Sofyan M Radaideh (NPI# 1477711901, PAC ID# 8921276650) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HEMATOLOGY/ONCOLOGY.
| Nation Provider ID (NPI) | 1477711901 |
| PAC ID by PECOS | 8921276650 |
| Professional Enrollment ID | I20110722000378 |
| Full Name | Sofyan M Radaideh |
| Organization Legal Name | ROCKY MOUNTAIN CANCER CENTERS LLP |
| Address |
3676 Parker Blvd Suite 350 Pueblo CO 81008-2213 |
| Phone Number | 7192966000 |
| Gender | M |
| Graduation Year | 2003 |
| Primary Specialty | HEMATOLOGY/ONCOLOGY |
| Group Practice PAC ID | 7012820533 |
| Number of Group Practice Members | 85 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 060012 | ST MARY CORWIN MED CTR, CENTURA HEALTH |
| 060020 | PARKVIEW MEDICAL CENTER INC |
| 061344 | |
| 061321 | MT SAN RAFAEL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3676 Parker Blvd, Suite 350, Pueblo, CO 81008-2213 | 7192966000 | ROCKY MOUNTAIN CANCER CENTERS LLP |
| Organization Legal Name | ROCKY MOUNTAIN CANCER CENTERS LLP |
| Physicians | 91 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mabel Mardones | Hematology/oncology | Rocky Mountain Cancer Centers LLP | 10107 Ridgegate Pkwy, Suite 200, Lone Tree, CO 80124-5641 |
| Austin Poole | Hematology/oncology | Rocky Mountain Cancer Centers LLP | 4715 Arapahoe Ave, Boulder, CO 80303-1385 |
| Jennifer Nafziger | Physician Assistant | Rocky Mountain Cancer Centers LLP | 22 W Dry Creek Circle, Littleton, CO 80120-4413 |
| Amy C Sidorski | Nurse Practitioner | Rocky Mountain Cancer Centers LLP | 1700 S Potomac St, Aurora, CO 80012-5430 |
| Daniel T. Chin | Radiation Oncology | Rocky Mountain Cancer Centers LLP | 8820 Huron St, Thornton, CO 80260-6805 |
| Ling Ma | Hematology/oncology | Rocky Mountain Cancer Centers LLP | 11750 W 2nd Place, Suite 100, Lakewood, CO 80228-1575 |
| Ioana M Hinshaw | Hematology/oncology | Rocky Mountain Cancer Centers LLP | 1800 Williams St, Suite 200, Denver, CO 80218-1237 |
| Hossein Maymani | Hematology/oncology | Rocky Mountain Cancer Centers LLP | 2030 Mountain View Ave, Suite 210, Longmont, CO 80501-3180 |
| Maurice Markus | Hematology/oncology | Rocky Mountain Cancer Centers LLP | 2312 N Nevada Ave, Suite 400, Colorado Springs, CO 80907-5320 |
| Kara A Hart | Nurse Practitioner | Rocky Mountain Cancer Centers LLP | 3676 Parker Blvd, Suite 350, Pueblo, CO 81008-2213 |
| Street Address |
3676 PARKER BLVD SUITE 350 |
| City | PUEBLO |
| State | CO |
| Zip | 81008-2213 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Krynn L Stegelmeier | Diagnostic Radiology | Parkwest Imaging, L.l.c | 3676 Parker Blvd, Suite 165, Pueblo, CO 81008-2212 |
| Kara A Hart | Nurse Practitioner | Rocky Mountain Cancer Centers LLP | 3676 Parker Blvd, Suite 350, Pueblo, CO 81008-2213 |
| Terrence Lee Lakin | Family Medicine | Southern Colorado Clinic PC | 3676 Parker Blvd, Suite 290, Pueblo, CO 81008-2212 |
| Roger W Davis | Orthopedic Surgery | Southern Colorado Clinic PC | 3676 Parker Blvd, Suite 290, Pueblo, CO 81008-2212 |
| Dwight K Caughfield | Physical Medicine and Rehabilitation | Southern Colorado Clinic PC | 3676 Parker Blvd, Suite 290, Pueblo, CO 81008-2212 |
| Terry L Schwartz | Physician Assistant | Southern Colorado Clinic PC | 3676 Parker Blvd, Suite 290, Pueblo, CO 81008-2212 |
| Mark F Abbott | Diagnostic Radiology | Parkwest Imaging, L.l.c | 3676 Parker Blvd, Suite 165, Pueblo, CO 81008-2212 |
| Cheryl A Cavalli | Family Medicine | Southern Colorado Clinic PC | 3676 Parker Blvd, Suite 290, Pueblo, CO 81008-2212 |
| Alonso Victor Pacheco | Hematology/oncology | Rocky Mountain Cancer Centers LLP | 3676 Parker Blvd, Suite 350, Pueblo, CO 81008-2213 |
| Rochelle Y. Elijah | Family Medicine | Southern Colorado Clinic PC | 3676 Parker Blvd, Suite 290, Pueblo, CO 81008-2212 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashok Patel | Allergy/immunology | 3116 Elizabeth St, Suite A, Pueblo, CO 81008-1145 | |
| Gregory J Sanchez | Chiropractic | 3606 Morris Ave, Suite B, Pueblo, CO 81008-1369 | |
| Theodore Wilding Davis | Chiropractic | 2505 Kachina Dr, Pueblo, CO 81008-1573 | |
| James F Georgis | Optometry | 22 Club Manor Dr, Pueblo, CO 81008-1601 | |
| Victoria R Peters | Optometry | 1700 W Hwy 50, Pueblo, CO 81008-1614 | |
| Lance Farnworth | Orthopedic Surgery | Pueblo Bone and Joint Clinic LLC | 1919w Us Hwy 50, Pueblo, CO 81008-1618 |
| Damian Gradisar | Nurse Practitioner | Pueblo Bone and Joint Clinic LLC | 1919w Us Hwy 50, Pueblo, CO 81008-1618 |
| Matthew P Simonich | Orthopedic Surgery | Pueblo Bone and Joint Clinic LLC | 1919w Us Hwy 50, Pueblo, CO 81008-1618 |
| Robyn B Silver | Physical Therapy | Centura Ventures LLC | 4112 Outlook Blvd, Suite 96, Pueblo, CO 81008-1667 |
| Stephanie Jean Zimbelman | Family Medicine | Catholic Health Initiatives Colorado | 4112 Outlook Blvd, Suite 303, Pueblo, CO 81008-1667 |
| Find all physicians in zip 81008 | |||
| City | PUEBLO |
| Zip Code | 81008 |
| Specialty | HEMATOLOGY/ONCOLOGY |
| City + Specialty | PUEBLO + HEMATOLOGY/ONCOLOGY |
Please comment or provide details below to improve the information on Sofyan M Radaideh.
| 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.