Rosa Louise Brey Gardner (NPI# 1417468547, PAC ID# 5799044798) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
Nation Provider ID (NPI) | 1417468547 |
PAC ID by PECOS | 5799044798 |
Professional Enrollment ID | I20190712001530 |
Full Name | Rosa Louise Brey Gardner |
Organization Legal Name | MARILLAC CLINIC, INC. |
Address |
2333 N 6th St Grand Junction CO 81501-2001 |
Phone Number | 9702981782 |
Gender | F |
Graduation Year | 2017 |
Primary Specialty | PHYSICIAN ASSISTANT |
Group Practice PAC ID | 1052634748 |
Number of Group Practice Members | 12 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
060023 | ST MARYS MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
2333 N 6th St, Grand Junction, CO 81501-2001 | 9702981782 | MARILLAC CLINIC, INC. |
Organization Legal Name | MARILLAC CLINIC, INC. |
Physicians | 15 |
Name | Specialty | Organization | Address |
---|---|---|---|
Nikos P Hollis | Nurse Practitioner | Marillac Clinic, Inc. | 2333 N 6th St, Grand Junction, CO 81501-2001 |
Leah N Barjenbruch | Physician Assistant | Marillac Clinic, Inc. | 2333 N 6th St, Grand Junction, CO 81501-2001 |
Erica D Lovett Fournier | Family Medicine | Marillac Clinic, Inc. | 2333 N 6th St, Grand Junction, CO 81501-2001 |
Jared Barjenbruch | Physician Assistant | Marillac Clinic, Inc. | 2333 N 6th St, Grand Junction, CO 81501-2001 |
Jeanne M Haberer | Family Medicine | Marillac Clinic, Inc. | 2333 N 6th St, Grand Junction, CO 81501-2001 |
Crystal Dawn Owens | Hospice/palliative Care | Marillac Clinic, Inc. | 2333 N 6th St, Grand Junction, CO 81501-2001 |
Stephanie Sayers | Osteopathic Manipulative Medicine | Marillac Clinic, Inc. | 2333 N 6th St, Grand Junction, CO 81501-2001 |
Stephen R Pyland | Clinical Social Worker | Marillac Clinic, Inc. | 2333 N 6th St, Grand Junction, CO 81501-2001 |
Andrea L Nederveld | Pediatric Medicine | Marillac Clinic, Inc. | 2333 N 6th St, Grand Junction, CO 81501-2001 |
Derek D Diaz | Physician Assistant | Marillac Clinic, Inc. | 2333 N 6th St, Grand Junction, CO 81501-2001 |
Street Address |
2333 N 6TH ST |
City | GRAND JUNCTION |
State | CO |
Zip | 81501-2001 |
Name | Specialty | Organization | Address |
---|---|---|---|
Nikos P Hollis | Nurse Practitioner | Marillac Clinic, Inc. | 2333 N 6th St, Grand Junction, CO 81501-2001 |
Leah N Barjenbruch | Physician Assistant | Marillac Clinic, Inc. | 2333 N 6th St, Grand Junction, CO 81501-2001 |
Erica D Lovett Fournier | Family Medicine | Marillac Clinic, Inc. | 2333 N 6th St, Grand Junction, CO 81501-2001 |
Jared Barjenbruch | Physician Assistant | Marillac Clinic, Inc. | 2333 N 6th St, Grand Junction, CO 81501-2001 |
Jeanne M Haberer | Family Medicine | Marillac Clinic, Inc. | 2333 N 6th St, Grand Junction, CO 81501-2001 |
Crystal Dawn Owens | Hospice/palliative Care | Marillac Clinic, Inc. | 2333 N 6th St, Grand Junction, CO 81501-2001 |
Stephanie Sayers | Osteopathic Manipulative Medicine | Marillac Clinic, Inc. | 2333 N 6th St, Grand Junction, CO 81501-2001 |
Stephen R Pyland | Clinical Social Worker | Marillac Clinic, Inc. | 2333 N 6th St, Grand Junction, CO 81501-2001 |
Andrea L Nederveld | Pediatric Medicine | Marillac Clinic, Inc. | 2333 N 6th St, Grand Junction, CO 81501-2001 |
Derek D Diaz | Physician Assistant | Marillac Clinic, Inc. | 2333 N 6th St, Grand Junction, CO 81501-2001 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Roseanna M Jennings | Nurse Practitioner | Marillac Clinic, Inc. | 2333 N 6th St, Grand Junction, CO 81501-2001 |
James R Pasterz | Family Practice | Marillac Clinic, Inc. | 2333 N 6th St, Grand Junction, CO 81501-2001 |
Colleen Wright | Nurse Practitioner | Marillac Clinic, Inc. | 2333 N 6th St, Grand Junction, CO 81501-2001 |
Rhonda L Rhudy | Clinical Social Worker | Marillac Clinic, Inc. | 2333 N 6th St, Grand Junction, CO 81501-2001 |
Scott E Vincent | Family Medicine | 601 Ctr Ave, Grand Junction, CO 81501-2041 | |
Gregory D Urban | Plastic and Reconstructive Surgery | 1215 N 1st St, Grand Junction, CO 81501-2102 | |
Roberta L Prins | Physical Therapy | Stacey Wood | 321 Rood Ave, Grand Junction, CO 81501-2451 |
Stacey A Wood | Physical Therapy | Stacey Wood | 321 Rood Ave, Grand Junction, CO 81501-2451 |
Joshua M Hardy | Physical Therapy | 321 Rood Ave, Grand Junction, CO 81501-2451 | |
Leta A Hughes | Clinical Social Worker | Colorado West Regional Mental Health Inc | 450 Ouray Ave, Grand Junction, CO 81501-2536 |
Find all physicians in zip 81501 |
City | GRAND JUNCTION |
Zip Code | 81501 |
Specialty | PHYSICIAN ASSISTANT |
City + Specialty | GRAND JUNCTION + PHYSICIAN ASSISTANT |
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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.