Kyle Delong (NPI# 1861844292, PAC ID# 7214225366) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1861844292 |
| PAC ID by PECOS | 7214225366 |
| Professional Enrollment ID | I20161005002456 |
| Full Name | Kyle Delong |
| Organization Legal Name | COLORADO SURGICAL AFFILIATES LLC |
| Address |
2440 N 11th St General Surgeons of Western Colorado Grand Junction CO 81501-8102 |
| Phone Number | 9702430900 |
| Gender | M |
| Graduation Year | 2016 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 5496034068 |
| Number of Group Practice Members | 31 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 060054 | COMMUNITY HOSPITAL |
| 060023 | ST MARYS MEDICAL CENTER |
| 060006 | MONTROSE MEMORIAL HOSPITAL |
| 061302 | FAMILY WEST WEST HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2373 G Rd, Suite 200, Grand Junction, CO 81505-1006 | 9702433061 | COLORADO SURGICAL AFFILIATES LLC |
| 2440 N 11th St, General Surgeons of Western Colorado, Grand Junction, CO 81501-8102 | 9702430900 | COLORADO SURGICAL AFFILIATES LLC |
| Organization Legal Name | COLORADO SURGICAL AFFILIATES LLC |
| Physicians | 28 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Craig H Andersen | General Surgery | Colorado Surgical Affiliates LLC | 2440 N 11th St, General Surgeons of Western Colorado, Grand Junction, CO 81501-8102 |
| Douglas August Hirth | General Surgery | Colorado Surgical Affiliates LLC | 2440 N 11th St, General Surgeons of Western Colorado, Grand Junction, CO 81501-8102 |
| Sheri V Kembel | Nurse Practitioner | Colorado Surgical Affiliates LLC | 2440 N 11th St, General Surgeons of Western Colorado, Grand Junction, CO 81501-8102 |
| Christopher J Wibbelsman | General Surgery | Colorado Surgical Affiliates LLC | 2440 N 11th St, General Surgeons of Western Colorado, Grand Junction, CO 81501-8102 |
| Gregory Tarman | Urology | Colorado Surgical Affiliates LLC | 2373 G Rd, Suite 200, Grand Junction, CO 81505-1006 |
| Megan Marie Dighero | Physician Assistant | Colorado Surgical Affiliates LLC | 2440 N 11th St, General Surgeons of Western Colorado, Grand Junction, CO 81501-8102 |
| Laurel A Bartholomay | Obstetrics/gynecology | Colorado Surgical Affiliates LLC | 2373 G Rd, Suite 200, Grand Junction, CO 81505-1006 |
| Eric J Hanly | General Surgery | Colorado Surgical Affiliates LLC | 2440 N 11th St, General Surgeons of Western Colorado, Grand Junction, CO 81501-8102 |
| Michael J Murray | Urology | Colorado Surgical Affiliates LLC | 2373 G Rd, Suite 200, Grand Junction, CO 81505-1006 |
| Traci B Qualls | Nurse Practitioner | Colorado Surgical Affiliates LLC | 2373 G Rd, Suite 200, Grand Junction, CO 81505-1006 |
| Street Address |
2440 N 11TH ST GENERAL SURGEONS OF WESTERN COLORADO |
| City | GRAND JUNCTION |
| State | CO |
| Zip | 81501-8102 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Craig H Andersen | General Surgery | Colorado Surgical Affiliates LLC | 2440 N 11th St, General Surgeons of Western Colorado, Grand Junction, CO 81501-8102 |
| Douglas August Hirth | General Surgery | Colorado Surgical Affiliates LLC | 2440 N 11th St, General Surgeons of Western Colorado, Grand Junction, CO 81501-8102 |
| Sheri V Kembel | Nurse Practitioner | Colorado Surgical Affiliates LLC | 2440 N 11th St, General Surgeons of Western Colorado, Grand Junction, CO 81501-8102 |
| Christopher J Wibbelsman | General Surgery | Colorado Surgical Affiliates LLC | 2440 N 11th St, General Surgeons of Western Colorado, Grand Junction, CO 81501-8102 |
| Megan Marie Dighero | Physician Assistant | Colorado Surgical Affiliates LLC | 2440 N 11th St, General Surgeons of Western Colorado, Grand Junction, CO 81501-8102 |
| Eric J Hanly | General Surgery | Colorado Surgical Affiliates LLC | 2440 N 11th St, General Surgeons of Western Colorado, Grand Junction, CO 81501-8102 |
| Tanner Crosby Spees | Critical Care (intensivists) | Colorado Surgical Affiliates LLC | 2440 N 11th St, General Surgeons of Western Colorado, Grand Junction, CO 81501-8102 |
| Steven T Oday | General Surgery | Colorado Surgical Affiliates LLC | 2440 N 11th St, General Surgeons of Western Colorado, Grand Junction, CO 81501-8102 |
| Breanna Lee Sanders | Physician Assistant | Colorado Surgical Affiliates LLC | 2440 N 11th St, General Surgeons of Western Colorado, Grand Junction, CO 81501-8102 |
| Teyen P. Shiao | General Surgery | Colorado Surgical Affiliates LLC | 2440 N 11th St, General Surgeons of Western Colorado, Grand Junction, CO 81501-8102 |
| Find all physicians in the same address | |||
| 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 |
| Rosa Louise Brey Gardner | 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 |
| Find all physicians in zip 81501 | |||
| City | GRAND JUNCTION |
| Zip Code | 81501 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | GRAND JUNCTION + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Kyle Delong.
| 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.