Marilyn A Gandolph (NPI# 1154388148, PAC ID# 0749466100) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1154388148 |
| PAC ID by PECOS | 0749466100 |
| Professional Enrollment ID | I20110519000156 |
| Full Name | Marilyn A Gandolph |
| Organization Legal Name | PAUL MACKELL MD PC |
| Address |
588 N Us Hwy 287 Suite 204 Lafayette CO 80026-2615 |
| Phone Number | 3036664606 |
| Gender | F |
| Graduation Year | 1992 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 8921077660 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 060027 | BOULDER COMMUNITY HEALTH |
| 060103 | CENTURA HEALTH-AVISTA ADVENTIST HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 588 N Us Hwy 287, Suite 204, Lafayette, CO 80026-2615 | 3036664606 | PAUL MACKELL MD PC |
| Organization Legal Name | PAUL MACKELL MD PC |
| Physicians | 1 |
| Street Address |
588 N US HWY 287 SUITE 204 |
| City | LAFAYETTE |
| State | CO |
| Zip | 80026-2615 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul E Mackell | Family Medicine | 588 N Us Hwy 287, Suite 204, Lafayette, CO 80026-2615 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura B Duke | Chiropractic | 1280 Centaur Village Dr, Suite 8, Lafayette, CO 80026-1255 | |
| Philip Jeffrey Keppeler | Obstetrics/gynecology | Clinica Campesina Family Health Services | 2000 W S Boulder Rd, Lafayette, CO 80026-1389 |
| Heather L Fliege | Family Medicine | 308 W Baseline Rd, Lafayette, CO 80026-1719 | |
| Mary L Louder | Family Medicine | 304 W Baseline Rd, Colorado Integrated Medical Center PC, Lafayette, CO 80026-1719 | |
| Jeffrey R Gappa | Chiropractic | 304 W Baseline Rd, Lafayette, CO 80026-1719 | |
| Sara Bw Kadlec | Physician Assistant | Bouldercentre for Orthopedics PC | 1000 S Boulder Rd, Suite 218, Lafayette, CO 80026-2030 |
| Stephen D Paul | Orthopedic Surgery | Bouldercentre for Orthopedics PC | 1000 S Boulder Rd, Suite 218, Lafayette, CO 80026-2030 |
| James B Rector | Orthopedic Surgery | Bouldercentre for Orthopedics PC | 1000 S Boulder Rd, Suite 218, Lafayette, CO 80026-2030 |
| Elizabeth L Hewes | Physician Assistant | Bouldercentre for Orthopedics PC | 1000 S Boulder Rd, Suite 218, Lafayette, CO 80026-2030 |
| Elizabeth Frances Yurth | Physical Medicine and Rehabilitation | Bouldercentre for Orthopedics PC | 1000 S Boulder Rd, Suite 218, Lafayette, CO 80026-2030 |
| Find all physicians in zip 80026 | |||
| City | LAFAYETTE |
| Zip Code | 80026 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | LAFAYETTE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Marilyn A Gandolph.
| 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.