Jan Gillespie Wagner (NPI# 1043293921, PAC ID# 9436100468) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL PAIN MANAGEMENT.
| Nation Provider ID (NPI) | 1043293921 |
| PAC ID by PECOS | 9436100468 |
| Professional Enrollment ID | I20080825000462 |
| Full Name | Jan Gillespie Wagner |
| Organization Legal Name | INTERMOUNTAIN ANESTHESIA PROFESSIONAL CONSULTANTS LLP |
| Address |
1175 58th Ave Suite 200 Greeley CO 80634-4808 |
| Phone Number | 9704950444 |
| Gender | F |
| Medical School | UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON |
| Graduation Year | 1985 |
| Primary Specialty | INTERVENTIONAL PAIN MANAGEMENT |
| Secondary Specialties | ANESTHESIOLOGY, PAIN MANAGEMENT |
| Group Practice PAC ID | 2860474228 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1175 58th Ave, Suite 200, Greeley, CO 80634-4808 | 9704950444 | INTERMOUNTAIN ANESTHESIA PROFESSIONAL CONSULTANTS LLP |
| Organization Legal Name | INTERMOUNTAIN ANESTHESIA PROFESSIONAL CONSULTANTS LLP |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Darci L Rossiter | Physician Assistant | Intermountain Anesthesia Professional Consultants LLP | 1175 58th Ave, Suite 200, Greeley, CO 80634-4808 |
| Melissa A Martinez | Physician Assistant | Intermountain Anesthesia Professional Consultants LLP | 1175 58th Ave, Suite 200, Greeley, CO 80634-4808 |
| Mollie M Bradmon | Physician Assistant | Intermountain Anesthesia Professional Consultants LLP | 1175 58th Ave, Suite 200, Greeley, CO 80634-4808 |
| Karen G Dowdy | Physician Assistant | Intermountain Anesthesia Professional Consultants LLP | 1175 58th Ave, Suite 200, Greeley, CO 80634-4808 |
| Street Address |
1175 58TH AVE SUITE 200 |
| City | GREELEY |
| State | CO |
| Zip | 80634-4808 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashley L Kramer | Qualified Speech Language Pathologist | Aspen Speech Therapy and Rehabilitation LLC | 1175 58th Ave, Suite 101, Greeley, CO 80634-4808 |
| Darci L Rossiter | Physician Assistant | Intermountain Anesthesia Professional Consultants LLP | 1175 58th Ave, Suite 200, Greeley, CO 80634-4808 |
| Melissa A Martinez | Physician Assistant | Intermountain Anesthesia Professional Consultants LLP | 1175 58th Ave, Suite 200, Greeley, CO 80634-4808 |
| Mollie M Bradmon | Physician Assistant | Intermountain Anesthesia Professional Consultants LLP | 1175 58th Ave, Suite 200, Greeley, CO 80634-4808 |
| Karen G Dowdy | Physician Assistant | Intermountain Anesthesia Professional Consultants LLP | 1175 58th Ave, Suite 200, Greeley, CO 80634-4808 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lynne M Donahue | Physical Therapy | Alliance Physical Therapy, P.C. | 2809 E Harmony Rd, Suite 145, Fort Colllins, CO 80634 |
| David Richard Solecki | Chiropractic | 3624 W 10th St, Greeley, CO 80634-1821 | |
| Laurence P Kerrigan | Clinical Psychologist | 1015 37th Ave Ct, Unit 102, Greeley, CO 80634-2500 | |
| Evelyn B Hu | Nurse Practitioner | Colorado Urgent Care Pllc | 1011 39th Ave A, Greeley, CO 80634-2504 |
| Marcia S Stauter | Optometry | 3545 W 12th St, Suite 101, Greeley, CO 80634-2545 | |
| Stephanie Maria Streufert | Family Medicine | Banner Health Physicians Colorado LLC | 5623 W 19th St, Greeley, CO 80634-2901 |
| Anna R Wilkins | Family Medicine | Poudre Valley Medical Group LLC | 5881 W 16th St, Uchmg Peakview Medical Center, Greeley, CO 80634-2910 |
| Amy B Driscoll | Pediatric Medicine | Poudre Valley Medical Group LLC | 5881 W 16th St D, Uchmg Urology Peakview, Greeley, CO 80634-2910 |
| Jennifer Lynn Wenning | Nurse Practitioner | Poudre Valley Medical Group LLC | 5881 W 16th St, Uchmg Peakview Medical Center, Greeley, CO 80634-2910 |
| Melissa Richardson | Physical Therapy | Poudre Valley Medical Group LLC | 5881 W 16th St D, Uchmg Urology Peakview, Greeley, CO 80634-2910 |
| Find all physicians in zip 80634 | |||
| City | GREELEY |
| Zip Code | 80634 |
| Specialty | INTERVENTIONAL PAIN MANAGEMENT |
| City + Specialty | GREELEY + INTERVENTIONAL PAIN MANAGEMENT |
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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.