GUY J. KOVACEVICH, MD, PC (NPI# 1063721603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063721603 |
| Entity Type | Organization |
| Organization Name | GUY J. KOVACEVICH, MD, PC |
| Practice Address |
142 Beaver Creek Place Avon CO 81620 |
| Mailing Address |
Po Box 2819 Avon CO 81620-2819 |
| Practice Telephone | 9709495434 |
| Practice Fax Number | 9709490376 |
| Mailing Telephone | 9709495434 |
| Mailing Fax Number | 9709490376 |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2010-09-30 |
| Authorized Official Name | GUY J KOVACEVICH (OWNER/PRESIDENT) |
| Authorized Official Telephone | 9709495434 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 30110 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | LICENSE | 30110 | 01 |
| Street Address |
142 BEAVER CREEK PLACE |
| City | AVON |
| State | CO |
| Zip Code | 81620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720192776 | Norman David Numerof | Internal Medicine | 142 Beaver Creek Place, Suite 112, Avon, CO 81620 | 2006-08-18 |
| 1487933990 | Meredith Hundt Mueller | Physical Therapist | 142 Beaver Creek Place, Unit 109, Avon, CO 81620-0000 | 2011-08-15 |
| 1396041059 | Doctors Plus of Colorado, Inc. | General Practice | 142 Beaver Creek Place, Avon, CO 81620 | 2011-01-28 |
| 1376629428 | Guy J. Kovacevich | Family Medicine | 142 Beaver Creek Place, Avon, CO 81620 | 2006-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316555386 | Comfort of Your Home Psychiatry | Nurse Practitioner | 175 Hurd Lane, Unit 3212, Avon, CO 81620 | 2020-07-16 |
| 1467076182 | Melina Bjornson | Dentist | 50 Buck Creek Rd #305, Avon, CO 81620 | 2020-05-29 |
| 1598391971 | Jennifer Arens | Acupuncturist | 2170 A Long Spur, Avon, CO 81620 | 2020-03-18 |
| 1093361842 | Vail Clinic, Inc. | Clinic/Center | 1280 Village Rd, Avon, CO 81620 | 2019-08-16 |
| 1295381390 | Vail Clinic, Inc. | Clinic/Center | 126 Riverfront Lane, Suite 101, Avon, CO 81620 | 2019-08-14 |
| 1730747445 | Colorado Mountain Medical, LLC | Obstetrics & Gynecology | 50 Buck Creek Road, Suite 200, Avon, CO 81620 | 2019-05-29 |
| 1891358164 | Mary Elizabeth Harper | Pharmacist | 171 Yodder Ave, Avon, CO 81620 | 2019-04-22 |
| 1679036933 | Sean Thomas Veilleux | Pharmacist | 171 Yoder Ave, Avon, CO 81620 | 2019-04-12 |
| 1447727656 | Casey Aberth | Speech-Language Pathologist | 998 W Beaver Creek Blvd, 311, Avon, CO 81620 | 2018-10-25 |
| 1063924447 | Diana Hellestrae Marshall | Massage Therapist | Ascent Physical Therapy, 90 Lake St, Avon, CO 81620 | 2017-10-25 |
| Find all providers in zip 81620 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093956997 | Vox Solutions, LLC | General Practice | 4219 Queens Gate, Avon, OH 44011-2771 | 2009-03-23 |
| 1942563259 | Spinalcare Physical Medicine LLC | General Practice | 114 N Avon Ave, Avon, IN 46123-8475 | 2012-06-21 |
| 1396041059 | Doctors Plus of Colorado, Inc. | General Practice | 142 Beaver Creek Place, Avon, CO 81620 | 2011-01-28 |
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|---|---|---|---|---|
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| 1386263044 | Poudre Valley Medical Group, LLC | General Practice | 3800 Wilson Ave, Loveland, CO 80538-2075 | 2020-04-13 |
| 1932728706 | Poudre Valley Medical Group, LLC | General Practice | 256 W Mountain Ave, Fort Collins, CO 80521-2711 | 2020-04-13 |
| 1023637915 | Poudre Valley Medical Group, LLC | General Practice | 1041 Woodward Way, Fort Collins, CO 80524-3468 | 2020-04-11 |
| 1710516950 | Poudre Valley Medical Group, LLC | General Practice | 4380 Ziegler Rd, Fort Collins, CO 80525-9631 | 2020-04-08 |
| 1689208035 | Balance Wellspace LLC | General Practice | 125 Rampart Way Ste 300, Denver, CO 80230-6429 | 2020-02-25 |
| 1215584321 | Belleview Spince and Wellnces Cos LLC | General Practice | 1257 Lake Plaza Dr Ste 105, Colorado Springs, CO 80906-7300 | 2019-08-22 |
| 1497307771 | Pamela Raring Mclaughlin | General Practice | 2275 Homestead Dr, Grand Junction, CO 81505-8306 | 2019-07-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.