Jaclyn E Tybor (NPI# 1467838664, PAC ID# 5799094322) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1467838664 |
| PAC ID by PECOS | 5799094322 |
| Professional Enrollment ID | I20160414001000 |
| Full Name | Jaclyn E Tybor |
| Organization Legal Name | COAL CREEK FAMILY MEDICINE |
| Address |
1044 S 88th St Suite 200 Louisville CO 80027-9445 |
| Phone Number | 3036667119 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 6709789480 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 060103 | CENTURA HEALTH-AVISTA ADVENTIST HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1044 S 88th St, Suite 200, Louisville, CO 80027-9445 | 3036667119 | COAL CREEK FAMILY MEDICINE |
| Organization Legal Name | COAL CREEK FAMILY MEDICINE |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carl E Meredith | Family Medicine | Coal Creek Family Medicine | 1044 S 88th St, Suite 200, Louisville, CO 80027-9445 |
| Kevin S Boehm | Family Medicine | Coal Creek Family Medicine | 1044 S 88th St, Suite 200, Louisville, CO 80027-9445 |
| Lisa H Talamantes | Family Medicine | Coal Creek Family Medicine | 1044 S 88th St, Suite 200, Louisville, CO 80027-9445 |
| Katrina M Rosin | Physician Assistant | Coal Creek Family Medicine | 1044 S 88th St, Suite 200, Louisville, CO 80027-9445 |
| Marcie M Lavigne | Family Medicine | Coal Creek Family Medicine | 1044 S 88th St, Suite 200, Louisville, CO 80027-9445 |
| Debra J Neeland | Physician Assistant | Coal Creek Family Medicine | 1044 S 88th St, Suite 200, Louisville, CO 80027-9445 |
| Christina N Defelice | Physician Assistant | Coal Creek Family Medicine | 1044 S 88th St, Suite 200, Louisville, CO 80027-9445 |
| Street Address |
1044 S 88TH ST SUITE 200 |
| City | LOUISVILLE |
| State | CO |
| Zip | 80027-9445 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carl E Meredith | Family Medicine | Coal Creek Family Medicine | 1044 S 88th St, Suite 200, Louisville, CO 80027-9445 |
| Kevin S Boehm | Family Medicine | Coal Creek Family Medicine | 1044 S 88th St, Suite 200, Louisville, CO 80027-9445 |
| Lisa H Talamantes | Family Medicine | Coal Creek Family Medicine | 1044 S 88th St, Suite 200, Louisville, CO 80027-9445 |
| Katrina M Rosin | Physician Assistant | Coal Creek Family Medicine | 1044 S 88th St, Suite 200, Louisville, CO 80027-9445 |
| Marcie M Lavigne | Family Medicine | Coal Creek Family Medicine | 1044 S 88th St, Suite 200, Louisville, CO 80027-9445 |
| Rex Chang Manayan | General Surgery | Colorado Medical Group Pllc | 1044 S 88th St, Suite 105, Louisville, CO 80027-9418 |
| Marilee B Snyder | Clinical Social Worker | Ari Hoffman Psychotherapy LLC | 1044 S 88th St, 200 Integrated Care Institute, Louisville, CO 80027-9445 |
| Debra J Neeland | Physician Assistant | Coal Creek Family Medicine | 1044 S 88th St, Suite 200, Louisville, CO 80027-9445 |
| Christina N Defelice | Physician Assistant | Coal Creek Family Medicine | 1044 S 88th St, Suite 200, Louisville, CO 80027-9445 |
| Kimberly Kuehner | Clinical Psychologist | Ari Hoffman Psychotherapy LLC | 1044 S 88th St, 200 Integrated Care Institute, Louisville, CO 80027-9445 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lora L Bulmahn | Family Practice | Advanced Family Health Pllc | 325 Ws Boulder Rd, Louisville, CO 80027 |
| Tiffany Wynohradnyk | Nurse Practitioner | Transitions Chronic Care Inc | 1000 Health Park Dr, Louisville, CO 80027 |
| Susan Elizabeth Mccullough | Clinical Social Worker | 700 Front St, Suite 208, Louisville, CO 80027-1120 | |
| Pamela Goodfriend Cooper | Clinical Social Worker | 448 Eisenhower Dr, Louisville, CO 80027-1152 | |
| Alex Glades | Physical Therapy | Coal Creek Physical Therapy, LLC | 315 W S Boulder, Suite 100, Louisville, CO 80027-1157 |
| Ashley Hoath | Physical Therapy | Coal Creek Physical Therapy, LLC | 315 W S Boulder Rd, Suite 100, Louisville, CO 80027-1157 |
| Hannah Nicholson | Physical Therapy | Coal Creek Physical Therapy, LLC | 315 W S Boulder Rd, Suite 100, Louisville, CO 80027-1157 |
| Annabel Bavage | Physical Therapy | Coal Creek Physical Therapy, LLC | 315 W S Boulder Rd, Suite 100, Louisville, CO 80027-1157 |
| Chantal Marie Mcdonald | Physical Therapy | Coal Creek Physical Therapy, LLC | 315 W S Boulder Rd, Suite 100, Louisville, CO 80027-1157 |
| Erin Jensen | Physical Therapy | Coal Creek Physical Therapy, LLC | 315 W S Boulder Rd, Suite 100, Louisville, CO 80027-1157 |
| Find all physicians in zip 80027 | |||
| City | LOUISVILLE |
| Zip Code | 80027 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | LOUISVILLE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Jaclyn E Tybor.
| 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.