Sarah B Youngblood (NPI# 1720184278, PAC ID# 9931190741) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1720184278 |
| PAC ID by PECOS | 9931190741 |
| Professional Enrollment ID | I20040520000887 |
| Full Name | Sarah B Youngblood |
| Organization Legal Name | BELLA DERMA PROFESSIONAL LLC |
| Address |
261 Robinson St Suite C100 Basalt CO 81621-8387 |
| Phone Number | 9703269226 |
| Gender | F |
| Credential | PA |
| Graduation Year | 2003 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 2466424072 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 060075 | VALLEY VIEW HOSPITAL ASSOCIATION |
| Address | Phone | Organization |
|---|---|---|
| 261 Robinson St, Suite C100, Basalt, CO 81621-8387 | 9703269226 | BELLA DERMA PROFESSIONAL LLC |
| 1140 Edwards Village Blvd, Suite B200, Edwards, CO 81632-2736 | 9709269226 | BELLA DERMA PROFESSIONAL LLC |
| Organization Legal Name | BELLA DERMA PROFESSIONAL LLC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Pauline B Reohr | Dermatology | Bella Derma Professional LLC | 300 S Spring St, 103 Aspen Dermatology, Aspen, CO 81611-2088 |
| Drew Michael Taylor | Dermatology | Bella Derma Professional LLC | 919 Grand Ave, Glenwood Springs, CO 81601-3601 |
| Dorothy W Blankenship | Dermatology | Bella Derma Professional LLC | 919 Grand Ave, Glenwood Springs, CO 81601-3601 |
| Karen B Nern | Dermatology | Bella Derma Professional LLC | 919 Grand Ave, Glenwood Springs, CO 81601-3601 |
| Claire M Mann | Nurse Practitioner | Bella Derma Professional LLC | 1140 Edwards Village Blvd, B200 Vail Dermatology, Edwards, CO 81632-2736 |
| Kirsten Barrett Kuhn | Physician Assistant | Bella Derma Professional LLC | 919 Grand Ave, Glenwood Springs, CO 81601-3601 |
| Julia D Kreger | Dermatology | Bella Derma Professional LLC | 919 Grand Ave, Glenwood Springs, CO 81601-3601 |
| Street Address |
261 ROBINSON ST SUITE C100 |
| City | BASALT |
| State | CO |
| Zip | 81621-8387 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alison Allen | Neuropsychiatry | Roaring Fork Neurology PC | 350 Market St, Suite 1, Basalt, CO 81621-7402 |
| Carly A Stillman | Physician Assistant | Roaring Fork Neurology PC | 350 Market St, Suite 1, Basalt, CO 81621-7402 |
| Timothy J Bauer | Optometry | 850 E Valley Rd, Basalt, CO 81621-7600 | |
| Jason Slaver | Chiropractic | 355 Gold Rivers Ct, Suite 1, Basalt, CO 81621-8112 | |
| Thomas R Lankering | Chiropractic | 110 Midland Ave, Basalt, CO 81621-8305 | |
| Glenn E Kotz | Family Medicine | 1450 E Valley Rd, Suite 102, Basalt, CO 81621-8352 | |
| Bruce K Bowen | Family Medicine | 1450 E Valley Rd, Suite 101, Basalt, CO 81621-8352 | |
| Scott J Tesoro | Chiropractic | 711 E Valley Rd, Suite 202a, Basalt, CO 81621-8370 | |
| Jillian L Cameron | Chiropractic | Sopris Chiropractic PC | 711 E Valley Rd, Suite 202a, Basalt, CO 81621-8370 |
| Amy C Cecil | Optometry | 100 Elk Run Dr, Suite 206, Basalt, CO 81621-9205 | |
| Find all physicians in zip 81621 | |||
| City | BASALT |
| Zip Code | 81621 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | BASALT + PHYSICIAN ASSISTANT |
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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.