Humayun Iftikhar (NPI# 1932499001, PAC ID# 9335315332) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1932499001 |
| PAC ID by PECOS | 9335315332 |
| Professional Enrollment ID | I20121128000593 |
| Full Name | Humayun Iftikhar |
| Organization Legal Name | POUDRE VALLEY MEDICAL GROUP LLC |
| Address |
2101 Box Butte Ave Alliance NE 69301-4445 |
| Phone Number | 3087626660 |
| Gender | M |
| Graduation Year | 2007 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 9638208549 |
| Number of Group Practice Members | 1070 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 280061 | REGIONAL WEST MEDICAL CENTER |
| 281360 | BOX BUTTE GENERAL HOSPITAL |
| 281318 | MORRILL COUNTY COMMUNITY HOSPITAL |
| 060119 | MEDICAL CENTER OF THE ROCKIES |
| 531307 | COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2101 Box Butte Ave, Alliance, NE 69301-4445 | 3087626660 | POUDRE VALLEY MEDICAL GROUP LLC |
| 2121 E Harmony Rd Unit, 100 Uchmg Cardiology Fort Collins, Fort Collins, CO 80528-3401 | 9702211000 | POUDRE VALLEY MEDICAL GROUP LLC |
| 2 W 42nd St, Suite 2200, Scottsbluff, NE 69361-4610 | 3086302626 | POUDRE VALLEY MEDICAL GROUP LLC |
| Organization Legal Name | POUDRE VALLEY MEDICAL GROUP LLC |
| Physicians | 1041 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Henry Monkowski | Infectious Disease | Poudre Valley Medical Group LLC | 1625 Foxtrail Dr, Suite 200, Loveland, CO 80538-9089 |
| Nataliia A Baker | Family Medicine | Poudre Valley Medical Group LLC | 1455 Main St, Suite 100, Windsor, CO 80550-5559 |
| Stephanie Pivik Mager | Obstetrics/gynecology | Poudre Valley Medical Group LLC | 1715 61st Ave, Greeley, CO 80634-7989 |
| Kerri Alicia Madden | Physician Assistant | Poudre Valley Medical Group LLC | 4404 Barranca Ln, Unit 101, Castle Rock, CO 80104-7432 |
| Alicia Vandersluis | Obstetrics/gynecology | Poudre Valley Medical Group LLC | 6705 Rangewood Dr, Colorado Springs, CO 80918-7300 |
| Megan Leigh Kelly | Clinical Social Worker | Poudre Valley Medical Group LLC | 11820 Destination Dr, Broomfield, CO 80021-2518 |
| Mark Oscar Robinson | Family Medicine | Poudre Valley Medical Group LLC | 15854 Jackson Creek Pkwy, Unit 120, Monument, CO 80132-8663 |
| Kimberly Atiyeh | Otolaryngology | Poudre Valley Medical Group LLC | 16222 W Us Hwy 24 210, Uchmg Woodland Park Outreach, Woodland Park, CO 80863-8763 |
| Adam Lee Kilkenney | Family Medicine | Poudre Valley Medical Group LLC | 5265 N Academy Blvd, Suite 1800, Colorado Springs, CO 80918-4061 |
| Marlesa Renee Moore | Obstetrics/gynecology | Poudre Valley Medical Group LLC | 1015 E Pikes Peak Ave, Suite 100, Colorado Springs, CO 80903-5700 |
| Street Address |
2101 BOX BUTTE AVE |
| City | ALLIANCE |
| State | NE |
| Zip | 69301-4445 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Molly D Hartman | Certified Registered Nurse Anesthetist (crna) | Box Butte General Hospital | 2101 Box Butte Ave, Alliance, NE 69301-4445 |
| Christopher M Lambert | Cardiovascular Disease (cardiology) | Poudre Valley Medical Group LLC | 2101 Box Butte Ave, Alliance, NE 69301-4445 |
| Sally B Bryner | Nurse Practitioner | Box Butte General Hospital | 2101 Box Butte Ave, Alliance, NE 69301-4445 |
| Robert D Maclachlan | Neurology | Neurosurgical and Spinal Surgery Associates PC | 2101 Box Butte Ave, Alliance, NE 69301-4445 |
| Ethan Ellis | Cardiac Electrophysiology | Poudre Valley Medical Group LLC | 2101 Box Butte Ave, Alliance, NE 69301-4445 |
| Rita K Vaughn | Certified Registered Nurse Anesthetist (crna) | Box Butte General Hospital | 2101 Box Butte Ave, Alliance, NE 69301-4445 |
| Kristin M Ferguson | Nurse Practitioner | Box Butte General Hospital | 2101 Box Butte Ave, Alliance, NE 69301-4445 |
| Susan M Reading Martin | Nurse Practitioner | Box Butte General Hospital | 2101 Box Butte Ave, Alliance, NE 69301-4445 |
| Charles A Frisch | Certified Registered Nurse Anesthetist (crna) | Box Butte General Hospital | 2101 Box Butte Ave, Alliance, NE 69301-4445 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Creston M Myers | Optometry | 1317 W 3rd St, Alliance, NE 69301-3125 | |
| Brittany A Mcclary | Physical Therapy | Stodden Physical Therapy LLC | 407 Black Hills Ave, Alliance, NE 69301-3243 |
| Karen S Brown | Physical Therapy | Working Back Institute Inc | 407 Black Hills Ave, Alliance, NE 69301-3243 |
| Renee Ann Wallesen | Chiropractic | 113 W 3rd St, Alliance, NE 69301-3301 | |
| Kristen Elizabeth Reinard | Optometry | Webb Eyecare PC | 515 Niobrara Ave, Alliance, NE 69301-3421 |
| Cady Jo Hubbard | Optometry | Webb Eyecare PC | 515 Niobrara Ave, Alliance, NE 69301-3421 |
| Jason Webb | Optometry | Webb Eyecare PC | 515 Niobrara Ave, Alliance, NE 69301-3421 |
| Robert C Dietrich | Optometry | Webb Eyecare PC | 515 Niobrara Ave, Alliance, NE 69301-3421 |
| William Victor Fattig | Internal Medicine | 723 Flack Ave, Alliance, NE 69301-3514 | |
| Nicholas Michael James Kizzire | Chiropractic | 221 Box Butte Ave, Alliance, NE 69301-3741 | |
| Find all physicians in zip 69301 | |||
| City | ALLIANCE |
| Zip Code | 69301 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | ALLIANCE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Humayun Iftikhar.
| 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.