CARLY MARIE HAM (NPI# 1740807189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740807189 |
| Entity Type | Individual |
| Full Name | CARLY MARIE HAM |
| Credential | PA-C |
| Practice Address |
4190 E Woodmen Rd Ste 100 Colorado Springs CO 80920-8075 |
| Mailing Address |
11786 W 85th Pl Arvada CO 80005-5173 |
| Practice Telephone | 7197222542 |
| Mailing Telephone | 7203346521 |
| Enumeration Date | 2020-07-01 |
| Last Update Date | 2020-07-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA.0006324 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4190 E WOODMEN RD STE 100 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80920-8075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558364638 | Brian E Zable | Internal Medicine | 4190 E Woodmen Rd Ste 100, Colorado Springs, CO 80920-8075 | 2005-05-23 |
| 1124633904 | Jessica Johnson | Physician Assistant | 4190 E Woodmen Rd Ste 100, Colorado Springs, CO 80920-8075 | 2020-09-09 |
| 1841803921 | Poudre Valley Medical Group, LLC | Family Medicine | 4190 E Woodmen Rd Ste 100, Colorado Springs, CO 80920-8075 | 2020-08-28 |
| 1134738495 | Poudre Valley Medical Group, LLC | Orthopaedic Surgery | 4190 E Woodmen Rd Ste 100, Colorado Springs, CO 80920-8075 | 2020-07-23 |
| 1538787973 | Pamela C Anderson | Social Worker | 4190 E Woodmen Rd Ste 100, Colorado Springs, CO 80920-8075 | 2020-07-13 |
| 1215551155 | Holly Catherine Downing | Nurse Practitioner | 4190 E Woodmen Rd Ste 100, Colorado Springs, CO 80920-8075 | 2020-06-06 |
| 1083236947 | Poudre Valley Medical Group, LLC | Psychiatry & Neurology | 4190 E Woodmen Rd Ste 100, Colorado Springs, CO 80920-8075 | 2020-05-14 |
| 1326667981 | Laura Welch | Social Worker | 4190 E Woodmen Rd Ste 100, Colorado Springs, CO 80920-8075 | 2020-04-14 |
| 1992336739 | Kerry Beth Merchant Favara | Counselor | 4190 E Woodmen Rd Ste 100, Colorado Springs, CO 80920-8075 | 2020-01-30 |
| 1477034114 | Rachel L Couch | Nurse Practitioner | 4190 E Woodmen Rd Ste 100, Colorado Springs, CO 80920-8075 | 2018-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407463409 | Cynthia Cruz | Marriage & Family Therapist | 7710 N. Union, Ste 100b and 100c, Colorado Springs, CO 80920 | 2020-09-24 |
| 1851905178 | Emergency Medical Specialists, PC | Emergency Medicine | Woodmen Fsed - Md, 3790 E. Woodmen Road, Colorado Springs, CO 80920 | 2020-09-03 |
| 1114531431 | Emergency Medical Specialists, PC | Emergency Medicine | Memorial Hospital North - Md, 4050 Briargate Pkway, Colorado Springs, CO 80920 | 2020-09-03 |
| 1205440583 | Emergency Medical Specialists, PC | Emergency Medicine | Memorial Hospital North - App, 4050 Briargate Pkway, Colorado Springs, CO 80920 | 2020-09-03 |
| 1700490455 | Poudre Valley Medical Group, LLC | Radiology | 4080 Briargate Parkway, Colorado Springs, CO 80920 | 2020-09-01 |
| 1962015792 | Emergency Medical Specialists, PC | Emergency Medicine | Woodmen Fsed - App, 3790 E. Woodmen Road, Colorado Springs, CO 80920 | 2020-08-31 |
| 1194296491 | Kramer Dentistry Inc | Clinic/Center | 9290 Highland Ridge Heights Suite # 120, Colorado Springs, CO 80920 | 2018-12-12 |
| 1134602279 | Juliana Plucinik | Assistant Behavior Analyst | 7011 Campus Drive Suite 205, Colorado Springs, CO 80920 | 2018-09-14 |
| 1811473861 | Vsb Colorado Providers Pllc | Dentist | 1750 Telstar Drive, Suite 200, Colorado Springs, CO 80920 | 2018-07-12 |
| 1336637438 | Children's Hospital Colorado | General Acute Care Hospital | 4090 Briargate Parkway, Colorado Springs, CO 80920 | 2018-04-25 |
| Find all providers in zip 80920 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265054431 | Kimberly Goyack | Physician Assistant | 10807 New Allegiance Dr Ste 450, Colorado Springs, CO 80921-3722 | 2020-05-11 |
| 1891316089 | Chase Devalk | Physician Assistant | 560 Thames Dr, Colorado Springs, CO 80906-4839 | 2020-04-29 |
| 1841846193 | Caroline Selting | Physician Assistant | 2255 Oak Hills Dr, Colorado Springs, CO 80919-3477 | 2019-08-13 |
| 1578121935 | Raymond Shaun Wolff | Physician Assistant | 6936 Shea Dr Apt A, Colorado Springs, CO 80902-7334 | 2019-05-31 |
| 1063996288 | Matthew Steven Chernikovich | Physician Assistant | 5134 N Nevada Ave Ste 100, Colorado Springs, CO 80918-8699 | 2018-09-24 |
| 1649798018 | Adam Robert Sahlberg | Physician Assistant | 10222 Desert Bloom Way, Colorado Springs, CO 80925-1345 | 2017-09-06 |
| 1851821334 | Jennifer Abbott | Physician Assistant | 6071 E Woodmen Rd Ste Unit300, Colorado Springs, CO 80923-2607 | 2017-06-15 |
| 1912431081 | Brandon Eliott Griffis | Physician Assistant | 3803 N Chestnut St, Colorado Springs, CO 80907-4107 | 2017-04-16 |
| 1508309709 | Aleksandr M Kaplun | Physician Assistant | 155 Printers Pkwy Ste 23, Colorado Springs, CO 80910-6100 | 2016-11-21 |
| 1972059038 | Shelby Lynne Ransdell | Physician Assistant | 116 Sherri Dr, Colorado Springs, CO 80911-1447 | 2016-08-29 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80920 |
Please comment or provide details below to improve the information on CARLY MARIE HAM.
| 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.