Robert M Botnick (NPI# 1275620155, PAC ID# 8022110485) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1275620155 |
| PAC ID by PECOS | 8022110485 |
| Professional Enrollment ID | I20080508000376 |
| Full Name | Robert M Botnick |
| Organization Legal Name | PLATTE VALLEY MEDICAL GROUP LLC |
| Address |
10569 Chambers Rd Commerce City CO 80022-8951 |
| Gender | M |
| Graduation Year | 1974 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 5890054100 |
| Number of Group Practice Members | 40 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 060004 | PLATTE VALLEY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1606 Prairie Ctr Pkwy, Brighton, CO 80601-4005 | PLATTE VALLEY MEDICAL GROUP LLC | |
| 1610 Prairie Ctr Pkwy, Suite 2200, Brighton, CO 80601-4008 | 3034981885 | PLATTE VALLEY MEDICAL GROUP LLC |
| 10569 Chambers Rd, Commerce City, CO 80022-8951 | PLATTE VALLEY MEDICAL GROUP LLC | |
| 1000 Lincoln St, Fort Morgan, CO 80701-3290 | 9708676430 | PLATTE VALLEY MEDICAL GROUP LLC |
| Organization Legal Name | PLATTE VALLEY MEDICAL GROUP LLC |
| Physicians | 29 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chad Michael Lucci | Physician Assistant | Platte Valley Medical Group LLC | 1450 Dexter St, Fort Lupton, CO 80621-1503 |
| Kristin Zinis | Physician Assistant | Platte Valley Medical Group LLC | 10569 Chambers Rd, Commerce City, CO 80022-8951 |
| Daniel Richard Hamman | Orthopedic Surgery | Platte Valley Medical Group LLC | 1610 Prairie Ctr Pkwy, Suite 2200, Brighton, CO 80601-4008 |
| Hadley J Mcarthur | Podiatry | Platte Valley Medical Group LLC | 1610 Prairie Ctr Pkwy, Suite 2200, Brighton, CO 80601-4008 |
| John J. Mangelson | Orthopedic Surgery | Platte Valley Medical Group LLC | 1610 Prairie Ctr Pkwy, Suite 2200, Brighton, CO 80601-4008 |
| Ryan Richard Gerry | General Surgery | Platte Valley Medical Group LLC | 1610 Prairie Ctr Pkwy, Suite 2300, Brighton, CO 80601-4003 |
| Kyle Edward Haffner | Podiatry | Platte Valley Medical Group LLC | 1610 Prairie Ctr Pkwy, Suite 2200, Brighton, CO 80601-4008 |
| Jennifer Marie Wilson | Obstetrics/gynecology | Platte Valley Medical Group LLC | 1606 Prairie Ctr Pkwy, Suite 350, Brighton, CO 80601-4005 |
| Gordon E Steward | Physician Assistant | Platte Valley Medical Group LLC | 1450 Dexter St, Fort Lupton, CO 80621-1503 |
| Aaron T Baxter | Orthopedic Surgery | Platte Valley Medical Group LLC | 1610 Prairie Ctr Pkwy, Suite 2200, Brighton, CO 80601-4008 |
| Street Address |
10569 CHAMBERS RD |
| City | COMMERCE CITY |
| State | CO |
| Zip | 80022-8951 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristin Zinis | Physician Assistant | Platte Valley Medical Group LLC | 10569 Chambers Rd, Commerce City, CO 80022-8951 |
| Laura Mason Ferguson | Physician Assistant | Platte Valley Medical Group LLC | 10569 Chambers Rd, Commerce City, CO 80022-8951 |
| Robert A Massa | Internal Medicine | Platte Valley Medical Group LLC | 10569 Chambers Rd, Unit 102, Commerce City, CO 80022-8951 |
| Steven C Matthews | Physician Assistant | Platte Valley Medical Group LLC | 10569 Chambers Rd, Commerce City, CO 80022-8951 |
| Esther Min | Obstetrics/gynecology | Platte Valley Medical Group LLC | 10569 Chambers Rd, Unit 103, Commerce City, CO 80022-8951 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Janae Gray | Psychologist, Clinical | Community Reach Center Inc | 4371 E 72nd Ave, Commerce City, CO 80022-1474 |
| Michael J Stackpool | Emergency Medicine | Community Reach Center Inc | 4371 E 72nd Ave, Commerce City, CO 80022-1474 |
| Khem M Shepsutera | Clinical Social Worker | Community Reach Center Inc | 4371 E 72nd Ave, Commerce City, CO 80022-1474 |
| Esteban Jesus Sandoval | Optometry | 5990 Dahlia St, Commerce City, CO 80022-3708 | |
| John A Molinario | Optometry | Clear Vision Associates PC | 5990 Dahlia St, Commerce City, CO 80022-3708 |
| Emily C Schulz | Physical Therapy | Mvp Physical Therapy LLC | 13659 E 104th Ave, Unit 300, Commerce City, CO 80022-9402 |
| Rachael Marie Eckert | Physical Therapy | Mvp Physical Therapy LLC | 13659 E 104th Ave, Unit 300, Commerce City, CO 80022-9402 |
| Ronnie Shane Eskew | Physical Therapy | Mvp Physical Therapy LLC | 13659 E 104th Ave, Unit 300, Commerce City, CO 80022-9402 |
| Alex E Lubahn | Physical Therapy | Mvp Physical Therapy LLC | 13659 E 104th Ave, Unit 300, Commerce City, CO 80022-9402 |
| Jacqueline Ann Duong | Optometry | North Range Eye Care PC | 13599 E 104th Ave, Unit 400, Commerce City, CO 80022-9419 |
| Find all physicians in zip 80022 | |||
| City | COMMERCE CITY |
| Zip Code | 80022 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | COMMERCE CITY + PHYSICIAN ASSISTANT |
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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.