Mark S Flora (NPI# 1417929019, PAC ID# 9133252216) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1417929019 |
| PAC ID by PECOS | 9133252216 |
| Professional Enrollment ID | I20100727000814 |
| Full Name | Mark S Flora |
| Organization Legal Name | PLATTE VALLEY MEDICAL GROUP LLC |
| Address |
1450 Dexter St Suite 102 Fort Lupton CO 80621-1503 |
| Phone Number | 3038577958 |
| Gender | M |
| Graduation Year | 1979 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 5890054100 |
| Number of Group Practice Members | 42 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 061315 | YUMA DISTRICT HOSPITAL |
| 281355 | OGALLALA COMMUNITY HOSPITAL |
| 061306 | LINCOLN COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1450 Dexter St, Suite 102, Fort Lupton, CO 80621-1503 | 3038577958 | PLATTE VALLEY MEDICAL GROUP LLC |
| 2601 N Spruce St, Ogallala, NE 69153-2465 | 3082844011 | OGALLALA COMMUNITY HOSPITAL |
| 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 |
1450 DEXTER ST SUITE 102 |
| City | FORT LUPTON |
| State | CO |
| Zip | 80621-1503 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chad Michael Lucci | Physician Assistant | Platte Valley Medical Group LLC | 1450 Dexter St, Fort Lupton, CO 80621-1503 |
| Gordon E Steward | Physician Assistant | Platte Valley Medical Group LLC | 1450 Dexter St, Fort Lupton, CO 80621-1503 |
| Ryan B Maldonado | Physician Assistant | Platte Valley Medical Group LLC | 1450 Dexter St, Fort Lupton, CO 80621-1503 |
| Erick D Anderson | Physician Assistant | Platte Valley Medical Group LLC | 1450 Dexter St, Fort Lupton, CO 80621-1503 |
| Jeffrey A Metcalf | Emergency Medicine | Workwellness Inc | 1450 Dexter St, Fort Lupton, CO 80621-1503 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael W Allen | Family Medicine | Plan De Salud Del Valle, Inc. | 1115 2nd St, Fort Lupton, CO 80621-1508 |
| Tillman Farley | Family Medicine | Plan De Salud Del Valle, Inc. | 1115 2nd St, Fort Lupton, CO 80621-1508 |
| Rebecca K Hutcheson | Nurse Practitioner | Plan De Salud Del Valle, Inc. | 1115 2nd St, Fort Lupton, CO 80621-1508 |
| Aline C Hansen-guzman | Family Medicine | Plan De Salud Del Valle, Inc. | 1115 2nd St, Fort Lupton, CO 80621-1508 |
| Robyn C Morrison | Physician Assistant | Plan De Salud Del Valle, Inc. | 1115 2nd St, Fort Lupton, CO 80621-1508 |
| Leslie C Shenkel | Family Medicine | Plan De Salud Del Valle, Inc. | 1115 2nd St, Fort Lupton, CO 80621-1508 |
| Ann E Dominguez | Family Medicine | Plan De Salud Del Valle, Inc. | 1115 2nd St, Fort Lupton, CO 80621-1508 |
| Ila D Slimowitz | Nurse Practitioner | Plan De Salud Del Valle, Inc. | 1115 2nd St, Fort Lupton, CO 80621-1508 |
| Laurie Miller | Family Medicine | Plan De Salud Del Valle, Inc. | 1115 2nd St, Fort Lupton, CO 80621-1508 |
| Stefano H Lee | Family Medicine | Plan De Salud Del Valle, Inc. | 1115 2nd St, Fort Lupton, CO 80621-1508 |
| Find all physicians in zip 80621 | |||
| City | FORT LUPTON |
| Zip Code | 80621 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | FORT LUPTON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Mark S Flora.
| 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.