Patricia H Hardenbergh (NPI# 1093870552, PAC ID# 9739284860) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is RADIATION ONCOLOGY.
| Nation Provider ID (NPI) | 1093870552 |
| PAC ID by PECOS | 9739284860 |
| Professional Enrollment ID | I20070607000203 |
| Full Name | Patricia H Hardenbergh |
| Organization Legal Name | VAIL CLINIC INC |
| Address |
1280 Village Rd Vail Health Beaver Creek Medical Avon CO 81620-0000 |
| Phone Number | 9709490800 |
| Gender | F |
| Medical School | BROWN UNIVERSITY PROGRAM IN MEDICINE |
| Graduation Year | 1991 |
| Primary Specialty | RADIATION ONCOLOGY |
| Group Practice PAC ID | 3577475714 |
| Number of Group Practice Members | 67 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 060096 | VAIL HEALTH HOSPITAL |
| 060049 | UCHEALTH YAMPA VALLEY MEDICAL CENTER |
| 060118 | ST. ANTHONY SUMMIT MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1280 Village Rd, Vail Health Beaver Creek Medical, Avon, CO 81620-0000 | 9709490800 | VAIL CLINIC INC |
| 230 Chapel Place, Vail Health Avon Urgent Care, Avon, CO 81620-0000 | 9709496100 | VAIL CLINIC INC |
| 320 Beard Creek Rd, Edwards, CO 81632-6426 | 9705697777 | VAIL CLINIC INC |
| 322 Beard Creek Rd, Edwards, CO 81632-6426 | 9705697429 | VAIL CLINIC INC |
| Organization Legal Name | VAIL CLINIC INC |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emanuel Podgorny | Emergency Medicine | Vail Clinic Inc | 181 W Meadow Dr, Vail Health Hospital, Vail, CO 81657-5242 |
| Katie E Jones | Nurse Practitioner | Vail Clinic Inc | 1280 Village Rd, Vail Health Beaver Creek Medical, Avon, CO 81620-0000 |
| Gayle L Braunholtz | Emergency Medicine | Vail Clinic Inc | 181 W Meadow Dr, Vail Health Hospital, Vail, CO 81657-5242 |
| Michelle D Presley | Nurse Practitioner | Vail Clinic Inc | 181 W Meadow Dr, Vail Health Hospital, Vail, CO 81657-5242 |
| Kristen E Ickes | Internal Medicine | Vail Clinic Inc | 1280 Village Rd, Vail Health Beaver Creek Medical, Avon, CO 81620-0000 |
| Elizabeth K Corey-pacheco | Hospitalist | Vail Clinic Inc | 1280 Village Rd, Vail Health Beaver Creek Medical, Avon, CO 81620-0000 |
| Sean Damian Slack | Emergency Medicine | Vail Clinic Inc | 181 W Meadow Dr, Vail Health Hospital, Vail, CO 81657-5242 |
| Leonard Michael Glode | Medical Oncology | Vail Clinic Inc | 1280 Village Rd, Vail Health Beaver Creek Medical, Avon, CO 81620-0000 |
| Tracee L Metcalfe | Internal Medicine | Vail Clinic Inc | 1280 Village Rd, Vail Health Beaver Creek Medical, Avon, CO 81620-0000 |
| Alexander T Urquhart | Medical Oncology | Vail Clinic Inc | 1280 Village Rd, Vail Health Beaver Creek Medical, Avon, CO 81620-0000 |
| Street Address |
1280 VILLAGE RD VAIL HEALTH BEAVER CREEK MEDICAL |
| City | AVON |
| State | CO |
| Zip | 81620-0000 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katie E Jones | Nurse Practitioner | Vail Clinic Inc | 1280 Village Rd, Vail Health Beaver Creek Medical, Avon, CO 81620-0000 |
| Kristen E Ickes | Internal Medicine | Vail Clinic Inc | 1280 Village Rd, Vail Health Beaver Creek Medical, Avon, CO 81620-0000 |
| Elizabeth K Corey-pacheco | Hospitalist | Vail Clinic Inc | 1280 Village Rd, Vail Health Beaver Creek Medical, Avon, CO 81620-0000 |
| Leonard Michael Glode | Medical Oncology | Vail Clinic Inc | 1280 Village Rd, Vail Health Beaver Creek Medical, Avon, CO 81620-0000 |
| Tracee L Metcalfe | Internal Medicine | Vail Clinic Inc | 1280 Village Rd, Vail Health Beaver Creek Medical, Avon, CO 81620-0000 |
| Alexander T Urquhart | Medical Oncology | Vail Clinic Inc | 1280 Village Rd, Vail Health Beaver Creek Medical, Avon, CO 81620-0000 |
| Stephen E Godar | Internal Medicine | Vail Clinic Inc | 1280 Village Rd, Vail Health Beaver Creek Medical, Avon, CO 81620-0000 |
| John D Slack | Internal Medicine | Vail Clinic Inc | 1280 Village Rd, Vail Health Beaver Creek Medical, Avon, CO 81620-0000 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dana E Walenta | Nurse Practitioner | Vvmc Diversified Services | 220 Chapel Place Unit D, 102 Vail Health Clinic, Avon, CO 81620 |
| Daniel M Chesney | Chiropractic | 41191 Us Hwy 6 and 24, Avon, CO 81620 | |
| Bruce L Wignall | Chiropractic | 40780 Hwy 6 and 24, Avon, CO 81620 | |
| Shannon M Irish | Physical Therapy | Axis Sports Medicine LLC | 142 Beaver Creek Place, Unit 109, Avon, CO 81620 |
| Connor Roman Longacre | Physical Therapy | Axis Sports Medicine LLC | 142 Beaver Creek Place, Unit 109, Avon, CO 81620 |
| Sean P Juarez | Physical Therapy | Axis Sports Medicine LLC | 142 Beaver Creek Place, Unit 109, Avon, CO 81620 |
| Gentian Nuzzo | Physical Therapy | Axis Sports Medicine LLC | 142 Beaver Creek Place, Unit 109, Avon, CO 81620 |
| Meredith H Mueller | Physical Therapy | Axis Sports Medicine LLC | 142 Beaver Creek Place, Unit 109, Avon, CO 81620 |
| Alison Cofer Rybak | Physical Therapy | Axis Sports Medicine LLC | 142 Beaver Creek Place, Unit 109, Avon, CO 81620 |
| Robyn K Ritsch | Physical Therapy | Axis Sports Medicine LLC | 142 Beaver Creek Place, Unit 109, Avon, CO 81620 |
| Find all physicians in zip 81620 | |||
| City | AVON |
| Zip Code | 81620 |
| Specialty | RADIATION ONCOLOGY |
| City + Specialty | AVON + RADIATION ONCOLOGY |
Please comment or provide details below to improve the information on Patricia H Hardenbergh.
| 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.