Fernando Ariel Mahmoud (NPI# 1245542471, PAC ID# 7719176841) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
Nation Provider ID (NPI) | 1245542471 |
PAC ID by PECOS | 7719176841 |
Professional Enrollment ID | I20110105000736 |
Full Name | Fernando Ariel Mahmoud |
Organization Legal Name | PUEBLO COMMUNITY HEALTH CENTER INC. |
Address |
300 Colorado Ave Pueblo CO 81004-2006 |
Phone Number | 7195438711 |
Gender | M |
Graduation Year | 1999 |
Primary Specialty | OBSTETRICS/GYNECOLOGY |
Group Practice PAC ID | 4284543802 |
Number of Group Practice Members | 51 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
060012 | ST MARY CORWIN MED CTR, CENTURA HEALTH |
060020 | PARKVIEW MEDICAL CENTER INC |
Address | Phone | Organization |
---|---|---|
1501 Court St, Pueblo, CO 81003-2720 | 7195436755 | PARKVIEW ANCILLARY SERVICES CORPORATION |
1619 N Greewood, 106 Parkview Neurology Services, Pueblo, CO 81003-2655 | 7195957760 | PARKVIEW ANCILLARY SERVICES CORPORATION |
300 Colorado Ave, Pueblo, CO 81004-2006 | 7195438711 | PUEBLO COMMUNITY HEALTH CENTER INC. |
400 W 16th St, Parkview Medical Group Hospitalist, Pueblo, CO 81003-2745 | 7195844921 | PARKVIEW ANCILLARY SERVICES CORPORATION |
Organization Legal Name | PUEBLO COMMUNITY HEALTH CENTER INC. |
Physicians | 57 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kendra Fejedelem | Nurse Practitioner | Pueblo Community Health Center Inc. | 300 Colorado Ave, Pueblo, CO 81004-2006 |
Jill Hollar | Nurse Practitioner | Pueblo Community Health Center Inc. | 1302 E 5th St, Pueblo, CO 81001-3754 |
Amy R Ochle | Nurse Practitioner | Pueblo Community Health Center Inc. | 1302 E, Pueblo, CO 21001 |
Lynn Leyba | Nurse Practitioner | Pueblo Community Health Center Inc. | 1008 N Grand Ave, Pueblo, CO 81003-2916 |
Lynne M Evetts | Nurse Practitioner | Pueblo Community Health Center Inc. | 900 W Orman Ave, Rm Mt118, Pueblo, CO 81004-1430 |
Joy J Furman | Family Practice | Pueblo Community Health Center Inc. | 328 Avondale Blvd, Avondale, CO 81022-8700 |
Dana G Riley | Family Medicine | Pueblo Community Health Center Inc. | 300 Colorado Ave, Pueblo, CO 81004-2006 |
Prudencio A Cosyleon | Clinical Social Worker | Pueblo Community Health Center Inc. | 300 Colorado Ave, Pueblo, CO 81004-2006 |
Donald J Higdon | Clinical Social Worker | Pueblo Community Health Center Inc. | 300 Colorado Ave, Pueblo, CO 81004-2006 |
Lisa M Rich | Certified Nurse Midwife (cnm) | Pueblo Community Health Center Inc. | 300 Colorado Ave, Pueblo, CO 81004-2006 |
Street Address |
300 COLORADO AVE |
City | PUEBLO |
State | CO |
Zip | 81004-2006 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kendra Fejedelem | Nurse Practitioner | Pueblo Community Health Center Inc. | 300 Colorado Ave, Pueblo, CO 81004-2006 |
Dana G Riley | Family Medicine | Pueblo Community Health Center Inc. | 300 Colorado Ave, Pueblo, CO 81004-2006 |
Prudencio A Cosyleon | Clinical Social Worker | Pueblo Community Health Center Inc. | 300 Colorado Ave, Pueblo, CO 81004-2006 |
Donald J Higdon | Clinical Social Worker | Pueblo Community Health Center Inc. | 300 Colorado Ave, Pueblo, CO 81004-2006 |
Lisa M Rich | Certified Nurse Midwife (cnm) | Pueblo Community Health Center Inc. | 300 Colorado Ave, Pueblo, CO 81004-2006 |
Nicole Bower | Clinical Social Worker | Pueblo Community Health Center Inc. | 300 Colorado Ave, Pueblo, CO 81004-2006 |
Lauren Gomez | Physician Assistant | Pueblo Community Health Center Inc. | 300 Colorado Ave, Pueblo, CO 81004-2006 |
Michele Z Pennington | Family Medicine | Pueblo Community Health Center Inc. | 300 Colorado Ave, Pueblo, CO 81004-2006 |
Brittany R Stadterman | Physician Assistant | Pueblo Community Health Center Inc. | 300 Colorado Ave, Pueblo, CO 81004-2006 |
Jeanette Janine Grant | Clinical Social Worker | Pueblo Community Health Center Inc. | 300 Colorado Ave, Pueblo, CO 81004-2006 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Brenda J Mcbride-wilson | Nurse Practitioner | Health Solutions | 1012 W Abriendo Ave, Pueblo, CO 81004-1128 |
Teresa J Marshall | Psychologist, Clinical | 635 W Corona Ave, Suite 203, Pueblo, CO 81004-1210 | |
Lynne M Evetts | Nurse Practitioner | Pueblo Community Health Center Inc. | 900 W Orman Ave, Rm Mt118, Pueblo, CO 81004-1430 |
Carly A Lacroix | Osteopathic Manipulative Medicine | Pueblo Community Health Center Inc. | 900 W Orman Ave, Rm Mt118, Pueblo, CO 81004-1430 |
Jill Pollock | Psychologist, Clinical | Pueblo Community Health Center Inc. | 900 W Orman Ave, Rm Mt118, Pueblo, CO 81004-1430 |
Stephanie D Bellah | Chiropractic | 824 W Abriendo Ave, Pueblo, CO 81004-1547 | |
Scott C Cuthbert | Chiropractic | 255 W Abriendo Ave, Pueblo, CO 81004-1870 | |
Michael Rosen Pyros | Chiropractic | Chiropractic Health Center PC | 255 W Abriendo Ave, Pueblo, CO 81004-1870 |
Kimberly Coffman | Clinical Social Worker | A New Leaf Therapy LLC | 327 Colorado Ave, Pueblo, CO 81004-2005 |
Robert J Graham | Chiropractic | Young and Graham, P.C. | 301 Colorado Ave, Pueblo, CO 81004-2005 |
Find all physicians in zip 81004 |
City | PUEBLO |
Zip Code | 81004 |
Specialty | OBSTETRICS/GYNECOLOGY |
City + Specialty | PUEBLO + OBSTETRICS/GYNECOLOGY |
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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.