Anne Lise A Hultsch (NPI# 1093781007, PAC ID# 7214946185) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1093781007 |
| PAC ID by PECOS | 7214946185 |
| Professional Enrollment ID | I20060425000269 |
| Full Name | Anne Lise A Hultsch |
| Organization Legal Name | ADVANCED DERMATOLOGY OF COLORADO PC |
| Address |
3726 S Timberline Rd Suite 101 Fort Collins CO 80525-4332 |
| Phone Number | 3037442704 |
| Gender | F |
| Credential | MD |
| Medical School | WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1992 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 8325337330 |
| Number of Group Practice Members | 48 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 060010 | POUDRE VALLEY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3726 S Timberline Rd, Suite 101, Fort Collins, CO 80525-4332 | 3037442704 | ADVANCED DERMATOLOGY OF COLORADO PC |
| Organization Legal Name | ADVANCED DERMATOLOGY OF COLORADO PC |
| Physicians | 48 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Narina Grove | Pathology | Advanced Dermatology of Colorado PC | 1100 Poudre River Dr, Unit A, Fort Collins, CO 80524-3557 |
| Samuel Blake Ecker | Dermatology | Advanced Dermatology of Colorado PC | 1006 Centre Ave, Fort Collins, CO 80526-1849 |
| Tyler O Vukmer | Dermatology | Advanced Dermatology of Colorado PC | 2970 Quebec St, Suite 200, Denver, CO 80207-2931 |
| Matthew S Laffer | Dermatology | Advanced Dermatology of Colorado PC | 1551 Milky Way, Thornton, CO 80260-4713 |
| Kelly E Pavelich | Physician Assistant | Advanced Dermatology of Colorado PC | 9101 Harlan St, Unit 155, Westminster, CO 80031-2925 |
| Robert Henry Packer | Dermatology | Advanced Dermatology of Colorado PC | 3455 W Lutheran Pkwy, 110 Advanced Dermatology, Wheat Ridge, CO 80033-6041 |
| Robert Chase Wright | Dermatology | Advanced Dermatology of Colorado PC | 8550 W 38th Ave, Suite 108, Wheat Ridge, CO 80033-4341 |
| Stephen P Castle | Dermatology | Advanced Dermatology of Colorado PC | 7251 W 20th St, Unit E, Greeley, CO 80634-4626 |
| Peggy B Liao | Dermatology | Advanced Dermatology of Colorado PC | 2200 E 18th Ave, Denver, CO 80206-1205 |
| James R Devito | Dermatology | Advanced Dermatology of Colorado PC | 9570 S Kingston Ct, Suite 100, Englewood, CO 80112-6004 |
| Street Address |
3726 S TIMBERLINE RD SUITE 101 |
| City | FORT COLLINS |
| State | CO |
| Zip | 80525-4332 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Barbara West | Dermatology | Advanced Dermatology of Colorado PC | 3726 S Timberline Rd, Suite 101, Fort Collins, CO 80525-4332 |
| Traci Wilke | Physician Assistant | Dermatology of Northern Colorado P.C. | 3726 S Timberline Rd, Suite 101, Fort Collins, CO 80524 |
| Cynthia S Vigil | Audiologist | Whitney Swander Audiology, Inc | 3726 S Timberline Rd, 103 Hearing Healthcare Centers, Fort Collins, CO 80525-4332 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Corrine M Layton | Occupational Therapy | Ensight Skills Center, Inc. | 1740 S College Ave, Fort Collins, CO 80525-1009 |
| Corey Byron Bernhardt | Optometry | Ensight Skills Center, Inc. | 1740 S College Ave, Fort Collins, CO 80525-1009 |
| Kursten K Von Koss | Occupational Therapy | Ensight Skills Center, Inc. | 1740 S College Ave, Fort Collins, CO 80525-1009 |
| Megan Baca | Optometry | Ensight Skills Center, Inc. | 1740 S College Ave, Fort Collins, CO 80525-1009 |
| Lisa Marie Faust | Occupational Therapy | Ensight Skills Center, Inc. | 1740 S College Ave, Fort Collins, CO 80525-1009 |
| David H Kisling | Optometry | Ensight Skills Center, Inc. | 1740 S College Ave, Fort Collins, CO 80525-1009 |
| Silvia Sorensen | Physical Therapy | 1325 E Prospect Rd, Fort Collins, CO 80525-1115 | |
| James Haas | Chiropractic | 1337 E Prospect Rd, Ft Collins, CO 80525-1115 | |
| Greg L Crawford | Chiropractic | 1337 E Prospect Rd, Fort Collins, CO 80525-1115 | |
| Steven L Kaufman | General Surgery | 1136 E Stuart St, Suite 4102, Fort Collins, CO 80525-1173 | |
| Find all physicians in zip 80525 | |||
| City | FORT COLLINS |
| Zip Code | 80525 |
| Specialty | DERMATOLOGY |
| City + Specialty | FORT COLLINS + DERMATOLOGY |
Please comment or provide details below to improve the information on Anne Lise A Hultsch.
| 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.