Prospect Ave, Estes Park, CO 80517-6312 |
| Shahram D Asadi | Internal Medicine | 555 Prospect Ave, Estes Park, CO 80517-6312 | |
| Find all physicians in zip 80517 | |||
| City | ESTES PARK |
| Zip Code | 80517 |
| Specialty | CRITICAL CARE (INTENSIVISTS) |
| City + Specialty | ESTES PARK + CRITICAL CARE (INTENSIVISTS) |
Please comment or provide details below to improve the information on Mark Neagle.
| 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.