Mark Dacey (NPI# 1245433259, PAC ID# 9436204344) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1245433259 |
| PAC ID by PECOS | 9436204344 |
| Professional Enrollment ID | I20110607000375 |
| Full Name | Mark Dacey |
| Organization Legal Name | COLORADO RETINA ASSOCIATES PC |
| Address |
850 Englewood Pkwy 200 Englewood Englewood CO 80110-7399 |
| Phone Number | 3032611600 |
| Gender | M |
| Medical School | UNIVERSITY OF MICHIGAN MEDICAL SCHOOL |
| Graduation Year | 2005 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 6002817566 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 060064 | CENTURA HEALTH-PORTER ADVENTIST HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 850 Englewood Pkwy, 200 Englewood, Englewood, CO 80110-7399 | 3032611600 | COLORADO RETINA ASSOCIATES PC |
| 11960 Lioness Way, 290 Parker, Parker, CO 80134-5640 | 3032611600 | COLORADO RETINA ASSOCIATES PC |
| Organization Legal Name | COLORADO RETINA ASSOCIATES PC |
| Physicians | 16 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark E Patron | Ophthalmology | Colorado Retina Associates PC | 850 Englewood Pkwy, 200 Englewood, Englewood, CO 80110-7399 |
| Murtaza Adam | Ophthalmology | Colorado Retina Associates PC | 8101 E Lowry Blvd, 210 Lowry, Denver, CO 80230-7195 |
| Salil Shukla | Ophthalmology | Colorado Retina Associates PC | 8101 E Lowry Blvd, 210 Lowry, Denver, CO 80230-7195 |
| Miriah M Teeter | Ophthalmology | Colorado Retina Associates PC | 11960 Lioness Way, 290 Parker, Parker, CO 80134-5640 |
| Ashleigh Laurin Levison | Ophthalmology | Colorado Retina Associates PC | 850 Englewood Pkwy, 200 Englewood, Englewood, CO 80110-7399 |
| Curtis L Hagedorn | Ophthalmology | Colorado Retina Associates PC | 8101 E Lowry Blvd, 210 Lowry, Denver, CO 80230-7195 |
| Mimi Liu | Ophthalmology | Colorado Retina Associates PC | 850 Englewood Pkwy, 200 Englewood, Englewood, CO 80110-7399 |
| David W Johnson | Ophthalmology | Colorado Retina Associates PC | 8101 E Lowry Blvd, 210 Lowry, Denver, CO 80230-7195 |
| Nancy J Christmas | Ophthalmology | Colorado Retina Associates PC | 8101 E Lowry Blvd, 210 Lowry, Denver, CO 80230-7195 |
| Peter G Hovland | Ophthalmology | Colorado Retina Associates PC | 850 Englewood Pkwy, 200 Englewood, Englewood, CO 80110-7399 |
| Street Address |
850 ENGLEWOOD PKWY 200 ENGLEWOOD |
| City | ENGLEWOOD |
| State | CO |
| Zip | 80110-7399 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark E Patron | Ophthalmology | Colorado Retina Associates PC | 850 Englewood Pkwy, 200 Englewood, Englewood, CO 80110-7399 |
| Ashleigh Laurin Levison | Ophthalmology | Colorado Retina Associates PC | 850 Englewood Pkwy, 200 Englewood, Englewood, CO 80110-7399 |
| Mimi Liu | Ophthalmology | Colorado Retina Associates PC | 850 Englewood Pkwy, 200 Englewood, Englewood, CO 80110-7399 |
| Peter G Hovland | Ophthalmology | Colorado Retina Associates PC | 850 Englewood Pkwy, 200 Englewood, Englewood, CO 80110-7399 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carol J Macomber | Physical Therapy | 2901 S Downing St, Englewood, CO 80110-1732 | |
| Andrew J Mcmaster | Physician Assistant | Rocky Mountain Physicians Group, PC | 500 W Hampden Ave, Metro Urgent Care, Englewood, CO 80110-2113 |
| Sarah Lashley | Physical Therapy | Potomac Square Family Medicine LLC | 730 W Hampden Ave, Englewood, CO 80110-2120 |
| Kathy J Koop | Chiropractic | Kathy J. Koop, Dc, PC | 730 W Hampden Ave, Suite 110, Englewood, CO 80110-2126 |
| Kristina R Anderson | Occupational Therapy | Colorado Neurological Institute | 750 W Hampden Ave, Suite 400, Englewood, CO 80110-2166 |
| Lucille A Draayer | Clinical Social Worker | Colorado Neurological Institute | 750 W Hampden Ave, Suite 400, Englewood, CO 80110-2166 |
| Debra J Bandstra | Speech Language Pathologist | Colorado Neurological Institute | 750 W Hampden Ave, Suite 400, Englewood, CO 80110-2166 |
| Dorothy Tarvestad | Physical Therapy | Colorado Neurological Institute | 750 W Hampden Ave, Suite 400, Englewood, CO 80110-2166 |
| Aspen Kunisch | Physical Therapy | Colorado Neurological Institute | 750 W Hampden Ave, Englewood, CO 80110-2166 |
| Ashley Devolld | Physical Therapy | Colorado Neurological Institute | 750 W Hampden Ave, Suite 400, Englewood, CO 80110-2166 |
| Find all physicians in zip 80110 | |||
| City | ENGLEWOOD |
| Zip Code | 80110 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | ENGLEWOOD + OPHTHALMOLOGY |
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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.