Staci F Bishop (NPI# 1922176643, PAC ID# 9830246230) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1922176643 |
| PAC ID by PECOS | 9830246230 |
| Professional Enrollment ID | I20090421000564 |
| Full Name | Staci F Bishop |
| Organization Legal Name | SOUTHEAST COLORADO HOSPITAL DISTRICT |
| Address |
373 E 10th Ave Springfield CO 81073-1622 |
| Phone Number | 7195234501 |
| Gender | F |
| Medical School | UNIVERSITY OF COLORADO SCHOOL OF MEDICINE |
| Graduation Year | 1994 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 6204725138 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 061311 | SOUTHEAST COLORADO HOSPITAL |
| 061323 | PROWERS MEDICAL CENTER |
| 061336 | |
| 450231 | BAPTIST ST ANTHONY'S HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 373 E 10th Ave, Springfield, CO 81073-1622 | 7195234501 | SOUTHEAST COLORADO HOSPITAL DISTRICT |
| Organization Legal Name | SOUTHEAST COLORADO HOSPITAL DISTRICT |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dana L Greene | Family Medicine | Southeast Colorado Hospital District | 373 E 10th Ave, Springfield, CO 81073-1622 |
| Andrea E. Wismann | Family Medicine | Southeast Colorado Hospital District | 373 E 10th Ave, Springfield, CO 81073-1622 |
| Janette S Javier | Emergency Medicine | Southeast Colorado Hospital District | 373 E 10th Ave, Springfield, CO 81073-1622 |
| Antonio S Manalo | Family Medicine | Southeast Colorado Hospital District | 373 E 10th Ave, Springfield, CO 81073-1622 |
| Melvin Kile Viney Jr. | Nurse Practitioner | Southeast Colorado Hospital District | 373 E 10th Ave, Springfield, CO 81073-1622 |
| Ryan Mccomb | Family Medicine | Southeast Colorado Hospital District | 373 E 10th Ave, Springfield, CO 81073-1622 |
| Street Address |
373 E 10TH AVE |
| City | SPRINGFIELD |
| State | CO |
| Zip | 81073-1622 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dana L Greene | Family Medicine | Southeast Colorado Hospital District | 373 E 10th Ave, Springfield, CO 81073-1622 |
| Andrea E. Wismann | Family Medicine | Southeast Colorado Hospital District | 373 E 10th Ave, Springfield, CO 81073-1622 |
| Janette S Javier | Emergency Medicine | Southeast Colorado Hospital District | 373 E 10th Ave, Springfield, CO 81073-1622 |
| Antonio S Manalo | Family Medicine | Southeast Colorado Hospital District | 373 E 10th Ave, Springfield, CO 81073-1622 |
| Melvin Kile Viney Jr. | Nurse Practitioner | Southeast Colorado Hospital District | 373 E 10th Ave, Springfield, CO 81073-1622 |
| Ryan Mccomb | Family Medicine | Southeast Colorado Hospital District | 373 E 10th Ave, Springfield, CO 81073-1622 |
| City | SPRINGFIELD |
| Zip Code | 81073 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | SPRINGFIELD + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Staci F Bishop.
| 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.