Kelly R Phillips (NPI# 1245680842, PAC ID# 5890087969) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1245680842 |
| PAC ID by PECOS | 5890087969 |
| Professional Enrollment ID | I20190828000490 |
| Full Name | Kelly R Phillips |
| Organization Legal Name | POUDRE VALLEY MEDICAL GROUP LLC |
| Address |
175 S Union Blvd 350 Uchealth Internal Medicine Clinic Printers Park Colorado Springs CO 80910-3146 |
| Phone Number | 7196335515 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 9638208549 |
| Number of Group Practice Members | 1070 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 060022 | UCH-MEMORIAL HEALTH SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 175 S Union Blvd, 350 Uchealth Internal Medicine Clinic Printers Park, Colorado Springs, CO 80910-3146 | 7196335515 | 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 |
175 S UNION BLVD 350 UCHEALTH INTERNAL MEDICINE CLINIC PRINTERS PARK |
| City | COLORADO SPRINGS |
| State | CO |
| Zip | 80910-3146 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John T Seddon | Orthopedic Surgery | Poudre Valley Medical Group LLC | 175 S Union Blvd, 300 Uchmg Orthopedic Surgery, Colorado Springs, CO 80910-3126 |
| Kristen R Darden | Interventional Radiology | Radiology and Imaging Consultants, PC | 175 S Union Blvd, Printers Park Medical Plaza, Colorado Springs, CO 80910-3113 |
| Meghan Teresa Rush | Endocrinology | Poudre Valley Medical Group LLC | 175 S Union Blvd, 300 Uchmg Orthopedic Surgery, Colorado Springs, CO 80910-3126 |
| Erin M Smith | Internal Medicine | Poudre Valley Medical Group LLC | 175 S Union Blvd, 350 Uchealth Internal Medicine Clinic Printers Park, Colorado Springs, CO 80910-3146 |
| Natalie A Valentino | Nurse Practitioner | Poudre Valley Medical Group LLC | 175 S Union Blvd, 220 Uchmg Printer Park Obgyn, Colorado Springs, CO 80910-3147 |
| Jonathan Christopher Barnwell | Orthopedic Surgery | Poudre Valley Medical Group LLC | 175 S Union Blvd, 300 Uchmg Orthopedic Surgery, Colorado Springs, CO 80910-3126 |
| William G Montross | Podiatry | Poudre Valley Medical Group LLC | 175 S Union Blvd, 310 Uchmg Primary Care Printers Park, Colorado Springs, CO 80910-3126 |
| Ann M Haddenhorst | Internal Medicine | Poudre Valley Medical Group LLC | 175 S Union Blvd, 350 Uchealth Internal Medicine Clinic Printers Park, Colorado Springs, CO 80910-3146 |
| Richard G. Straight | Nurse Practitioner | Rocky Mountain Vein Institute Pllc | 175 S Union Blvd, Suite 200, Colorado Springs, CO 80910-3117 |
| Chase Campbell | Diagnostic Radiology | Radiology and Imaging Consultants, PC | 175 S Union Blvd, Printers Park Medical Plaza, Colorado Springs, CO 80910-3113 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leslie A Morrow | Nurse Practitioner | Aspenpointe Inc | 220 Ruskin Dr, Colorado Springs, CO 80910-2522 |
| Jason Curd | Psychiatry | Aspenpointe Inc | 220 Ruskin Dr, Colorado Springs, CO 80910-2522 |
| Travis Porter | Psychologist, Clinical | Aspenpointe Inc | 220 Ruskin Dr, Colorado Springs, CO 80910-2522 |
| Jose Mathew | Clinical Social Worker | Aspenpointe Inc | 220 Ruskin Dr, Colorado Springs, CO 80910-2522 |
| Samuel A Martin Iv | Clinical Social Worker | Aspenpointe Inc | 220 Ruskin Dr, Colorado Springs, CO 80910-2522 |
| Venessa Ellington Alston | Clinical Social Worker | Aspenpointe Inc | 220 Ruskin Dr, Colorado Springs, CO 80910-2522 |
| Robert G Bleck | Psychiatry | Aspenpointe Inc | 220 Ruskin Dr, Colorado Springs, CO 80910-2522 |
| Nolan Williams | Psychiatry | Aspenpointe Inc | 220 Ruskin Dr, Colorado Springs, CO 80910-2522 |
| Dayanara T Gohil | Nurse Practitioner | Aspenpointe Inc | 220 Ruskin Dr, Colorado Springs, CO 80910-2522 |
| Katie Lynn Blickenderfer | Clinical Social Worker | Aspenpointe Inc | 220 Ruskin Dr, Colorado Springs, CO 80910-2522 |
| Find all physicians in zip 80910 | |||
| City | COLORADO SPRINGS |
| Zip Code | 80910 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | COLORADO SPRINGS + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Kelly R Phillips.
| 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.